By: Uresti  S.B. No. 692
         (In the Senate - Filed February 15, 2007; February 28, 2007,
  read first time and referred to Committee on Health and Human
  Services; April 19, 2007, reported adversely, with favorable
  Committee Substitute by the following vote:  Yeas 9, Nays 0;
  April 19, 2007, sent to printer.)
 
  COMMITTEE SUBSTITUTE FOR S.B. No. 692 By:  Uresti
 
 
A BILL TO BE ENTITLED
 
AN ACT
 
  relating to the authority of a dental assistant to perform coronal
  polishing and apply a pit and fissure sealant.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subsection (b), Section 258.002, Occupations
  Code, is amended to read as follows:
         (b)  A licensed dentist may delegate, under Subsection (a),
  the performance of a coronal polishing and application of a pit and
  fissure sealant to a dental assistant certified under Section
  265.004 [if the dentist is a Medicaid provider or the dentist
  practices in an area determined to be underserved by the Texas
  Department of Health]. Cleansing of the occlusal and smooth
  surfaces of the teeth by a dental assistant is allowed immediately
  prior to and for the sole purpose of preparing the tooth area for
  the placement of pit and fissure sealants or orthodontic bonding
  resin, and shall not be billed as a prophylaxis.
         SECTION 2.  Section 265.003, Occupations Code, is amended to
  read as follows:
         Sec. 265.003.  PERMITTED DUTIES.  (a)  A dental assistant
  who is not professionally licensed may:
               (1)  be employed by and work in the office of a licensed
  and practicing dentist; and
               (2)  perform one or more delegated dental acts under
  the direct supervision, direction, and responsibility of the
  dentist, including the performance of a coronal polishing and
  application of a pit and fissure sealant.
         (b)  A dental assistant may perform a coronal polishing and 
  apply a pit and fissure sealant under Subsection (a) only if[:
               [(1)]  the assistant is certified to perform a coronal
  polishing and apply a pit and fissure sealant under Section
  265.004[; and
               [(2)  the dentist described by Subsection (a):
                     [(A)  is a Medicaid provider; or
                     [(B)     practices in an area determined to be
  underserved by the Texas Department of Health].
         SECTION 3.  The heading to Section 265.004, Occupations
  Code, is amended to read as follows:
         Sec. 265.004.  CORONAL POLISHING AND PIT AND FISSURE SEALANT
  CERTIFICATE.
         SECTION 4.  Subsections (a) and (b), Section 265.004,
  Occupations Code, are amended to read as follows:
         (a)  The board shall issue a coronal polishing and pit and
  fissure sealant certificate to a dental assistant who qualifies
  under this section.
         (b)  To qualify for a certificate, an applicant must:
               (1)  have at least two years' experience as a dental
  assistant; and
               (2)  have successfully completed a minimum of 12 [16]
  hours of clinical and didactic education in coronal polishing and
  pit and fissure sealants taken through an accredited dental hygiene
  program or a dental assisting program accredited by the Commission
  on Dental Accreditation of the American Dental Association and
  approved by the board.
         SECTION 5.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2007.
 
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