North Carolina Legislature
Sends to Governor a Teledentistry, Dental Hygienists’ Scope of Practice and Licensure Reciprocity Bill
On
July 23, the North Carolina General Assembly sent a bill to Gov. Roy Cooper (D)
that would create a new section of code to regulate the practice of teledentistry,
alter the scope of practice for some dental hygienists and increase licensure
reciprocity for some dentists. Under the bill, the following changes will be made:
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Teledentistry
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A licensed dentist or a licensed
dental hygienist who is under the supervision of a licensed dentist would be permitted
to provide teledentistry services.
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The transmission of data is authorized by dentists, dental hygienists, patients
and authorized persons that include electronic images and related information
as appropriate to provide teledentistry services.
- When a service is between patient and provider, the
location of the patient is the originating site, and the location of the provider is the distant site.
-
When a service is between providers
and conducted for the purposes of consultation, the location of the provider initiating
the consultation is the originating site and the location of the consulting provider is the distant site.
-
Appropriate steps must be taken
to establish the licensee-patient relationship.
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Informed consent must be obtained from patients, and specified guidelines for obtaining that consent must be followed.
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The North Carolina State Board
of Dental Examiners is permitted to take disciplinary action against licensees
who allow fee-splitting in the provision of teledentistry services or who limit
a patient’s ability to file a grievance with any appropriate oversight body.
- Dental Hygienist Scope of Practice
-
Dental hygienists who meet
specified training and licensure requirements would be permitted to administer local anesthetics.
- All programs that train dental
hygienists to administer local anesthetics must include at least 16 classroom
hours and 14 clinical hours. The faculty-to-student ratio must be no greater than
1 to 5, and students must receive a score of at least 80% in order to successfully complete the course.
-
Dental hygienists who meet
specified experience, training and supervision requirements are permitted to provide
dental hygiene services to a patient under the written order of a dentist, rather
than after an in-person evaluation of the patient by a licensed dentist. Dental
hygienists who meet the requirements are also permitted to supervise a dental
assistant classified as “Dental Assistant II”.
-
Schools and federally qualified health centers would be added to the list of locations
where dental hygiene services could be provided under a written order.
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Licensure Reciprocity
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The dental board would be required
to issue a license by credentials to anyone who currently holds an instructor’s license.
-
The dental board would also
be required to issue a license by credentials to anyone who has graduated with
a general dental degree from a school or college and has graduated from an advanced
dental education program with either a certificate or a degree from a school or
college accredited by the Commission on Dental Accreditation and is approved by
the dental board. Anyone who meets this requirement must also comply with current
requirements for licensure by credentials.
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Miscellaneous
- Finally, the East Carolina University School of Dental Medicine would be
added to the NC Caring Dental Professionals Board.
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