2001 REGULAR SESSION (71st) A SB208 77
ASSEMBLY ACTION Initial and Date |SENATE ACTION Initial and Date
Adopted Lost | Adopted Lost
Concurred In Not |Concurred In Not
Receded Not | Receded Not
Amend sec. 2, page 1, lines 3, 14 and 16, by deleting:
“state board of health” and inserting “health division”.
Amend sec. 3, page 2, line 11, by deleting:
“state board of health” and inserting “health division”.
Amend sec. 3, page 2, line 17, by deleting “4” and inserting “7”.
Amend sec. 3, page 2, line 25, by deleting:
“state dental health officer” and inserting “health division”.
Amend sec. 3, page 2, line 27, by deleting “4” and inserting “7”.
Amend the bill as a whole by deleting sec. 4, renumbering sections 5 through 10 as sections 13 through 18 and adding new sections designated sections 4 through 12, following sec. 3, to read as follows:
“Sec. 4. Chapter 631 of NRS is hereby amended by adding thereto the provisions set forth as sections 5, 6 and 7 of this act.
Sec. 5. “Conscious sedation” means a minimally depressed level of consciousness, produced by a pharmacologic or nonpharmacologic method or a combination thereof, in which the patient retains the ability independently and continuously to maintain an airway and to respond appropriately to physical stimulation and verbal commands.
Sec. 6. “Deep sedation” means a controlled state of depressed consciousness, produced by a pharmacologic or nonpharmacologic method or a combination thereof, and accompanied by a partial loss of protective reflexes and the inability to respond purposefully to verbal commands.
Sec. 7. 1. The board shall, upon application by a dental hygienist who is licensed pursuant to this chapter and has such qualifications as the board specifies by regulation, issue a special endorsement of his license allowing him to practice public health dental hygiene pursuant to subsection 2.
2. The state dental health officer may authorize a person who holds a special endorsement issued pursuant to subsection 1 to provide or cause to be provided such services for the promotion of public health dental hygiene as the state dental health officer deems appropriate. Such services:
(a) May be provided at schools, community centers, hospitals, nursing homes and such other locations as the state dental health officer deems appropriate.
(b) May not be provided at a dental office that is not operated by a public or nonprofit entity.
Sec. 8. NRS 631.005 is hereby amended to read as follows:
631.005 As used in this chapter, unless the context otherwise requires, the words and terms defined in NRS 631.015 to 631.105, inclusive, and sections 5 and 6 of this act have the meanings ascribed to them in those sections.
Sec. 9. NRS 631.265 is hereby amended to read as follows:
631.265 1. No licensed dentist or person who holds a restricted license issued pursuant to NRS 631.275 may administer or supervise directly the administration of general anesthesia, conscious sedation or deep sedation to dental patients unless he has been issued a permit authorizing him to do so by the board.
2. The board may issue a permit authorizing a licensed dentist or person who holds a restricted license issued pursuant to NRS 631.275 to administer or supervise directly the administration of general anesthesia, conscious sedation or deep sedation to dental patients under such standards, conditions and other requirements as the board shall by regulation prescribe.
[3. As used in this section:
(a) “Conscious sedation” means a minimally depressed level of consciousness, produced by a pharmacologic or nonpharmacologic method or a combination thereof, in which the patient retains the ability independently and continuously to maintain an airway and to respond appropriately to physical stimulation and verbal commands.
(b) “Deep sedation” means a controlled state of depressed consciousness, produced by a pharmacologic or nonpharmacologic method or a combination thereof, and accompanied by a partial loss of protective reflexes and the inability to respond purposefully to verbal commands.]
Sec. 10. NRS 631.275 is hereby amended to read as follows:
631.275 1. Except as otherwise provided in subsection 2, the board shall, without examination, issue a restricted license to practice dentistry to a person who:
(a) Has a valid license to practice dentistry issued pursuant to the laws of another state or the District of Columbia;
(b) Has received a degree from a dental school or college accredited by the [American Dental Association] Commission on Dental Accreditation [,] of the American Dental Association or its successor organization; and
(c) Has entered into a contract with a facility approved by the health division of the department of human resources to provide publicly funded dental services exclusively to persons of low income for the duration of the restricted license.
2. The board shall not issue a restricted license to a person:
(a) Who has failed to pass the examination of the board;
(b) Who has been refused a license in this state, another state or territory of the United States or the District of Columbia; or
(c) Whose license to practice dentistry has been revoked in this state, another state or territory of the United States or the District of Columbia.
3. A person to whom a restricted license is issued pursuant to subsection 1:
(a) May perform dental services only:
(1) Under the general supervision of the state dental health officer or the supervision of a dentist who is licensed to practice dentistry in this state and appointed by the health division of the department of human resources to supervise dental care that is provided in a facility which has entered into a contract with the person to whom a restricted license is issued and which is approved by the health division ; [of the department;] and
(2) In accordance with the contract required pursuant to paragraph (c) of that subsection.
(b) Shall not, for the duration of the restricted license, engage in the private practice of dentistry, which includes, without limitation, providing dental services to a person who pays for the services.
4. A person who receives a restricted license must pass the examination of the board within 3 years after receiving his restricted license. If the person fails to pass that examination, the board shall revoke the restricted license.
5. The board may revoke a restricted license at any time.
Sec. 11. NRS 631.290 is hereby amended to read as follows:
631.290 1. Any person is eligible to take an examination for a license to practice dental hygiene in this state who:
(a) Is of good moral character;
(b) Is over 18 years of age;
(c) Is a citizen of the United States or is lawfully entitled to remain and work in the United States; and
(d) Is a graduate of [an accredited] a school of dental hygiene [.] or other institution that awards at least an associate degree upon completion of the program and that is accredited by a regional educational accrediting organization that is recognized by the United States Department of Education. The program of dental hygiene must:
(1) Be accredited by the Commission on Dental Accreditation of the American Dental Association or its successor specialty accrediting organization; and
(2) Include a curriculum of not less than 2 years of academic instruction in dental hygiene or its academic equivalent.
2. To determine whether a person has good moral character the board may consider whether his license to practice dental hygiene in another state has been suspended or revoked or whether he is currently involved in any disciplinary action concerning his license in that state.
Sec. 12. NRS 631.300 is hereby amended to read as follows:
631.300 1. Any person desiring to obtain a license to practice dental hygiene, after having complied with the regulations of the board to determine eligibility, must [be] :
(a) Hold a certificate issued by the National Board of Dental Examiners that contains a notation that the applicant has passed the examination of the board with a score of at least 75; and
(b) Be examined by the board upon such subjects as the board deems necessary, and, except as otherwise provided in NRS 631.271, be given a practical examination in dental hygiene, including, but not limited to, the removal of deposits from, and the polishing of, the exposed surface of the teeth.
2. The examination must be:
(a) Written, oral or a combination of both; and
(b) Practical, as in the opinion of the board is necessary to test the qualifications of the applicant.
3. The board shall examine each applicant in writing on the contents and interpretation of chapter 631 of NRS and the regulations of the board.
[4. In lieu of the written examination which may be required by subsection 2, the board shall recognize a certificate from the National Board of Dental Examiners which contains a notation that the applicant has passed the examination of the board with a score of at least 75.]”.
Amend sec. 5, page 2, line 47, by deleting “4” and inserting “7”.
Amend sec. 5, page 3, line 14, by deleting “4” and inserting “7”.
Amend sec. 6, page 3, line 31, by deleting “4” and inserting “7”.
Amend sec. 6, page 3, by deleting lines 39 and 40 and inserting:
“(c) The administration of general [anesthetics other than by an anesthetist or anesthesiologist licensed in this state.] anesthesia, conscious sedation or deep sedation except as otherwise authorized by regulations adopted by the board.”.
Amend sec. 7, page 4, line 10, by deleting “4” and inserting “7”.
Amend sec. 8, page 4, line 23, by deleting “$350,000” and inserting “$568,244”.
Amend sec. 10, page 4, line 39, by deleting:
“8 and 9” and inserting:
“16 and 17”.
Amend sec. 10, page 4, line 41, by deleting “7,” and inserting “15,”.