SB2822 Engrossed LRB103 36437 AWJ 66539 b
1		AN ACT concerning regulation.
2		Be it enacted by the People of the State of Illinois,
3		represented in the General Assembly:
4		Section 5. The Illinois Dental Practice Act is amended by
5		changing Sections 4, 8.1, 17, 19.2, and 45 as follows:
6		(225 ILCS 25/4)
7		(Section scheduled to be repealed on January 1, 2026)
8		Sec. 4. Definitions. As used in this Act:
9		"Address of record" means the designated address recorded
10		by the Department in the applicant's or licensee's application
11		file or license file as maintained by the Department's
12		licensure maintenance unit. It is the duty of the applicant or
13		licensee to inform the Department of any change of address and
14		those changes must be made either through the Department's
15		website or by contacting the Department.
16		"Department" means the Department of Financial and
17		Professional Regulation.
18		"Secretary" means the Secretary of Financial and
19		Professional Regulation.
20		"Board" means the Board of Dentistry.
21		"Dentist" means a person who has received a general
22		license pursuant to paragraph (a) of Section 11 of this Act and
23		who may perform any intraoral and extraoral procedure required

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1		in the practice of dentistry and to whom is reserved the
2		responsibilities specified in Section 17.
3		"Dental hygienist" means a person who holds a license
4		under this Act to perform dental services as authorized by
5		Section 18.
6		"Dental assistant" means an appropriately trained person
7		who, under the supervision of a dentist, provides dental
8		services as authorized by Section 17.
9		"Expanded function dental assistant" means a dental
10		assistant who has completed the training required by Section
11		17.1 of this Act.
12		"Dental laboratory" means a person, firm, or corporation
13		which:
14		(i) engages in making, providing, repairing, or
15		altering dental prosthetic appliances and other artificial
16		materials and devices which are returned to a dentist for
17		insertion into the human oral cavity or which come in
18		contact with its adjacent structures and tissues; and
19		(ii) utilizes or employs a dental technician to
20		provide such services; and
21		(iii) performs such functions only for a dentist or
22		dentists.
23		"Supervision" means supervision of a dental hygienist or a
24		dental assistant requiring that a dentist authorize the
25		procedure, remain in the dental facility while the procedure
26		is performed, and approve the work performed by the dental

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1		hygienist or dental assistant before dismissal of the patient,
2		but does not mean that the dentist must be present at all times
3		in the treatment room.
4		"General supervision" means supervision of a dental
5		hygienist requiring that the patient be a patient of record,
6		that the dentist examine the patient in accordance with
7		Section 18 prior to treatment by the dental hygienist, and
8		that the dentist authorize the procedures which are being
9		carried out by a notation in the patient's record, but not
10		requiring that a dentist be present when the authorized
11		procedures are being performed. The issuance of a prescription
12		to a dental laboratory by a dentist does not constitute
13		general supervision.
14		"Public member" means a person who is not a health
15		professional. For purposes of board membership, any person
16		with a significant financial interest in a health service or
17		profession is not a public member.
18		"Dentistry" means the healing art which is concerned with
19		the examination, diagnosis, treatment planning, and care of
20		conditions within the human oral cavity and its adjacent
21		tissues and structures, as further specified in Section 17.
22		"Branches of dentistry" means the various specialties of
23		dentistry which, for purposes of this Act, shall be limited to
24		the following: endodontics, oral and maxillofacial surgery,
25		orthodontics and dentofacial orthopedics, pediatric dentistry,
26		periodontics, prosthodontics, oral and maxillofacial

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1		radiology, and dental anesthesiology.
2		"Specialist" means a dentist who has received a specialty
3		license pursuant to Section 11(b).
4		"Dental technician" means a person who owns, operates, or
5		is employed by a dental laboratory and engages in making,
6		providing, repairing, or altering dental prosthetic appliances
7		and other artificial materials and devices which are returned
8		to a dentist for insertion into the human oral cavity or which
9		come in contact with its adjacent structures and tissues.
10		"Impaired dentist" or "impaired dental hygienist" means a
11		dentist or dental hygienist who is unable to practice with
12		reasonable skill and safety because of a physical or mental
13		disability as evidenced by a written determination or written
14		consent based on clinical evidence, including deterioration
15		through the aging process, loss of motor skills, abuse of
16		drugs or alcohol, or a psychiatric disorder, of sufficient
17		degree to diminish the person's ability to deliver competent
18		patient care.
19		"Nurse" means a registered professional nurse, a certified
20		registered nurse anesthetist licensed as an advanced practice
21		registered nurse, or a licensed practical nurse licensed under
22		the Nurse Practice Act.
23		"Patient of record" means a patient for whom the patient's
24		most recent dentist has obtained a relevant medical and dental
25		history and on whom the dentist has performed an examination
26		and evaluated the condition to be treated.

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1		"Dental responder" means a dentist or dental hygienist who
2		is appropriately certified in disaster preparedness,
3		immunizations, and dental humanitarian medical response
4		consistent with the Society of Disaster Medicine and Public
5		Health and training certified by the National Incident
6		Management System or the National Disaster Life Support
7		Foundation.
8		"Mobile dental van or portable dental unit" means any
9		self-contained or portable dental unit in which dentistry is
10		practiced that can be moved, towed, or transported from one
11		location to another in order to establish a location where
12		dental services can be provided.
13		"Public health dental hygienist" means a hygienist who
14		holds a valid license to practice in the State, has 2 years of
15		full-time clinical experience or an equivalent of 4,000 hours
16		of clinical experience, and has completed at least 42 clock
17		hours of additional structured courses in dental education in
18		advanced areas specific to public health dentistry.
19		"Public health setting" means a federally qualified health
20		center; a federal, State, or local public health facility;
21		Head Start; a special supplemental nutrition program for
22		Women, Infants, and Children (WIC) facility; a certified
23		school-based health center or school-based oral health
24		program; a prison; or a long-term care facility.
25		"Public health supervision" means the supervision of a
26		public health dental hygienist by a licensed dentist who has a

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1		written public health supervision agreement with that public
2		health dental hygienist while working in an approved facility
3		or program that allows the public health dental hygienist to
4		treat patients, without a dentist first examining the patient
5		and being present in the facility during treatment, (1) who
6		are eligible for Medicaid or (2) who are uninsured or whose
7		household income is not greater than 300% of the federal
8		poverty level.
9		"Teledentistry" means the use of telehealth systems and
10		methodologies in dentistry and includes patient care and
11		education delivery using synchronous and asynchronous
12		communications under a dentist's authority as provided under
13		this Act.
14		"Moderate sedation" means a drug-induced depression of
15		consciousness during which: (1) patients respond purposefully
16		to verbal commands, either alone or accompanied by light
17		tactile stimulation; (2) no interventions are required to
18		maintain a patient's airway and spontaneous ventilation is
19		adequate; and (3) cardiovascular function is usually
20		maintained.
21		"Deep sedation" means a drug-induced depression of
22		consciousness during which: (1) patients cannot be easily
23		aroused, but respond purposefully following repeated or
24		painful stimulation; (2) the ability to independently maintain
25		ventilatory function may be impaired; (3) patients may require
26		assistance in maintaining airways and spontaneous ventilation

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1		may be inadequate; and (4) cardiovascular function is usually
2		maintained.
3		"General anesthesia" means a drug-induced loss of
4		consciousness during which: (1) patients are not arousable,
5		even by painful stimulation; (2) the ability to independently
6		maintain ventilatory function is often impaired; (3) patients
7		often require assistance in maintaining airways and positive
8		pressure ventilation may be required because of depressed
9		spontaneous ventilation or drug-induced depression of
10		neuromuscular function; and (4) cardiovascular function may be
11		impaired.
12		"Venipuncture" means the puncture of a vein as part of a
13		medical procedure, typically to withdraw a blood sample or for
14		an intravenous catheter for the administration of medication
15		or fluids.
16		"Enteral route of administration" means administration of
17		a drug that is absorbed through the gastrointestinal tract or
18		through oral, rectal, or sublingual mucosa.
19		"Parenteral route of administration" means administration
20		of a drug by which the drug bypasses the gastrointestinal
21		tract through intramuscular, intravenous, intranasal,
22		submucosal, subcutaneous, or intraosseous methods.
23		(Source: P.A. 102-93, eff. 1-1-22; 102-588, eff. 8-20-21;
24		102-936, eff. 1-1-23; 103-425, eff. 1-1-24; 103-431, eff.
25		1-1-24; revised 12-15-23.)

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1		(225 ILCS 25/8.1) (from Ch. 111, par. 2308.1)
2		(Section scheduled to be repealed on January 1, 2026)
3		Sec. 8.1. Permit for the administration of anesthesia and
4		sedation.
5		(a) No licensed dentist shall administer general
6		anesthesia, deep sedation, or moderate conscious sedation
7		without first applying for and obtaining a permit for such
8		purpose from the Department. The Department shall issue such
9		permit only after ascertaining that the applicant possesses
10		the minimum qualifications necessary to protect public safety.
11		A person with a dental degree who administers anesthesia, deep
12		sedation, or moderate conscious sedation in an approved
13		hospital training program under the supervision of either a
14		licensed dentist holding such permit or a physician licensed
15		to practice medicine in all its branches shall not be required
16		to obtain such permit.
17		(b) The minimum requirements for a permit to administer
18		moderate sedation issued after the effective date of this
19		amendatory Act of the 103rd General Assembly shall include the
20		completion of a minimum of 75 hours of didactic and supervised
21		clinical study in either:
22		(1) an American Dental Association Commission on
23		Dental Accreditation accredited dental specialty program,
24		general practice residency, or advanced education in
25		general dentistry residency that includes training and
26		documentation in moderate sedation techniques appropriate

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1		for each specialty or an American Dental Association
2		Commission on Dental Accreditation accredited dental
3		anesthesiology residency program and proof of completion
4		of 20 individually managed patients utilizing appropriate
5		routes of administration, in which the applicant is the
6		sole provider, which can include, but are not limited to,
7		intravenous, oral, intranasal, or intramuscular or
8		combinations thereof; or
9		(2) a structured course of study provided by an
10		approved continuing education provider that includes
11		training and documentation in moderate sedation, physical
12		evaluation, venipuncture, advanced airway management,
13		technical administration, recognition and management of
14		complications and emergencies and monitoring with
15		additional supervised experience and documentation
16		demonstrating competence in providing moderate sedation
17		utilizing enteral and parenteral routes of administration
18		of medications to competency to 20 individual patient
19		experiences on a 1 to 1 ratio with an instructor, in which
20		the applicant is the sole provider of sedation over a
21		continuous time frame as set by the Department and as
22		provided in the American Dental Association's Guidelines
23		for Teaching Pain Control and Sedation to Dentists and
24		Dental Students.
25		(b-5) The minimum requirements for a permit to administer
26		deep sedation and general anesthesia issued after the

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1		effective date of this amendatory Act of the 103rd General
2		Assembly shall include:
3		(1) the completion of a minimum of 2 years of advanced
4		training in anesthesiology beyond the pre-doctoral level
5		in a training program approved by the American Dental
6		Association's Council on Dental Education and Licensure,
7		as outlined in Guidelines for Teaching Pain Control and
8		Sedation to Dentists and Dental Students, as published by
9		the American Dental Association's Council on Dental
10		Education and Licensure;
11		(2) a specialty license in oral and maxillofacial
12		surgery;
13		(3) completion of an accredited oral or maxillofacial
14		surgery residency program; or
15		(4) the completion of an American Dental Association
16		Commission on Dental Accreditation accredited dental
17		anesthesiology residency program.
18		(b-10) The Department may establish, by rule, additional
19		training programs and training requirements consistent with
20		this Section to ensure patient safety in dental offices
21		administering anesthesia, which shall include, but not be
22		limited to the following In determining the minimum permit
23		qualifications that are necessary to protect public safety,
24		the Department, by rule, shall:
25		(1) (blank); establish the minimum educational and
26		training requirements necessary for a dentist to be issued

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1		an appropriate permit;
2		(2) establish the standards for properly equipped
3		dental facilities (other than licensed hospitals and
4		ambulatory surgical treatment centers) in which general
5		anesthesia, deep sedation, or moderate conscious sedation
6		is administered, as necessary to protect public safety;
7		(3) establish minimum requirements for all persons who
8		assist the dentist in the administration of general
9		anesthesia, deep sedation, or moderate conscious sedation,
10		including minimum training requirements for each member of
11		the dental team, monitoring requirements, recordkeeping
12		requirements, and emergency procedures;
13		(4) ensure that the dentist has completed and
14		maintains current certification in advanced cardiac life
15		support or pediatric advanced life support and all persons
16		assisting the dentist or monitoring the administration of
17		general anesthesia, deep sedation, or moderate conscious
18		sedation maintain current certification in Basic Life
19		Support (BLS); and
20		(5) establish continuing education requirements in
21		sedation techniques and airway management for dentists who
22		possess a permit under this Section.
23		The Department shall adopt rules that ensure that a
24		continuing education course designed to meet the permit
25		requirements for moderate sedation training is reviewed and
26		certified by the Department if the course is not accredited by

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1		the American Dental Association Commission on Dental
2		Accreditation.
3		When establishing requirements under this Section, the
4		Department shall consider the current American Dental
5		Association guidelines on sedation and general anesthesia, the
6		current "Guidelines for Monitoring and Management of Pediatric
7		Patients During and After Sedation for Diagnostic and
8		Therapeutic Procedures" established by the American Academy of
9		Pediatrics and the American Academy of Pediatric Dentistry,
10		and the current parameters of care and Office Anesthesia
11		Evaluation (OAE) Manual established by the American
12		Association of Oral and Maxillofacial Surgeons.
13		(c) A licensed dentist must hold an appropriate permit
14		issued under this Section in order to perform dentistry while
15		a nurse anesthetist administers moderate conscious sedation,
16		and a valid written collaborative agreement must exist between
17		the dentist and the nurse anesthetist, in accordance with the
18		Nurse Practice Act.
19		A licensed dentist must hold an appropriate permit issued
20		under this Section in order to perform dentistry while a nurse
21		anesthetist administers deep sedation or general anesthesia,
22		and a valid written collaborative agreement must exist between
23		the dentist and the nurse anesthetist, in accordance with the
24		Nurse Practice Act.
25		For the purposes of this subsection (c), "nurse
26		anesthetist" means a licensed certified registered nurse

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1		anesthetist who holds a license as an advanced practice
2		registered nurse.
3		(Source: P.A. 100-201, eff. 8-18-17; 100-513, eff. 1-1-18;
4		101-162, eff. 7-26-19.)
5		(225 ILCS 25/17)
6		(Section scheduled to be repealed on January 1, 2026)
7		Sec. 17. Acts constituting the practice of dentistry. A
8		person practices dentistry, within the meaning of this Act:
9		(1) Who represents himself or herself as being able to
10		diagnose or diagnoses, treats, prescribes, or operates for
11		any disease, pain, deformity, deficiency, injury, or
12		physical condition of the human tooth, teeth, alveolar
13		process, gums, or jaw; or
14		(2) Who is a manager, proprietor, operator, or
15		conductor of a business where dental operations are
16		performed; or
17		(3) Who performs dental operations of any kind; or
18		(4) Who uses an X-Ray machine or X-Ray films for
19		dental diagnostic purposes; or
20		(5) Who extracts a human tooth or teeth, or corrects
21		or attempts to correct malpositions of the human teeth or
22		jaws; or
23		(6) Who offers or undertakes, by any means or method,
24		to diagnose, treat, or remove stains, calculus, and
25		bonding materials from human teeth or jaws; or

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1		(7) Who uses or administers local or general
2		anesthetics in the treatment of dental or oral diseases or
3		in any preparation incident to a dental operation of any
4		kind or character; or
5		(8) Who takes material or digital scans for final
6		impressions of the human tooth, teeth, or jaws or performs
7		any phase of any operation incident to the replacement of
8		a part of a tooth, a tooth, teeth, or associated tissues by
9		means of a filling, a crown, a bridge, a denture, or other
10		appliance; or
11		(9) Who offers to furnish, supply, construct,
12		reproduce, or repair, or who furnishes, supplies,
13		constructs, reproduces, or repairs, prosthetic dentures,
14		bridges, or other substitutes for natural teeth, to the
15		user or prospective user thereof; or
16		(10) Who instructs students on clinical matters or
17		performs any clinical operation included in the curricula
18		of recognized dental schools and colleges; or
19		(11) Who takes material or digital scans for final
20		impressions of human teeth or places his or her hands in
21		the mouth of any person for the purpose of applying teeth
22		whitening materials, or who takes impressions of human
23		teeth or places his or her hands in the mouth of any person
24		for the purpose of assisting in the application of teeth
25		whitening materials. A person does not practice dentistry
26		when he or she discloses to the consumer that he or she is

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1		not licensed as a dentist under this Act and (i) discusses
2		the use of teeth whitening materials with a consumer
3		purchasing these materials; (ii) provides instruction on
4		the use of teeth whitening materials with a consumer
5		purchasing these materials; or (iii) provides appropriate
6		equipment on-site to the consumer for the consumer to
7		self-apply teeth whitening materials.
8		The fact that any person engages in or performs, or offers
9		to engage in or perform, any of the practices, acts, or
10		operations set forth in this Section, shall be prima facie
11		evidence that such person is engaged in the practice of
12		dentistry.
13		The following practices, acts, and operations, however,
14		are exempt from the operation of this Act:
15		(a) The rendering of dental relief in emergency cases
16		in the practice of his or her profession by a physician or
17		surgeon, licensed as such under the laws of this State,
18		unless he or she undertakes to reproduce or reproduces
19		lost parts of the human teeth in the mouth or to restore or
20		replace lost or missing teeth in the mouth; or
21		(b) The practice of dentistry in the discharge of
22		their official duties by dentists in any branch of the
23		Armed Services of the United States, the United States
24		Public Health Service, or the United States Veterans
25		Administration; or
26		(c) The practice of dentistry by students in their

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1		course of study in dental schools or colleges approved by
2		the Department, when acting under the direction and
3		supervision of dentists acting as instructors; or
4		(d) The practice of dentistry by clinical instructors
5		in the course of their teaching duties in dental schools
6		or colleges approved by the Department:
7		(i) when acting under the direction and
8		supervision of dentists, provided that such clinical
9		instructors have instructed continuously in this State
10		since January 1, 1986; or
11		(ii) when holding the rank of full professor at
12		such approved dental school or college and possessing
13		a current valid license or authorization to practice
14		dentistry in another country; or
15		(e) The practice of dentistry by licensed dentists of
16		other states or countries at meetings of the Illinois
17		State Dental Society or component parts thereof, alumni
18		meetings of dental colleges, or any other like dental
19		organizations, while appearing as clinicians; or
20		(f) The use of X-Ray machines for exposing X-Ray films
21		of dental or oral tissues by dental hygienists or dental
22		assistants; or
23		(g) The performance of any dental service by a dental
24		assistant, if such service is performed under the
25		supervision and full responsibility of a dentist. In
26		addition, after being authorized by a dentist, a dental

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1		assistant may, for the purpose of eliminating pain or
2		discomfort, remove loose, broken, or irritating
3		orthodontic appliances on a patient of record.
4		For purposes of this paragraph (g), "dental service"
5		is defined to mean any intraoral procedure or act which
6		shall be prescribed by rule or regulation of the
7		Department. "Dental service", however, shall not include:
8		(1) Any and all diagnosis of or prescription for
9		treatment of disease, pain, deformity, deficiency,
10		injury, or physical condition of the human teeth or
11		jaws, or adjacent structures.
12		(2) Removal of, restoration of, or addition to the
13		hard or soft tissues of the oral cavity, except for the
14		placing, carving, and finishing of amalgam
15		restorations and placing, packing, and finishing
16		composite restorations by dental assistants who have
17		had additional formal education and certification.
18		A dental assistant may place, carve, and finish
19		amalgam restorations, place, pack, and finish
20		composite restorations, and place interim restorations
21		if he or she (A) has successfully completed a
22		structured training program as described in item (2)
23		of subsection (g) provided by an educational
24		institution accredited by the Commission on Dental
25		Accreditation, such as a dental school or dental
26		hygiene or dental assistant program, or (B) has at

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1		least 4,000 hours of direct clinical patient care
2		experience and has successfully completed a structured
3		training program as described in item (2) of
4		subsection (g) provided by a statewide dental
5		association, approved by the Department to provide
6		continuing education, that has developed and conducted
7		training programs for expanded functions for dental
8		assistants or hygienists. The training program must:
9		(i) include a minimum of 16 hours of didactic study and
10		14 hours of clinical manikin instruction; all training
11		programs shall include areas of study in nomenclature,
12		caries classifications, oral anatomy, periodontium,
13		basic occlusion, instrumentations, pulp protection
14		liners and bases, dental materials, matrix and wedge
15		techniques, amalgam placement and carving, rubber dam
16		clamp placement, and rubber dam placement and removal;
17		(ii) include an outcome assessment examination that
18		demonstrates competency; (iii) require the supervising
19		dentist to observe and approve the completion of 8
20		amalgam or composite restorations; and (iv) issue a
21		certificate of completion of the training program,
22		which must be kept on file at the dental office and be
23		made available to the Department upon request. A
24		dental assistant must have successfully completed an
25		approved coronal polishing and dental sealant course
26		prior to taking the amalgam and composite restoration

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1		course.
2		A dentist utilizing dental assistants shall not
3		supervise more than 4 dental assistants at any one
4		time for placing, carving, and finishing of amalgam
5		restorations or for placing, packing, and finishing
6		composite restorations.
7		(3) Any and all correction of malformation of
8		teeth or of the jaws.
9		(4) Administration of anesthetics, except for
10		monitoring of nitrous oxide, moderate conscious
11		sedation, deep sedation, and general anesthetic as
12		provided in Section 8.1 of this Act, that may be
13		performed only after successful completion of a
14		training program approved by the Department. A dentist
15		utilizing dental assistants shall not supervise more
16		than 4 dental assistants at any one time for the
17		monitoring of nitrous oxide.
18		(5) Removal of calculus from human teeth.
19		(6) Taking of material or digital scans for final
20		impressions for the fabrication of prosthetic
21		appliances, crowns, bridges, inlays, onlays, or other
22		restorative or replacement dentistry.
23		(7) The operative procedure of dental hygiene
24		consisting of oral prophylactic procedures, except for
25		coronal polishing and pit and fissure sealants, which
26		may be performed by a dental assistant who has

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1		successfully completed a training program approved by
2		the Department. Dental assistants may perform coronal
3		polishing under the following circumstances: (i) the
4		coronal polishing shall be limited to polishing the
5		clinical crown of the tooth and existing restorations,
6		supragingivally; (ii) the dental assistant performing
7		the coronal polishing shall be limited to the use of
8		rotary instruments using a rubber cup or brush
9		polishing method (air polishing is not permitted); and
10		(iii) the supervising dentist shall not supervise more
11		than 4 dental assistants at any one time for the task
12		of coronal polishing or pit and fissure sealants.
13		In addition to coronal polishing and pit and
14		fissure sealants as described in this item (7), a
15		dental assistant who has at least 2,000 hours of
16		direct clinical patient care experience and who has
17		successfully completed a structured training program
18		provided by (1) an educational institution including,
19		but not limited to, a dental school or dental hygiene
20		or dental assistant program, (2) a continuing
21		education provider approved by the Department, or (3)
22		a statewide dental or dental hygienist association
23		that has developed and conducted a training program
24		for expanded functions for dental assistants or
25		hygienists may perform: (A) coronal scaling above the
26		gum line, supragingivally, on the clinical crown of

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1		the tooth only on patients 17 years of age or younger
2		who have an absence of periodontal disease and who are
3		not medically compromised or individuals with special
4		needs and (B) intracoronal temporization of a tooth.
5		The training program must: (I) include a minimum of 32
6		hours of instruction in both didactic and clinical
7		manikin or human subject instruction; all training
8		programs shall include areas of study in dental
9		anatomy, public health dentistry, medical history,
10		dental emergencies, and managing the pediatric
11		patient; (II) include an outcome assessment
12		examination that demonstrates competency; (III)
13		require the supervising dentist to observe and approve
14		the completion of 6 full mouth supragingival scaling
15		procedures unless the training was received as part of
16		a Commission on Dental Accreditation approved dental
17		assistant program; and (IV) issue a certificate of
18		completion of the training program, which must be kept
19		on file at the dental office and be made available to
20		the Department upon request. A dental assistant must
21		have successfully completed an approved coronal
22		polishing course prior to taking the coronal scaling
23		course. A dental assistant performing these functions
24		shall be limited to the use of hand instruments only.
25		In addition, coronal scaling as described in this
26		paragraph shall only be utilized on patients who are

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1		eligible for Medicaid, who are uninsured, or whose
2		household income is not greater than 300% of the
3		federal poverty level. A dentist may not supervise
4		more than 2 dental assistants at any one time for the
5		task of coronal scaling. This paragraph is inoperative
6		on and after January 1, 2026.
7		The limitations on the number of dental assistants a
8		dentist may supervise contained in items (2), (4), and (7)
9		of this paragraph (g) mean a limit of 4 total dental
10		assistants or dental hygienists doing expanded functions
11		covered by these Sections being supervised by one dentist;
12		or
13		(h) The practice of dentistry by an individual who:
14		(i) has applied in writing to the Department, in
15		form and substance satisfactory to the Department, for
16		a general dental license and has complied with all
17		provisions of Section 9 of this Act, except for the
18		passage of the examination specified in subsection (e)
19		of Section 9 of this Act; or
20		(ii) has applied in writing to the Department, in
21		form and substance satisfactory to the Department, for
22		a temporary dental license and has complied with all
23		provisions of subsection (c) of Section 11 of this
24		Act; and
25		(iii) has been accepted or appointed for specialty
26		or residency training by a hospital situated in this

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1		State; or
2		(iv) has been accepted or appointed for specialty
3		training in an approved dental program situated in
4		this State; or
5		(v) has been accepted or appointed for specialty
6		training in a dental public health agency situated in
7		this State.
8		The applicant shall be permitted to practice dentistry
9		for a period of 3 months from the starting date of the
10		program, unless authorized in writing by the Department to
11		continue such practice for a period specified in writing
12		by the Department.
13		The applicant shall only be entitled to perform such
14		acts as may be prescribed by and incidental to his or her
15		program of residency or specialty training and shall not
16		otherwise engage in the practice of dentistry in this
17		State.
18		The authority to practice shall terminate immediately
19		upon:
20		(1) the decision of the Department that the
21		applicant has failed the examination; or
22		(2) denial of licensure by the Department; or
23		(3) withdrawal of the application.
24		(Source: P.A. 102-558, eff. 8-20-21; 102-936, eff. 1-1-23;
25		103-425, eff. 1-1-24; 103-431, eff. 1-1-24; revised 12-15-23.)

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1		(225 ILCS 25/19.2)
2		(Section scheduled to be repealed on January 1, 2026)
3		Sec. 19.2. Temporary permit for free dental care.
4		(a) Upon Board recommendation, the Department may issue a
5		temporary permit authorizing the practice in this State,
6		without compensation, of dentistry to an applicant who is
7		licensed to practice dentistry in another state, if all of the
8		following apply:
9		(1) the Department determines that the applicant's
10		services will improve the welfare of Illinois residents
11		who are eligible for Medicaid or who are uninsured and
12		whose household income is not greater than 200% of the
13		federal poverty level;
14		(2) the applicant has graduated from a dental program
15		approved by the American Dental Association's Commission
16		on Dental Accreditation and maintains an equivalent
17		authorization to practice dentistry in good standing in
18		his or her native licensing jurisdiction during the period
19		of the temporary visiting dentist permit and can furnish
20		the Department a certified letter upon request from that
21		jurisdiction attesting to the fact that the applicant has
22		no pending action or violations against his or her
23		license;
24		(3) the applicant has received an invitation to
25		perform dental care by a charitable organization or has
26		received an invitation to study or receive training on

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1		specific dental or clinical subjects or techniques by a
2		licensed continuing education sponsor who is approved by
3		the Department to provide clinical training in the State
4		of Illinois on patients for the welfare of Illinois
5		residents pursuant to subsection (a-5) and is in
6		compliance with the provisions of this Act;
7		(4) the applicant will be working pursuant to a
8		collaborative agreement with and under the direct
9		supervision of an Illinois licensed dentist, who is in
10		good standing, during the duration of the program. The
11		supervising dentist must be physically present during all
12		clinical training courses; and
13		(5) payment of a fee established by rule.
14		The Department may adopt rules to implement this
15		subsection.
16		(a-5) Upon Board recommendation, after the filing of an
17		application, the Department may allow approved continuing
18		education sponsors to be licensed to provide live patient
19		continuing education clinical training courses if the
20		following requirements are met:
21		(1) the continuing education course provides services,
22		without compensation, that will improve the welfare of
23		Illinois residents as described in paragraph (1) of
24		subsection (a). The application to the Board must include
25		the following information for review and approval by the
26		Department:

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1		(i) a plan of follow-up care and training models;
2		(ii) any and all documentation to be signed by the
3		patients, including, but not limited to, waivers,
4		consent forms, and releases;
5		(iii) information related to the facilities being
6		utilized, staffing plans, and emergency plans;
7		(iv) the process by which patients will be
8		contacted before, during, and after treatment;
9		(v) the intended population that will be receiving
10		treatment; and
11		(vi) proof of valid malpractice insurance for the
12		approved continuing education sponsor that extends
13		coverage to clinical staff, trainees, and out-of-state
14		permit holders that meet the requirements of
15		subsection (a);
16		(2) a valid written collaborative agreement must exist
17		between the temporary visiting dentist and the Illinois
18		licensed dentist co-treating patients under this Section.
19		The collaborative agreement must include a description of
20		the care to be provided and procedures to be performed by
21		the temporary visiting dentist. There shall be no more
22		than 5 trainees per supervising dentist. A copy of this
23		agreement shall become part of the patient's dental record
24		and shall be made available upon request to the
25		Department; and
26		(3) payment of a fee established by rule.

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1		A continuing education sponsor license issued under this
2		Section shall be valid for a period of time as provided by
3		rule.
4		The Department shall adopt rules to implement this
5		subsection.
6		(b) (Blank).
7		(c) A temporary permit shall be valid for no longer than 5
8		consecutive clinical days within 6 months from the date of
9		issuance. The temporary permit may be issued once per year to a
10		visiting dentist. Temporary permits under subsection (a) may
11		be restored no more than one time within 5 years of the initial
12		permits issuance. The Department may require an applicant to
13		pay a fee for the issuance or restoration of a permit under
14		this Section.
15		(d) (Blank).
16		(e) The temporary permit shall only permit the holder to
17		practice dentistry within the scope of the dental studies and
18		in conjunction with one of the following:
19		(1) the charitable organization; or
20		(2) a continuing education program provided by a
21		continuing education sponsor approved by the Department
22		pursuant to this Section that the permit holder is
23		attending.
24		(f) The temporary visiting dentist may not administer
25		moderate conscious sedation, deep sedation, or general
26		anesthesia.

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1		(g) A patient who seeks treatment from a temporary
2		visiting dentist must sign a consent form acknowledging that
3		the care the patient will receive will be provided by a dentist
4		not licensed in the State of Illinois and that the Illinois
5		licensed dentist who has the collaborative agreement with the
6		temporary visiting dentist will be responsible for all the
7		follow-up care associated with the treatment rendered to the
8		patient.
9		(h) An application for the temporary permit shall be made
10		to the Department in writing on forms prescribed by the
11		Department and shall be accompanied by a nonrefundable fee
12		established by rule.
13		(i) An applicant for a temporary permit may be requested
14		to appear before the Board to respond to questions concerning
15		the applicant's qualifications to receive the permit. An
16		applicant's refusal to appear before the Board may be grounds
17		for denial of the application by the Department.
18		(j) The Secretary may summarily cancel any permit or
19		license issued pursuant to this Section without a hearing if
20		the Secretary finds that evidence in his or her possession
21		indicates that a continuing education sponsor licensed under
22		this Section or a temporary permit holder's continuation in
23		practice would constitute an imminent danger to the public or
24		violate any provision of this Act or its rules. If the
25		Secretary summarily cancels a permit or license issued
26		pursuant to this Section, the permit holder or licensee may

SB2822 Engrossed - 29 - LRB103 36437 AWJ 66539 b
1		petition the Department for a hearing in accordance with the
2		provisions of subsection (b) of Section 26 of this Act to
3		reinstate his or her permit or license.
4		(k) In addition to terminating any permit or license
5		issued pursuant to this Section, the Department may impose a
6		monetary penalty not to exceed $10,000 upon the temporary
7		permit holder or licensee and may notify any state in which the
8		temporary permit holder or licensee has been issued a license
9		that his or her Illinois permit or license has been terminated
10		and the reasons for the termination. The monetary penalty
11		shall be paid within 60 days after the effective date of the
12		order imposing the penalty. The order shall constitute a
13		judgment and may be filed and execution had thereon in the same
14		manner as any judgment from any court of record. It is the
15		intent of the General Assembly that a permit or license issued
16		pursuant to this Section shall be considered a privilege and
17		not a property right.
18		(Source: P.A. 102-582, eff. 1-1-22.)
19		(225 ILCS 25/45) (from Ch. 111, par. 2345)
20		(Section scheduled to be repealed on January 1, 2026)
21		Sec. 45. Advertising. The purpose of this Section is to
22		authorize and regulate the advertisement by dentists of
23		information which is intended to provide the public with a
24		sufficient basis upon which to make an informed selection of
25		dentists while protecting the public from false or misleading

SB2822 Engrossed - 30 - LRB103 36437 AWJ 66539 b
1		advertisements which would detract from the fair and rational
2		selection process.
3		Any dentist may advertise the availability of dental
4		services in the public media or on the premises where such
5		dental services are rendered. Such advertising shall be
6		limited to the following information:
7		(a) The dental services available;
8		(b) Publication of the dentist's name, title, office
9		hours, address and telephone;
10		(c) Information pertaining to his or her area of
11		specialization, including appropriate board certification
12		or limitation of professional practice;
13		(d) Information on usual and customary fees for
14		routine dental services offered, which information shall
15		include notification that fees may be adjusted due to
16		complications or unforeseen circumstances;
17		(e) Announcement of the opening of, change of, absence
18		from, or return to business;
19		(f) Announcement of additions to or deletions from
20		professional dental staff;
21		(g) The issuance of business or appointment cards;
22		(h) Other information about the dentist, dentist's
23		practice or the types of dental services which the dentist
24		offers to perform which a reasonable person might regard
25		as relevant in determining whether to seek the dentist's
26		services. However, any advertisement which announces the

SB2822 Engrossed - 31 - LRB103 36437 AWJ 66539 b
1		availability of endodontics, pediatric dentistry,
2		periodontics, prosthodontics, orthodontics and
3		dentofacial orthopedics, oral and maxillofacial surgery,
4		or oral and maxillofacial radiology by a general dentist
5		or by a licensed specialist who is not licensed in that
6		specialty shall include a disclaimer stating that the
7		dentist does not hold a license in that specialty.
8		Any dental practice with more than one location that
9		enrolls its dentist as a participating provider in a managed
10		care plan's network must verify electronically or in writing
11		to the managed care plan whether the provider is accepting new
12		patients at each of the specific locations listing the
13		provider. The health plan shall remove the provider from the
14		directory in accordance with standard practices within 10
15		business days after being notified of the changes by the
16		provider. Nothing in this paragraph shall void any contractual
17		relationship between the provider and the plan.
18		It is unlawful for any dentist licensed under this Act to
19		do any of the following:
20		(1) Use claims of superior quality of care to entice
21		the public.
22		(2) Advertise in any way to practice dentistry without
23		causing pain.
24		(3) Pay a fee to any dental referral service or other
25		third party who advertises a dental referral service,
26		unless all advertising of the dental referral service

SB2822 Engrossed - 32 - LRB103 36437 AWJ 66539 b
1		makes it clear that dentists are paying a fee for that
2		referral service.
3		(4) Advertise or offer gifts as an inducement to
4		secure dental patronage. Dentists may advertise or offer
5		free examinations or free dental services; it shall be
6		unlawful, however, for any dentist to charge a fee to any
7		new patient for any dental service provided at the time
8		that such free examination or free dental services are
9		provided.
10		(5) Use the term "sedation dentistry" or similar terms
11		in advertising unless the advertising dentist holds a
12		valid and current permit issued by the Department to
13		administer either general anesthesia, deep sedation, or
14		moderate conscious sedation as required under Section 8.1
15		of this Act.
16		This Act does not authorize the advertising of dental
17		services when the offeror of such services is not a dentist.
18		Nor shall the dentist use statements which contain false,
19		fraudulent, deceptive or misleading material or guarantees of
20		success, statements which play upon the vanity or fears of the
21		public, or statements which promote or produce unfair
22		competition.
23		A dentist shall be required to keep a copy of all
24		advertisements for a period of 3 years. All advertisements in
25		the dentist's possession shall indicate the accurate date and
26		place of publication.

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1		The Department shall adopt rules to carry out the intent
2		of this Section.
3		(Source: P.A. 99-329, eff. 1-1-16.)