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                                                      PRINTER'S NO. 2782

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2118 Session of 1998


        INTRODUCED BY BLAUM, BELARDI, LAUGHLIN, HALUSKA, OLASZ, JAROLIN,
           MELIO, CLARK, MUNDY, YOUNGBLOOD, E. Z. TAYLOR, JOSEPHS,
           STETLER, STABACK, BELFANTI, DeLUCA, RAMOS, WASHINGTON,
           STEELMAN AND GEORGE, JANUARY 21, 1998

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE,
           JANUARY 21, 1998

                                     AN ACT

     1  Amending the act of May 1, 1933 (P.L.216, No.76), entitled "An
     2     act relating to dentistry; defining and providing for the
     3     licensing and registration of dentists and dental hygienists,
     4     and for the revocation and suspension of such licenses and
     5     registrations, subject to appeal, and for their
     6     reinstatement; defining the powers and duties of the State
     7     Dental Council and Examining Board and the Department of
     8     Public Instruction; providing penalties; and repealing
     9     existing laws," further providing for definitions and for
    10     anesthesia.

    11     The General Assembly of the Commonwealth of Pennsylvania
    12  hereby enacts as follows:
    13     Section 1.  Section 2 of the act of May 1, 1933 (P.L.216,
    14  No.76), known as The Dental Law, is amended by adding a
    15  definition to read:
    16     Section 2.  Definitions.--* * *
    17     "Pediatric dental patient" means a dental patient who is
    18  under thirteen years of age.
    19     Section 2.  Section 11.2 of the act, added December 20, 1985
    20  (P.L.513, No.118), is amended to read:


     1     Section 11.2.  Anesthesia.--(a)  Prior to January 1, 1987,
     2  the board shall promulgate regulations which:
     3     (1)  Establish minimal training and education or
     4  certification for the issuance of permits to dentists to
     5  administer general anesthesia on an outpatient basis. Such
     6  regulations shall include a requirement of a minimum of one year
     7  in an approved program of advanced training in anesthesiology
     8  and related academic subjects, beyond the undergraduate dental
     9  school level.
    10     (2)  Establish further requirements relating to the use of
    11  general anesthesia, including, but not limited to, the
    12  collection of permit fees, the collection of biennial license
    13  and license renewal fees and the conducting of workplace
    14  inspections.
    15     (3)  Establish minimal training and education for the
    16  issuance of permits to dentists to administer conscious sedation
    17  on an outpatient basis. Such regulations shall include a minimum
    18  period of time of didactic instruction and clinical experience
    19  in an accredited educational institution or program.
    20     (4)  Establish further requirements relating to the use of
    21  conscious sedation, including, but not limited to, the
    22  collection of permit fees, the collection of biennial license
    23  and license renewal fees and the conduct of workplace
    24  inspections.
    25     (5)  Establish minimal training and education for the
    26  issuance of permits to dentists to administer analgesia on an
    27  outpatient basis. Such regulations shall include a minimum
    28  period of time of didactic instruction or clinical experience in
    29  an accredited educational institution or program.
    30     (6)  Establish further requirements relating to the use of
    19980H2118B2782                  - 2 -

     1  analgesia, including, but not limited to, the collection of
     2  permit fees, the collection of biennial licenses and license
     3  renewal fees and the conduct of workplace inspections.
     4     (7)  Establish fees for temporary permits which permits may
     5  be issued by the board for one year to a person whose
     6  application indicates that he possesses the necessary
     7  qualifications pending a complete processing of the application.
     8     (b)  The board may issue the appropriate permits in
     9  accordance with this section to a dentist who has been
    10  administering general anesthesia, conscious sedation agents or
    11  nitrous oxide or oxygen analgesia if the dentist submits
    12  evidence satisfactory to the board that he has been
    13  administering these agents for a period of at least five years
    14  prior to the effective date of this section and that the dentist
    15  has applied within one year of the effective date of the
    16  regulations.
    17     (c)  Prior to the administration of a general anesthetic, the
    18  written informed consent of the patient must be obtained. The
    19  consent must include a description of the procedure, its risks
    20  and possible alternative treatments.
    21     (d)  Dental procedures requiring the use of general
    22  anesthesia on a pediatric dental patient shall be performed in a
    23  hospital setting.
    24     Section 3.  This act shall take effect in 60 days.




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