STATE OF NEW YORK
________________________________________________________________________
7402--B
2023-2024 Regular Sessions
IN ASSEMBLY
May 19, 2023
___________
Introduced by M. of A. PEOPLES-STOKES, FAHY -- read once and referred to
the Committee on Higher Education -- recommitted to the Committee on
Higher Education in accordance with Assembly Rule 3, sec. 2 -- commit-
tee discharged, bill amended, ordered reprinted as amended and recom-
mitted to said committee -- again reported from said committee with
amendments, ordered reprinted as amended and recommitted to said
committee
AN ACT to amend the education law, in relation to permitting dental
assistants and licensed practical nurses to perform the application of
topical fluoride varnish
The People of the State of New York, represented in Senate and Assem-
bly, do enact as follows:
1 Section 1. Section 6608 of the education law, as amended by chapter
2 512 of the laws of 2022, is amended to read as follows:
3 § 6608. Definition of practice of registered dental assisting. The
4 practice of registered dental assisting is defined as providing support-
5 ive services to a dentist in [his or her] such dentist's performance of
6 dental services authorized under this article. Such support shall
7 include providing patient education, taking preliminary medical histo-
8 ries and vital signs to be reviewed by the dentist, placing and removing
9 rubber dams, selecting and prefitting provisional crowns, selecting and
10 prefitting orthodontic bands, removing orthodontic arch wires and liga-
11 ture ties, placing and removing matrix bands, taking impressions for
12 study casts or diagnostic casts, removing periodontal dressings, placing
13 and removing temporary restorations, application of topical fluoride
14 varnish, and such other dental supportive services authorized by the
15 dentist consistent with regulations promulgated by the commissioner,
16 provided that such functions are performed under the direct personal
17 supervision of a licensed dentist in the course of the performance of
18 dental services. Such services shall not include diagnosing and/or
19 performing surgical procedures, irreversible procedures or procedures
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD11382-06-4
A. 7402--B 2
1 that would alter the hard or soft tissue of the oral and maxillofacial
2 area or any other procedures determined by the department. The practice
3 of registered dental assisting may be conducted in the office of any
4 licensed dentist or in any appropriately equipped school or public
5 institution but must be done under the direct personal supervision of a
6 licensed dentist. Direct personal supervision, for purposes of this
7 section, means supervision of dental procedures based on instructions
8 given by a licensed dentist in the course of a procedure who remains in
9 the dental office where the supportive services are being performed,
10 personally diagnoses the condition to be treated, personally authorizes
11 the procedures, and before dismissal of the patient, who remains the
12 responsibility of the licensed dentist, evaluates the services performed
13 by the registered dental assistant. Nothing herein authorizes a regis-
14 tered dental assistant to perform any of the services or functions
15 defined as part of the practice of dental hygiene in accordance with the
16 provisions of subdivision one of section sixty-six hundred six of this
17 article, except those functions authorized pursuant to this section. All
18 dental supportive services provided in this section may be performed by
19 currently registered dental hygienists either under a dentist's super-
20 vision, as defined in regulations of the commissioner, or, in the case
21 of a registered dental hygienist working for a hospital as defined in
22 article twenty-eight of the public health law, pursuant to a collabora-
23 tive arrangement with a licensed dentist in accordance with subdivision
24 one of section sixty-six hundred six of this article. Such collaborative
25 arrangement shall not obviate or supersede any law or regulation which
26 requires identified services to be performed under the personal super-
27 vision of a dentist.
28 § 2. Subdivision 2 of section 6902 of the education law, as amended by
29 chapter 781 of the laws of 1990, is amended to read as follows:
30 2. The practice of nursing as a licensed practical nurse is defined as
31 performing tasks and responsibilities within the framework of casefind-
32 ing, health teaching, health counseling, the application of topical
33 fluoride varnish, and provision of supportive and restorative care under
34 the direction of a registered professional nurse or licensed physician,
35 dentist or other licensed health care provider legally authorized under
36 this title and in accordance with the commissioner's regulations.
37 § 3. This act shall take effect immediately.