AB945,40 14Section 40. 447.06 (3) of the statutes is created to read:
AB945,14,1515 447.06 (3) (a) In this subsection:
AB945,14,1616 1. “Collaborative management agreement” means an agreement under par. (d).
AB945,14,1817 2. “Qualifying dentist” means a dentist who is licensed in this state and who
18is actively practicing in this state.
AB945,14,2119 (b) The scope of practice of a dental therapist shall, subject to the terms of a
20collaborative management agreement, be limited to providing the following services,
21treatments, and procedures:
AB945,14,2322 1. Oral evaluation and assessment of dental disease and formulation of an
23individualized treatment plan.
AB945,14,2424 2. Evaluating radiographs.
AB945,15,2
13. Identifying oral and systemic conditions requiring evaluation or treatment
2by dentists, physicians, or other health care providers and managing referrals.
AB945,15,33 4. Comprehensive charting of the oral cavity.
AB945,15,54 5. Oral health instruction and disease prevention education, including
5nutritional counseling and dietary analysis.
AB945,15,66 6. Exposing radiographic images.
AB945,15,77 7. Dental prophylaxis, including subgingival scaling and polishing procedures.
AB945,15,108 8. Dispensing and administering via the oral or topical route nonnarcotic
9analgesic, anti-inflammatory, and antibiotic medications as prescribed by a licensed
10health care provider.
AB945,15,1211 9. Applying topical preventive or prophylactic agents, including fluoride
12varnish, antimicrobial agents, and pit and fissure sealants.
AB945,15,1313 10. Pulp vitality testing.
AB945,15,1414 11. Applying desensitizing medication or resin.
AB945,15,1515 12. Fabricating athletic mouth guards.
AB945,15,1616 13. Changing periodontal dressings.
AB945,15,1717 14. Administering local anesthetic.
AB945,15,1818 15. Pulpotomies on primary teeth.
AB945,15,1919 16. Simple extraction of erupted primary teeth.
AB945,15,2420 17. Nonsurgical extractions of periodontally diseased permanent teeth with
21tooth mobility of +3 to +4 under general supervision if authorized in advance by the
22supervising dentist, except that “dental therapy” does not include the extraction of
23a tooth that is unerupted, impacted, or fractured or that needs to be sectioned for
24removal.
AB945,16,2
118. Emergency palliative treatment of dental pain limited to the procedures in
2this paragraph.
AB945,16,43 19. Preparation and placement of direct restoration in primary and permanent
4teeth.
AB945,16,55 20. Fabrication and placement of single-tooth temporary crowns.
AB945,16,66 21. Preparation and placement of preformed crowns on primary teeth.
AB945,16,77 22. Indirect and direct pulp capping on permanent teeth.
AB945,16,88 23. Indirect pulp capping on primary teeth.
AB945,16,99 24. Suture removal.
AB945,16,1010 25. Minor adjustments and repairs on removable prostheses.
AB945,16,1111 26. Placement and removal of space maintainers.
AB945,16,1312 27. Any additional services, treatments, or procedures specified in the rules
13promulgated under s. 447.02 (1) (g).
AB945,16,2314 (c) 1. A dental therapist licensed under this chapter may provide dental
15therapy services only under the general supervision of a qualifying dentist with
16which the dental therapist has entered into a collaborative management agreement.
17For purposes of this subdivision, general supervision of a dental therapist by a
18dentist requires that a task or procedure be performed by a dental therapist with the
19prior knowledge and consent of the dentist, but does not require the presence of the
20dentist in the office or on the premises at the time a task or procedure is being
21performed by the dental therapist and does not require prior examination or
22diagnosis of a patient by the dentist before the dental therapist provides dental
23therapy services to the patient.
AB945,17,424 2. A supervising dentist shall accept responsibility for all services performed
25by a dental therapist pursuant to a collaborative management agreement and for

1providing or arranging for services to be provided by a dentist or other qualified
2health care professional when services needed by a patient are beyond the dental
3therapist's scope of practice and authorization under the collaborative management
4agreement.
AB945,17,85 (d) 1. Prior to providing any dental therapy services, a dental therapist shall
6enter into a written collaborative management agreement with a qualifying dentist
7who will serve as a supervising dentist under par. (c). The agreement must be signed
8by the dental therapist and the qualifying dentist and address all of the following:
AB945,17,109 a. The practice settings where services may be provided and the patient
10populations that may be served.
AB945,17,1311 b. Any conditions or limitations on the services that may be provided by the
12dental therapist, the level of supervision required, and any circumstances requiring
13consultation prior to performing services.
AB945,17,1414 c. Age-specific and procedure-specific practice protocols.
AB945,17,1515 d. Dental record-keeping procedures.
AB945,17,1616 e. Plans for managing dental or medical emergencies.
AB945,17,1817 f. A quality assurance plan for monitoring care provided by the dental
18therapist.
AB945,17,1919 g. Protocols for administering and dispensing medications.
AB945,17,2120 h. Criteria or protocols relating to the provision of care to patients with specific
21medical conditions, treatments, or medications.
AB945,17,2222 i. Policies relating to supervision of dental hygienists and other staff.
AB945,17,2523 j. A plan for the referral of patients to other dental or health care professionals
24or clinics when services needed are beyond the scope of practice or authorization of
25the dental therapist.
AB945,18,2
12. A collaborative management agreement shall be limited to covering one
2qualifying dentist and one dental therapist.
AB945,18,43 3. No dentist may have collaborative management agreements with more than
45 dental therapists at any time.
AB945,41 5Section 41. 447.07 (1) of the statutes is amended to read:
AB945,18,116 447.07 (1) The examining board may, without further notice or process, limit,
7suspend, or revoke the license or certificate of any dentist, dental therapist, or dental
8hygienist, or the registration of a mobile dentistry program registrant, who fails,
9within 60 days after the mailing of written notice to the dentist's, dental therapist's,
10dental hygienist's, or registrant's last-known address, to renew the license,
11certificate, or registration.
AB945,42 12Section 42. 447.07 (3) (intro.) of the statutes is amended to read:
AB945,18,2413 447.07 (3) (intro.) Subject to the rules promulgated under s. 440.03 (1), the
14examining board may make investigations and conduct hearings in regard to any
15alleged action of any dentist, dental therapist, or dental hygienist, of a mobile
16dentistry program registrant, or of any other person it has reason to believe is
17engaged in or has engaged in the practice of dentistry, dental therapy, or dental
18hygiene, or the operation of a mobile dentistry program, in this state, and may, on
19its own motion, or upon complaint in writing, reprimand any dentist , dental
20therapist,
or dental hygienist who is licensed or certified under this chapter, or any
21mobile dentistry program registrant, or deny, limit, suspend, or revoke his or her
22license or certificate, or the registration of the mobile dentistry program registrant,
23if it finds that the dentist, dental therapist, dental hygienist, or mobile dentistry
24program registrant has done any of the following:
AB945,43 25Section 43. 447.07 (3) (e) to (h) of the statutes are amended to read:
AB945,19,3
1447.07 (3) (e) Subject to ss. 111.321, 111.322, and 111.335, been convicted of a
2crime, the circumstances of which substantially relate to the practice of dentistry,
3dental therapy,
or dental hygiene or the operation of a mobile dentistry program.
AB945,19,64 (f) Violated this chapter or any federal or state statute or rule that relates to
5the practice of dentistry, dental therapy, or dental hygiene, or the operation of a
6mobile dentistry program.
AB945,19,97 (g) Subject to ss. 111.321, 111.322 and 111.34, practiced dentistry , dental
8therapy,
or dental hygiene while his or her ability was impaired by alcohol or other
9drugs.
AB945,19,1210 (h) Engaged in conduct that indicates a lack of knowledge of, an inability to
11apply or the negligent application of, principles or skills of dentistry , dental therapy,
12or dental hygiene.
AB945,44 13Section 44 . 447.40 (intro.) of the statutes is amended to read:
AB945,19,21 14447.40 Informed consent. (intro.) Any dentist or dental therapist who treats
15a patient shall inform the patient about the availability of reasonable alternate
16modes of treatment and about the benefits and risks of these treatments. The
17reasonable dentist standard is the standard for informing a patient under this
18section. The reasonable dentist standard requires disclosure only of information
19that a reasonable dentist would know and disclose under the circumstances. The
20dentist's or dental therapist's duty to inform the patient under this section does not
21require disclosure of any of the following:
AB945,45 22Section 45 . 447.40 (6) of the statutes is amended to read:
AB945,19,2523 447.40 (6) Information about alternate modes of treatment for any condition
24the dentist or dental therapist has not included in his or her diagnosis, assessment,
25or treatment plan
at the time the dentist or dental therapist informs the patient.
AB945,46
1Section 46. 448.03 (2) (a) of the statutes is amended to read:
AB945,20,82 448.03 (2) (a) Any person lawfully practicing within the scope of a license,
3permit, registration, certificate or certification granted to practice midwifery under
4subch. XIII of ch. 440, to practice professional or practical nursing or
5nurse-midwifery under ch. 441, to practice chiropractic under ch. 446, to practice
6dentistry, dental therapy, or dental hygiene under ch. 447, to practice optometry
7under ch. 449, to practice acupuncture under ch. 451 or under any other statutory
8provision, or as otherwise provided by statute.
AB945,47 9Section 47. 448.21 (1) (a) of the statutes is amended to read:
AB945,20,1110 448.21 (1) (a) The practice of dentistry, dental therapy, or dental hygiene within
11the meaning of ch. 447.
AB945,48 12Section 48. 450.03 (1) (e) of the statutes is amended to read:
AB945,20,1913 450.03 (1) (e) Any person lawfully practicing within the scope of a license,
14permit, registration, certificate, or certification granted to provide home medical
15oxygen under s. 450.076, to practice professional or practical nursing or
16nurse-midwifery under ch. 441, to practice dentistry, dental therapy, or dental
17hygiene under ch. 447, to practice medicine and surgery under ch. 448, to practice
18optometry under ch. 449 or to practice veterinary medicine under ch. 89, or as
19otherwise provided by statute.
AB945,49 20Section 49. 450.10 (3) (a) 4. of the statutes is amended to read:
AB945,20,2121 450.10 (3) (a) 4. A dentist or dental therapist licensed under ch. 447.
AB945,50 22Section 50. 462.02 (2) (d) of the statutes is amended to read:
AB945,20,2523 462.02 (2) (d) A dentist licensed under s. 447.04 (1), a dental therapist licensed
24under s. 447.04 (1m),
a dental hygienist licensed under s. 447.04 (2), or a person
25under the direct supervision of a dentist.
AB945,51
1Section 51. 462.04 of the statutes is amended to read:
AB945,21,10 2462.04 Prescription or order required. A person who holds a license or
3limited X-ray machine operator permit under this chapter may not use diagnostic
4X-ray equipment on humans for diagnostic purposes unless authorized to do so by
5prescription or order of a physician licensed under s. 448.04 (1) (a), a dentist licensed
6under s. 447.04 (1), a dental therapist licensed under s. 447.04 (1m), a podiatrist
7licensed under s. 448.63, a chiropractor licensed under s. 446.02, an advanced
8practice nurse certified under s. 441.16 (2), a physician assistant licensed under s.
9448.04 (1) (f), or, subject to s. 448.56 (7) (a), a physical therapist licensed under s.
10448.53.
AB945,52 11Section 52. 463.10 (5) of the statutes is amended to read:
AB945,21,1512 463.10 (5) Exception. This section does not apply to a dentist who is licensed
13under s. 447.03 (1) or to a
, dental therapist, or physician who tattoos or offers to tattoo
14a person in the course of the dentist's, dental therapist's, or physician's professional
15practice.
AB945,53 16Section 53. 463.12 (5) of the statutes is amended to read:
AB945,21,2017 463.12 (5) Exception. This section does not apply to a dentist who is licensed
18under s. 447.03 (1) or to a
, dental therapist, or physician who pierces the body of or
19offers to pierce the body of a person in the course of the dentist's , dental therapist's,
20or physician's professional practice.
AB945,54 21Section 54. 632.87 (4) of the statutes is amended to read:
AB945,22,222 632.87 (4) No policy, plan or contract may exclude coverage for diagnosis and
23treatment of a condition or complaint by a licensed dentist or dental therapist within
24the scope of the dentist's or dental therapist's license, if the policy, plan or contract

1covers diagnosis and treatment of the condition or complaint by another health care
2provider, as defined in s. 146.81 (1) (a) to (p).
AB945,55 3Section 55 . 895.48 (1m) (a) (intro.) of the statutes, as affected by 2017
4Wisconsin Act 12
, is amended to read:
AB945,22,165 895.48 (1m) (a) (intro.) Except as provided in par. (b), any physician, physician
6assistant, podiatrist, or athletic trainer licensed under ch. 448, chiropractor licensed
7under ch. 446, dentist or dental therapist licensed under ch. 447, emergency medical
8services practitioner licensed under s. 256.15, emergency medical responder
9certified under s. 256.15 (8), registered nurse licensed under ch. 441, or a massage
10therapist or bodywork therapist licensed under ch. 460 who renders voluntary health
11care to a participant in an athletic event or contest sponsored by a nonprofit
12corporation, as defined in s. 66.0129 (6) (b), a private school, as defined in s. 115.001
13(3r), a tribal school, as defined in s. 115.001 (15m), a public agency, as defined in s.
1446.856 (1) (b), or a school, as defined in s. 609.655 (1) (c), is immune from civil liability
15for his or her acts or omissions in rendering that care if all of the following conditions
16exist:
AB945,56 17Section 56 . 895.48 (1m) (a) 2. of the statutes, as affected by 2017 Wisconsin
18Act 12
, is amended to read:
AB945,22,2319 895.48 (1m) (a) 2. The physician, podiatrist, athletic trainer, chiropractor,
20dentist, dental therapist, emergency medical services practitioner, as defined in s.
21256.01 (5), emergency medical responder, as defined in s. 256.01 (4p), physician
22assistant, registered nurse, massage therapist or bodywork therapist does not
23receive compensation for the health care, other than reimbursement for expenses.
AB945,57 24Section 57. 941.315 (5) of the statutes is amended to read:
AB945,23,4
1941.315 (5) (a) Subsection (2) does not apply to a person to whom nitrous oxide
2is administered for the purpose of providing medical or dental care, if the nitrous
3oxide is administered by a physician or, dentist, or dental therapist or at the direction
4or under the supervision of a physician or, dentist, or dental therapist.
AB945,23,85 (b) Subsection (3) does not apply to the administration of nitrous oxide by a
6physician or, dentist, or dental therapist, or by another person at the direction or
7under the supervision of a physician or, dentist, or dental therapist, for the purpose
8of providing medical or dental care.
AB945,23,129 (c) Subsection (3) (c) does not apply to the sale to a hospital, health care clinic
10or other health care organization or to a physician or , dentist, or dental therapist of
11any object used, designed for use or primarily intended for use in administering
12nitrous oxide for the purpose of providing medical or dental care.
AB945,58 13Section 58 . Nonstatutory provisions.
AB945,23,1714 (1) When the first individual becomes licensed as a dental therapist in this
15state under section 447.04 (1m) of the statutes, the dentistry examining board shall
16send a notice to the legislative reference bureau for publication in the Wisconsin
17Administrative Register.
AB945,59 18Section 59 . Effective dates. This act takes effect on the day after publication,
19except as follows:
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