As Reported by the Senate Health, Human Services and Aging Committee

128th General Assembly Regular Session 2009-2010

Sub. H. B. No. 190

Representative Fende 

Cosponsors: Representatives McGregor, Williams, S., Moran, Huffman, Yuko, Phillips, Oelslager, Garland, Jordan, Murray, Gerberry, Brown, Bolon, Slesnick, Okey, Pillich, Letson, Hagan, Luckie, Mecklenborg, Blessing, Harwood, Williams, B., Hackett, Lehner, Patten, Harris, Adams, J., Adams, R., Amstutz, Batchelder, Belcher, Blair, Boyd, Bubp, Carney, Chandler, Combs, Daniels, DeBose, Domenick, Driehaus, Dyer, Evans, Foley, Gardner, Garrison, Goyal, Grossman, Heard, Hottinger, Jones, Koziura, Lundy, Maag, Mallory, Mandel, Newcomb, Otterman, Pryor, Schneider, Sears, Snitchler, Stewart, Szollosi, Uecker, Wachtmann, Winburn, Zehringer 

Senators Gillmor, Morano 

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A BILL

To amend sections 3313.713, 4715.14, 4715.141,

1

4715.21, 4715.22, 4715.231, 4715.24, and 4715.25

2

and to enact sections 3701.136, 4715.241,

3

4715.242, 4715.36, 4715.361, 4715.362, 4715.363,

4

4715.364, 4715.365, 4715.366, 4715.367, 4715.368,

5

4715.369, 4715.37, 4715.371, 4715.372, 4715.373,

6

4715.374, and 4715.375 of the Revised Code to

7

modify certain licensing procedures for dentists

8

and dental hygienists, to establish the Oral

9

Health Access Supervision Program for the

10

provision of dental hygiene services, to allow

11

certain dental hygienists to administer local

12

anesthesia based on instruction obtained while

13

licensed in another state, and to authorize the

14

Director of Health to establish a school-based

15

fluoride mouth rinse program.

16

BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section 1. That sections 3313.713, 4715.14, 4715.141,	17
4715.21, 4715.22, 4715.231, 4715.24, and 4715.25 be amended and	18
sections 3701.136, 4715.241, 4715.242, 4715.36, 4715.361,	19
4715.362, 4715.363, 4715.364, 4715.365, 4715.366, 4715.367,	20
4715.368, 4715.369, 4715.37, 4715.371, 4715.372, 4715.373,	21
4715.374, and 4715.375 of the Revised Code be enacted to read as	22
follows:	23

Sec. 3313.713.  (A) As used in this section:

24

(1) "Drug" means a drug, as defined in section 4729.01 of the	25
Revised Code, that is to be administered pursuant to the	26
instructions of the prescriber, whether or not required by law to	27
be sold only upon a prescription.	28

(2) "Federal law" means the "Individuals with Disabilities	29
Education Act of 1997," 111 Stat. 37, 20 U.S.C. 1400, as amended.	30

(3) "Prescriber" has the same meaning as in section 4729.01	31
of the Revised Code.	32

(B) The board of education of each city, local, exempted	33
village, and joint vocational school district shall, not later	34
than one hundred twenty days after September 20, 1984, adopt a	35
policy on the authority of its employees, when acting in	36
situations other than those governed by sections 2305.23,	37
2305.231, and 3313.712 of the Revised Code, to administer drugs	38
prescribed to students enrolled in the schools of the district.	39
The policy shall provide either that:	40

(1) Except as otherwise required by federal law, no person	41
employed by the board shall, in the course of such employment,	42
administer any drug prescribed to any student enrolled in the	43
schools of the district.	44

(2) Designated persons employed by the board are authorized	45
to administer to a student a drug prescribed for the student.	46
Effective July 1, 2011, only employees of the board who are	47
licensed health professionals, or who have completed a drug	48
administration training program conducted by a licensed health	49
professional and considered appropriate by the board, may	50
administer to a student a drug prescribed for the student. Except	51
as otherwise provided by federal law, the board's policy may	52
provide that certain drugs or types of drugs shall not be	53
administered or that no employee shall use certain procedures,	54
such as injection, to administer a drug to a student.	55

(C) No drug prescribed for a student shall be administered	56
pursuant to federal law or a policy adopted under division (B) of	57
this section until the following occur:	58

(1) The board, or a person designated by the board, receives	59
a written request, signed by the parent, guardian, or other person	60
having care or charge of the student, that the drug be	61
administered to the student.	62

(2) The board, or a person designated by the board, receives	63
a statement, signed by the prescriber, that includes all of the	64
following information:	65

(a) The name and address of the student;

66

(b) The school and class in which the student is enrolled;

67

(c) The name of the drug and the dosage to be administered;

68

(d) The times or intervals at which each dosage of the drug	69
is to be administered;	70

(e) The date the administration of the drug is to begin;

71

(f) The date the administration of the drug is to cease;

72

(g) Any severe adverse reactions that should be reported to	73
the prescriber and one or more phone numbers at which the	74
prescriber can be reached in an emergency;	75

(h) Special instructions for administration of the drug,	76
including sterile conditions and storage.	77

(3) The parent, guardian, or other person having care or	78
charge of the student agrees to submit a revised statement signed	79
by the prescriber to the board or a person designated by the board	80
if any of the information provided by the prescriber pursuant to	81
division (C)(2) of this section changes.	82

(4) The person authorized by the board to administer the drug	83
receives a copy of the statement required by division (C)(2) or	84
(3) of this section.	85

(5) The drug is received by the person authorized to	86
administer the drug to the student for whom the drug is prescribed	87
in the container in which it was dispensed by the prescriber or a	88
licensed pharmacist.	89

(6) Any other procedures required by the board are followed.

90

(D) If a drug is administered to a student, the board of	91
education shall acquire and retain copies of the written requests	92
required by division (C)(1) and the statements required by	93
divisions (C)(2) and (3) of this section and shall ensure that by	94
the next school day following the receipt of any such statement a	95
copy is given to the person authorized to administer drugs to the	96
student for whom the statement has been received. The board, or a	97
person designated by the board, shall establish a location in each	98
school building for the storage of drugs to be administered under	99
this section and federal law. All such drugs shall be stored in	100
that location in a locked storage place, except that drugs that	101
require refrigeration may be kept in a refrigerator in a place not	102
commonly used by students.	103

(E) No person who has been authorized by a board of education	104
to administer a drug and has a copy of the most recent statement	105
required by division (C)(2) or (3) of this section given to the	106
person in accordance with division (D) of this section prior to	107
administering the drug is liable in civil damages for	108
administering or failing to administer the drug, unless such	109
person acts in a manner that constitutes gross negligence or	110
wanton or reckless misconduct.	111

(F) A board of education may designate a person or persons to	112
perform any function or functions in connection with a drug policy	113
adopted under this section either by name or by position,	114
training, qualifications, or similar distinguishing factors.	115

(G) A policy adopted by a board of education pursuant to this	116
section may be changed, modified, or revised by action of the	117
board.	118

(H) Nothing in this section shall be construed to require a	119
person employed by a board of education to administer a drug to a	120
student unless the board's policy adopted in compliance with this	121
section establishes such a requirement. A board shall not require	122
an employee to administer a drug to a student if the employee	123
objects, on the basis of religious convictions, to administering	124
the drug.	125

A policy adopted by a board of education pursuant to this	126
section may be changed, modified, or revised by action of the	127
board.	128

Nothing in this section affects the application of section	129
2305.23, 2305.231, or 3313.712 of the Revised Code to the	130
administration of emergency care or treatment to a student.	131

Nothing in this section affects the ability of a public or	132
nonpublic school to participate in a school-based fluoride mouth	133
rinse program established by the director of health pursuant to	134
section 3701.136 of the Revised Code. Nothing in this section	135
affects the ability of a person who is employed by, or who	136
volunteers for, a school that participates in such a program to	137
administer fluoride mouth rinse to a student in accordance with	138
section 3701.136 of the Revised Code and any rules adopted by the	139
director under that section.	140

Sec. 3701.136. (A) The director of health may establish a	141
school-based fluoride mouth rinse program. If the director	142
establishes the program, divisions (B) to (E) of this section are	143
applicable.	144

(B) The director shall conduct a program to educate employees	145
of the department of health and dental hygienists licensed under	146
Chapter 4715. of the Revised Code on how to train employees of,	147
and volunteers for, public and nonpublic schools regarding the	148
proper means of administering fluoride mouth rinse to students.	149

(C) Schools that participate in the school-based fluoride	150
mouth rinse program shall require that their employees and	151
volunteers who intend to administer fluoride mouth rinse to	152
students receive training, by either of the following, on the	153
proper means of administering fluoride mouth rinse to students:	154

(1) An employee of the department of health or a dental	155
hygienist who has been trained through the program the director	156
conducts pursuant to division (B) of this section;	157

(2) A school employee or volunteer who has been trained by an	158
individual described in division (C)(1) of this section.	159

(D)(1) The director shall prescribe a form that the parent,	160
guardian, or other person having care or charge of a student	161
enrolled in a public or nonpublic school that participates in the	162
school-based fluoride mouth rinse program may use to consent to	163
the administration of fluoride mouth rinse to the student for the	164
duration of the student's enrollment in that school. School	165
employees or volunteers shall not administer fluoride mouth rinse	166
to a student unless the consent form from the student's parent,	167
guardian, or other person has been received.	168

(2) The consent form shall include all of the following:

169

(a) A space designated for the student's name and address;

170

(b) A space designated for the name of the student's school;

171

(c) A space designated for the student's grade level and	172
class;	173

(d) A space designated for the signature of the parent,	174
guardian, or other person who authorizes the administration of	175
fluoride mouth rinse to the student;	176

(e) Information on the name, dosage, and intervals at which	177
the fluoride mouth rinse is scheduled to be administered during	178
each school year;	179

(f) The dates the administration of fluoride mouth rinse is	180
to begin and cease, which may, respectively, be the first and last	181
days of a school year;	182

(g) Any other information or spaces the director considers	183
necessary for the proper administration of the program.	184

(E) The director may adopt rules as necessary to implement	185
and administer the school-based fluoride mouth rinse program. The	186
rules shall be adopted in accordance with Chapter 119. of the	187
Revised Code.	188

Sec. 4715.14.  (A) Each person who is licensed to practice	189
dentistry in Ohio shall, on or before the first day of January of	190
each even-numbered year, register with the state dental board. The	191
registration shall be made on a form prescribed by the board and	192
furnished by the secretary, shall include the licensee's name,	193
address, license number, and such other reasonable information as	194
the board may consider necessary, and shall include payment of a	195
biennial registration fee of two hundred forty-five dollars.	196
Except as provided in division (D)(E) of this section, this fee	197
shall be paid to the treasurer of state. All such registrations	198
shall be in effect for the two-year period beginning on the first	199
day of January of the even-numbered year and ending on the last	200
day of December of the following odd-numbered year, and shall be	201
renewed in accordance with the standard renewal procedure of	202
sections 4745.01 to 4745.03 of the Revised Code. The failure ofIf	203
a licensee fails to renew the licensee's registration in	204
accordance with this section shall result in an automatic	205
suspension of the licensee's license to practice dentistry, the	206
board may take any of the disciplinary actions described in	207
division (C) of section 4715.30 of the Revised Code with respect	208
to the licensee or licensee's license.	209

(B) AnyThe license of any dentist whose license has been	210
suspended under this section may be reinstated byon the payment	211
of the biennial registration fee and in addition thereto	212
eighty-one dollars to cover costs of the reinstatement; excepting	213
that to any.	214

(C) The board shall grant temporary retirement to any	215
licensed dentist who desires to temporarily retire from practice,	216
and who has given the board notice in writing to that effect, the	217
board shall grant such a retirement, provided only that at the	218
time that timethe board grants the temporary retirement all	219
previous registration fees and additional costs of reinstatement	220
have been paid.	221

(C)(D) Each dentist licensed to practice, whether a resident	222
or not, shall notify the secretary in writing or electronically of	223
any change in the dentist's office address or employment within	224
ten days after such change has taken place. On the first day of	225
July of every even-numbered year, the secretary shall issue a	226
printed roster of the names and addresses so registered.	227

(D)(E) Twenty dollars of each biennial registration fee shall	228
be paid to the dentist loan repayment fund created under section	229
3702.95 of the Revised Code.	230

Sec. 4715.141.  (A) Each licensed dentist shall complete	231
biennially not less than forty hours of continuing dental	232
education, which may include, but is not limited to, attendance at	233
lectures, study clubs, college and postgraduate courses, or	234
scientific sessions of conventions, research, graduate study,	235
teaching, service as a clinician, or correspondence courses.	236
Continuing dental education programs include, but are not limited	237
to, programs that address any of the following:	238

(1) CompentencyCompetency in treating patients who are	239
medically compromised or who experience medical emergencies during	240
the course of dental treatment;	241

(2) Knowledge of pharmaceutical products and the protocol of	242
the proper use of medications;	243

(3) Competency to diagnose oral pathology;

244

(4) Awareness of currently accepted methods of infection	245
control;	246

(5) Basic medical and scientific subjects including, but not	247
limited to, biology, physiology, pathology, biochemistry, and	248
pharmacology;	249

(6) Clinical and technological subjects including, but not	250
limited to, clinical techniques and procedures, materials, and	251
equipment;	252

(7) Subjects pertinent to health and safety.

253

Dentists shall earn continuing education credits at the rate	254
of one-half credit for each twenty-five to thirty contact minutes	255
of instruction and one credit hour for each fifty to sixty contact	256
minutes of instruction.	257

(B) Programs meeting the general requirements of division (A)	258
of this section may be developed and offered to dentists by any of	259
the following agencies or organizations:	260

(1) National, state, district, or local dental associations	261
affiliated with the American dental association or national dental	262
association;	263

(2) Accredited dental colleges or schools;

264

(3) Other organizations, schools, or agencies approved by the	265
state dental board.	266

(C) Each licensed dentist shall submit to the board at the	267
time of biennial registration pursuant to section 4715.14 of the	268
Revised Code a sworn affidavit, on a form acceptable to the state	269
dental board, attesting that hethe dentist has completed	270
continuing education programs in compliance with this section and	271
listing the date, location, sponsor, subject matter, and hours	272
completed of the programs.	273

A licensed dentist shall retain in histhe dentist's records	274
for a period of at least three years such receipts, vouchers, or	275
certificates as may be necessary to document completion of	276
continuing education programs. With cause, the board may request	277
such documentation from licensed dentists, and the board may	278
request such documentation from licensed dentists selected at	279
random without cause.	280

(D) The board may excuse licensed dentists, as a group or as	281
individuals, from all or any part of the requirements of this	282
section because of an unusual circumstance, emergency, or special	283
hardship.	284

(E) Failure to comply with the requirements of this section	285
constitutes a failure to renew registration pursuant to section	286
4715.14 of the Revised Code.	287

Sec. 4715.21.  Each person who desires to practice as a	288
dental hygienist shall file with the secretary of the state dental	289
board a written application for a license, under oath, upon the	290
form prescribed. Such applicant shall furnish satisfactory proof	291
of being at least eighteen years of age and of good moral	292
character. An applicant shall present a diploma or certificate of	293
graduation from an accredited dental hygiene school and shall pay	294
the examination fee of ninety-six dollars if the license is issued	295
in an odd-numbered year or one hundred forty-seven dollars if	296
issued in an even-numbered year. Those passing such examination as	297
the board prescribes relating to dental hygiene shall receive a	298
certificate of registration entitling them to practice. If an	299
applicant fails to pass the first examination the applicant may	300
apply for a re-examination at the next regular or special	301
examination meeting of the board.	302

No applicant shall be admitted to more than two examinations	303
without first presenting satisfactory proof that the applicant has	304
successfully completed such refresher courses in an accredited	305
dental hygiene school as the state dental board may prescribe.	306

An accredited dental hygiene school shall be one accredited	307
by the council on dental education of the American dental	308
association commission on dental accreditation or whose	309
educational standards are recognized by the council on dental	310
education of the American dental association commission on dental	311
accreditation and approved by the state dental board.	312

Sec. 4715.22.  (A) As(1) This section applies only when a	313
licensed dental hygienist is not practicing under a permit issued	314
pursuant to section 4715.363 of the Revised Code authorizing	315
practice under the oral health access supervision of a dentist.	316

(2) As used in this section, "health care facility" means	317
either of the following:	318

(1)(a) A hospital registered under section 3701.07 of the	319
Revised Code;	320

(2)(b) A "home" as defined in section 3721.01 of the Revised	321
Code.	322

(B) A licensed dental hygienist shall practice under the	323
supervision, order, control, and full responsibility of a dentist	324
licensed under this chapter. A dental hygienist may practice in a	325
dental office, public or private school, health care facility,	326
dispensary, or public institution. Except as provided in division	327
(C) or (D) of this section, a dental hygienist may not provide	328
dental hygiene services to a patient when the supervising dentist	329
is not physically present at the location where the dental	330
hygienist is practicing.	331

(C) A dental hygienist may provide, for not more than fifteen	332
consecutive business days, dental hygiene services to a patient	333
when the supervising dentist is not physically present at the	334
location at which the services are provided if all of the	335
following requirements are met:	336

(1) The dental hygienist has at least two years and a minimum	337
of three thousand hours of experience in the practice of dental	338
hygiene.	339

(2) The dental hygienist has successfully completed a course	340
approved by the state dental board in the identification and	341
prevention of potential medical emergencies.	342

(3) The dental hygienist complies with written protocols for	343
emergencies the supervising dentist establishes.	344

(4) The dental hygienist does not perform, while the	345
supervising dentist is absent from the location, procedures while	346
the patient is anesthetized, definitive root planing, definitive	347
subgingival curettage, or other procedures identified in rules the	348
state dental board adopts.	349

(5) The supervising dentist has evaluated the dental	350
hygienist's skills.	351

(6) The supervising dentist examined the patient not more	352
than seven months prior to the date the dental hygienist provides	353
the dental hygiene services to the patient.	354

(7) The dental hygienist complies with written protocols or	355
written standing orders that the supervising dentist establishes.	356

(8) The supervising dentist completed and evaluated a medical	357
and dental history of the patient not more than one year prior to	358
the date the dental hygienist provides dental hygiene services to	359
the patient and, except when the dental hygiene services are	360
provided in a health care facility, the supervising dentist	361
determines that the patient is in a medically stable condition.	362

(9) If the dental hygiene services are provided in a health	363
care facility, a doctor of medicine and surgery or osteopathic	364
medicine and surgery who holds a current certificate issued under	365
Chapter 4731. of the Revised Code or a registered nurse licensed	366
under Chapter 4723. of the Revised Code is present in the health	367
care facility when the services are provided.	368

(10) In advance of the appointment for dental hygiene	369
services, the patient is notified that the supervising dentist	370
will be absent from the location and that the dental hygienist	371
cannot diagnose the patient's dental health care status.	372

(11) The dental hygienist is employed by, or under contract	373
with, one of the following:	374

(a) The supervising dentist;

375

(b) A dentist licensed under this chapter who is one of the	376
following:	377

(i) The employer of the supervising dentist;

378

(ii) A shareholder in a professional association formed under	379
Chapter 1785. of the Revised Code of which the supervising dentist	380
is a shareholder;	381

(iii) A member or manager of a limited liability company	382
formed under Chapter 1705. of the Revised Code of which the	383
supervising dentist is a member or manager;	384

(iv) A shareholder in a corporation formed under division (B)	385
of section 1701.03 of the Revised Code of which the supervising	386
dentist is a shareholder;	387

(v) A partner or employee of a partnership or a limited	388
liability partnership formed under Chapter 1775. or 1776. of the	389
Revised Code of which the supervising dentist is a partner or	390
employee.	391

(c) A government entity that employs the dental hygienist to	392
provide dental hygiene services in a public school or in	393
connection with other programs the government entity administers.	394

(D) A dental hygienist may provide dental hygiene services to	395
a patient when the supervising dentist is not physically present	396
at the location at which the services are provided if the services	397
are provided as part of a dental hygiene program that is approved	398
by the state dental board and all of the following requirements	399
are met:	400

(1) The program is operated through a school district board	401
of education or the governing board of an educational service	402
center; the board of health of a city or general health district	403
or the authority having the duties of a board of health under	404
section 3709.05 of the Revised Code; a national, state, district,	405
or local dental association; or any other public or private entity	406
recognized by the state dental board.	407

(2) The supervising dentist is employed by or a volunteer	408
for, and the patients are referred by, the entity through which	409
the program is operated.	410

(3) The services are performed after examination and	411
diagnosis by the dentist and in accordance with the dentist's	412
written treatment plan.	413

(E) No person shall do either of the following:

414

(1) Practice dental hygiene in a manner that is separate or	415
otherwise independent from the dental practice of a supervising	416
dentist;	417

(2) Establish or maintain an office or practice that is	418
primarily devoted to the provision of dental hygiene services.	419

(F) The state dental board shall adopt rules under division	420
(C) of section 4715.03 of the Revised Code identifying procedures	421
a dental hygienist may not perform when practicing in the absence	422
of the supervising dentist pursuant to division (C) or (D) of this	423
section.	424

Sec. 4715.231. (A) As used in this section, "direct	425
supervision" means a dentist licensed under this chapter is	426
present, for purposes of consultation and direction, at the	427
location where a dental hygienist performs the administration of	428
local anesthesia to a patient. "Direct supervision" does not mean	429
that the dentist must observe the administration of local	430
anesthesia to a patient.	431

(B) Under the direct supervision of a dentist, a dental	432
hygienist may administer intraoral block and infiltration local	433
anesthesia to a patient if the dental hygienist is in compliance	434
with division (D) of this section and has done botheither of the	435
following is the case:	436

(1) The dental hygienist has met both of the following	437
requirements:	438

(a) Successfully completed a course in the administration of	439
local anesthesia approved by the state dental board and offered by	440
a dental or dental hygiene program that is accredited by the	441
commission on dental accreditation of the American dental	442
association;	443

(2)(b) Within eighteen months of completion of the anesthesia	444
course, successfully passed a state or regional written	445
examination on local anesthesia approved by the board.	446

(2) The dental hygienist is authorized to administer local	447
anesthesia by another state's licensing authority with	448
jurisdiction over the practice of dental hygiene and both of the	449
following conditions are met:	450

(a) The dental hygienist was required by the licensing	451
authority of the other state to complete, and the dental hygienist	452
successfully completed, a course or instruction as a requirement	453
to be authorized to administer local anesthesia.	454

(b) Either of the following applies:

455

(i) The required hours and content of the course or	456
instruction described in division (B)(2)(a) of this section are	457
substantially equivalent, as determined by the board, to the	458
required hours and content of the course described in division (C)	459
of this section.	460

(ii) The board determines that the required hours and content	461
of the course or instruction described in division (B)(2)(a) of	462
this section are not substantially equivalent to the required	463
hours and content of the course described in division (C) of this	464
section, but the dental hygienist submits evidence satisfactory to	465
the board that the dental hygienist obtained, within the	466
forty-eight months immediately preceding the date that the dental	467
hygienist applied under section 4715.21 of the Revised Code for a	468
license to practice as a dental hygienist, twenty-four consecutive	469
months of experience in the administration of local anesthesia in	470
the other state where the dental hygienist is authorized to	471
administer local anesthesia.	472

(C) To be approved by the board, athe local anesthesia	473
administration course described in division (B)(1)(a) of this	474
section must contain not less than fifteen hours of didactic	475
instruction and not less than fourteen hours of clinical	476
experience and include instruction on each of the following	477
subjects:	478

(1) Theory of pain control;

479

(2) Selection of pain control modalities;

480

(3) Anatomy;

481

(4) Neurophysiology;

482

(5) Pharmacology of local anesthetics;

483

(6) Pharmacology of vasoconstrictors;

484

(7) Psychological aspects of pain control;

485

(8) Systemic complications;

486

(9) Techniques of maxillary and mandibular anesthesia taught	487
by a dentist or other qualified instructor;	488

(10) Infection control;

489

(11) Local anesthesia medical emergencies.

490

(D) A dental hygienist may administer local anesthesia only	491
if the dental hygienist has obtained current certification to	492
perform basic cardiac life-support procedures as required by	493
section 4715.251 of the Revised Code.	494

Sec. 4715.24.  (A) Each person who is licensed to practice as	495
a dental hygienist in Ohio shall, on or before the first day of	496
January of each even-numbered year, register with the state dental	497
board, unless the person is temporarily retired pursuant to	498
section 4715.241 of the Revised Code. The registration shall be	499
made on a form prescribed by the board and furnished by the	500
secretary, shall include the licensee's name, address, license	501
number, and such other reasonable information as the board may	502
consider necessary, and shall include payment of a biennial	503
registration fee of one hundred five dollars. This fee shall be	504
paid to the treasurer of state. All such registrations shall be in	505
effect for the two-year period beginning on the first day of	506
January of each even-numbered year and ending on the last day of	507
December of the following odd-numbered year, and shall be renewed	508
in accordance with the standard renewal procedure of sections	509
4745.01 to 4745.03 of the Revised Code. The failure of a licensee	510
to renew registration in accordance with this section shall result	511
in the automatic suspension of the licensee's license to practice	512
as a dental hygienist, unless the licensee is temporarily retired	513
pursuant to section 4715.241 of the Revised Code.	514

(B) Any dental hygienist whose license has been automatically	515
suspended under this section may be reinstated by theon	516
application to the board on a form prescribed by the board for	517
licensure reinstatement and payment of the biennial registration	518
fee and in addition thereto thirty-one dollars to cover the costs	519
of reinstatement.	520

(C) The license of a dental hygienist shall be exhibited in a	521
conspicuous place in the room in which the dental hygienist	522
practices. Each dental hygienist licensed to practice, whether a	523
resident or not, shall notify the secretary in writing or	524
electronically of any change in the dental hygienist's office	525
address or employment within ten days after the change takes	526
place.	527

Sec. 4715.241.  (A) As used in this section and sections	528
4715.242 and 4715.25 of the Revised Code, "registration period"	529
means the two-year period during which a dental hygienist's	530
registration is in effect under section 4715.24 of the Revised	531
Code.	532

(B) A dental hygienist seeking to retire temporarily from the	533
practice of dental hygiene shall provide written notice of that	534
intent to the state dental board. Except as provided in division	535
(C) of this section, the board shall grant temporary retirement if	536
the dental hygienist has paid the registration fee required by	537
section 4715.24 of the Revised Code for the registration period	538
that includes the day immediately before the day that the	539
temporary retirement is to begin. The license of a dental	540
hygienist who is granted temporary retirement shall be inactive.	541

(C) The board may deny temporary retirement to a dental	542
hygienist who is, at the time that the board denies the temporary	543
retirement, the subject of a disciplinary action initiated by the	544
board under section 4715.30 of the Revised Code.	545

Sec. 4715.242.  (A) A dental hygienist who is temporarily	546
retired pursuant to section 4715.241 of the Revised Code may	547
submit a written request to the state dental board at any time for	548
reinstatement of the dental hygienist's license. The board shall	549
reinstate the license if the dental hygienist does both of the	550
following:	551

(1) Pays the biennial registration fee established under	552
section 4715.24 of the Revised Code for the period that includes	553
the day on which the temporary retirement is to cease;	554

(2) Provides the board satisfactory evidence that the dental	555
hygienist, during the two-year period immediately preceding the	556
date that the dental hygienist submitted the written request for	557
license reinstatement, completed a minimum of twenty-four hours of	558
continuing dental hygiene education in accordance with division	559
(B) of this section.	560

(B) The completion of continuing dental hygiene education	561
required under division (A)(2) of this section is subject to	562
division (D) of section 4715.25 of the Revised Code. The	563
continuing education programs may be developed and offered to	564
dental hygienists by any of the agencies or organizations	565
described in division (C) of section 4715.25 of the Revised Code.	566
The board may excuse dental hygienists, as a group or as	567
individuals, from all or any part of the requirements of division	568
(A)(2) of this section because of an unusual circumstance,	569
emergency, or special hardship.	570

(C) The state dental board shall register each dental	571
hygienist whose license is reinstated under this section. The	572
registration expires at the end of the registration period during	573
which the license is reinstated.	574

Sec. 4715.25.  (A) Every person licensed to practice as a	575
dental hygienist and required to register with the state dental	576
board shall certify to the board at the time of applying for a	577
renewal of registration that in the two-year period preceding two	578
yearsthe registration period for which renewal is sought the	579
registrant has completed a minimum of twelvetwenty-four hours of	580
continuing dental hygiene education. Certification shall be made	581
upon the application for registration prescribed by the board	582
pursuant to section 4715.24 of the Revised Code.	583

(B)(1) The board shall apply toward the satisfaction of a	584
registrant's continuing dental hygiene education requirement any	585
of the following courses that the registrant completed:	586

(a) The basic life-support training course required by	587
section 4715.251 of the Revised Code;	588

(b) Any course required by statute or rule of the board for	589
registration;	590

(c) Any course required by statute or rule of the board as a	591
condition of performing a particular function;	592

(d) Any other course that the board determines acceptable.

593

(2) In the case of a registrant whose license was reinstated	594
under section 4715.242 of the Revised Code, the board shall apply	595
toward the satisfaction of the registrant's continuing dental	596
hygiene education requirement any course that the board applied	597
toward the continuing dental hygiene education requirement for	598
reinstatement of the license if the course was completed during	599
the two-year period immediately preceding the registration period	600
for which renewal is sought.	601

(C) Continuing education programs may be developed and	602
offered to dental hygienists by any of the following agencies or	603
organizations:	604

(1) National, state, district, or local dental hygienists'	605
associations affiliated with the American dental hygienists'	606
association;	607

(2) National, state, district, or local dental associations	608
affiliated with the American dental association or national dental	609
association;	610

(3) Accredited dental hygiene colleges or schools;

611

(4) Accredited dental colleges or schools;

612

(5) Other organizations, schools, paraprofessional programs,	613
or agencies approved by the state dental board.	614

(B)(D) A licensed dental hygienist shall retain in histhe	615
dental hygienist's records for a period of at least threefour	616
years such receipts, vouchers, or certificates as may be necessary	617
to document completion of continuing education programs. With	618
cause, the board may request such documentation from licensed	619
dental hygienists, and the board may request such documentation	620
from licensed dental hygienists at random without cause.	621

(C)(E) The board may excuse licensed dental hygienists, as a	622
group or as individuals, from all or any part of the requirements	623
of this section because of an unusual circumstance, emergency, or	624
special hardship.	625

(D)(F) Failure to comply with the requirements of this	626
section constitutes a failure to renew registration pursuant to	627
section 4715.24 of the Revised Code.	628

Sec. 4715.36. As used in this section and sections 4715.361	629
to 4715.374 of the Revised Code:	630

(A) "Accredited dental hygiene school" means a dental hygiene	631
school accredited by the American dental association commission on	632
dental accreditation or a dental hygiene school whose educational	633
standards are recognized by the American dental association	634
commission on dental accreditation and approved by the state	635
dental board.	636

(B) "Authorizing dentist" means a dentist who authorizes a	637
dental hygienist to perform dental hygiene services under section	638
4715.365 of the Revised Code.	639

(C) "Clinical evaluation" means a diagnosis and treatment	640
plan formulated for an individual patient by a dentist.	641

(D) "Dentist" means an individual licensed under this chapter	642
to practice dentistry.	643

(E) "Dental hygienist" means an individual licensed under	644
this chapter to practice as a dental hygienist.	645

(F) "Dental hygiene services" means the prophylactic,	646
preventive, and other procedures that dentists are authorized by	647
this chapter and rules of the state dental board to assign to	648
dental hygienists, except for procedures while a patient is	649
anesthetized, definitive root planing, definitive subgingival	650
curettage, the administration of local anesthesia, and the	651
procedures specified in rules adopted by the board as described in	652
division (C)(4) of section 4715.22 of the Revised Code.	653

(G) "Facility" means any of the following:

654

(1) A health care facility, as defined in section 4715.22 of	655
the Revised Code;	656

(2) A state correctional institution, as defined in section	657
2967.01 of the Revised Code;	658

(3) A comprehensive child development program that receives	659
funds distributed under the "Head Start Act," 95 Stat. 499 (1981),	660
42 U.S.C. 9831, as amended, and is licensed as a child day-care	661
center;	662

(4) A residential facility licensed under section 5123.19 of	663
the Revised Code;	664

(5) A public school, as defined in section 3701.93 of the	665
Revised Code, located in an area designated as a dental health	666
resource shortage area pursuant to section 3702.87 of the Revised	667
Code;	668

(6) A nonpublic school, as defined in section 3701.93 of the	669
Revised Code, located in an area designated as a dental health	670
resource shortage area pursuant to section 3702.87 of the Revised	671
Code;	672

(7) A federally qualified health center or federally	673
qualified health center look-alike, as defined in section 3701.047	674
of the Revised Code;	675

(8) A shelter for victims of domestic violence, as defined in	676
section 3113.33 of the Revised Code;	677

(9) A facility operated by the department of youth services	678
under Chapter 5139. of the Revised Code;	679

(10) A shelter for runaways, as defined in section 5119.64 of	680
the Revised Code;	681

(11) A foster home, as defined in section 5103.02 of the	682
Revised Code;	683

(12) A nonprofit clinic, as defined in section 3715.87 of the	684
Revised Code;	685

(13) The residence of one or more individuals receiving	686
services provided by a home health agency, as defined in section	687
5101.61 of the Revised Code;	688

(14) A dispensary;

689

(15) A health care facility, such as a clinic or hospital, of	690
the United States department of veterans affairs;	691

(16) The residence of one or more individuals enrolled in a	692
home and community-based services medicaid waiver component, as	693
defined in section 5111.851 of the Revised Code;	694

(17) A facility operated by the board of health of a city or	695
general health district or the authority having the duties of a	696
board of health under section 3709.05 of the Revised Code;	697

(18) A women, infants, and children clinic;

698

(19) A mobile dental unit located at any location listed in	699
divisions (G)(1) to (18) of this section;	700

(20) Any other location, as specified by the state dental	701
board in rules adopted under section 4715.372 of the Revised Code,	702
that is in an area designated as a dental health resource shortage	703
area pursuant to section 3702.87 of the Revised Code and provides	704
health care services to individuals who are recipients of medical	705
assistance under the medicaid program established pursuant to	706
Chapter 5111. of the Revised Code and to indigent and uninsured	707
persons, as defined in section 2305.234 of the Revised Code.	708

Sec. 4715.361. The oral health access supervision program is	709
hereby created. The program shall begin six months after the	710
effective date of this section.	711

Sec. 4715.362. A dentist who desires to participate in the	712
oral health access supervision program shall apply to the state	713
dental board for an oral health access supervision permit. The	714
application shall be under oath, on a form prescribed by the board	715
in rules adopted under section 4715.372 of the Revised Code, and	716
accompanied by an application fee of twenty dollars. To be	717
eligible to receive the permit, an applicant shall meet the	718
requirements established by the board in rules adopted under	719
section 4715.372 of the Revised Code.	720

The state dental board shall issue an oral health access	721
supervision permit to a dentist who is in good standing with the	722
board and satisfies all of the requirements of this section.	723

Sec. 4715.363. (A) A dental hygienist who desires to	724
participate in the oral health access supervision program shall	725
apply to the state dental board for a permit to practice under the	726
oral health access supervision of a dentist. The application shall	727
be under oath, on a form prescribed by the board in rules adopted	728
under section 4715.372 of the Revised Code, and accompanied by an	729
application fee of twenty dollars.	730

(B) The applicant shall provide evidence satisfactory to the	731
board that the applicant has done all of the following:	732

(1) Completed at least two years and attained a minimum of	733
three thousand hours of experience in the practice of dental	734
hygiene;	735

(2) Completed at least twenty-four hours of continuing dental	736
hygiene education during the two years prior to submission of the	737
application;	738

(3) Completed a course pertaining to the practice of dental	739
hygiene under the oral health access supervision of a dentist that	740
meets standards established in rules adopted under section	741
4715.372 of the Revised Code;	742

(4) Completed, during the two years prior to submission of	743
the application, a course pertaining to the identification and	744
prevention of potential medical emergencies that is the same as	745
the course described in division (C)(2) of section 4715.22 of the	746
Revised Code.	747

(C) The state dental board shall issue a permit to practice	748
under the oral health access supervision of a dentist to a dental	749
hygienist who is in good standing with the board and meets all of	750
the requirements of divisions (A) and (B) of this section.	751

Sec. 4715.364. (A) No person shall authorize a dental	752
hygienist to provide dental hygiene services under section	753
4715.365 of the Revised Code unless the person holds a current,	754
valid oral health access supervision permit issued under section	755
4715.362 of the Revised Code.	756

(B) No person shall provide dental hygiene services under	757
section 4715.365 of the Revised Code unless the person holds a	758
current, valid permit issued under section 4715.363 of the Revised	759
Code to practice under the oral health access supervision of a	760
dentist.	761

Sec. 4715.365. (A) A dentist who holds a current, valid oral	762
health access supervision permit issued under section 4715.362 of	763
the Revised Code may authorize a dental hygienist who holds a	764
current, valid permit issued under section 4715.363 of the Revised	765
Code to perform dental hygiene services at a facility when no	766
dentist is physically present if all of the following conditions	767
are met:	768

(1) The authorizing dentist's authorization is in writing and	769
includes, at a minimum, all of the following:	770

(a) The authorizing dentist's name and permit number;

771

(b) The dental hygienist's name and permit number;

772

(c) The patient's name;

773

(d) The name and address of the location where the dental	774
hygiene services are to be provided;	775

(e) The date of authorization;

776

(f) A statement, signed by the dental hygienist, that the	777
hygienist agrees to comply with section 4715.366 of the Revised	778
Code.	779

(2) The authorizing dentist has personally evaluated the	780
dental hygienist's skills prior to authorizing the dental	781
hygienist to provide the dental hygiene services.	782

(3) Prior to authorizing the dental hygienist to perform the	783
dental hygiene services, the patient's medical and dental history	784
is made available to the authorizing dentist and the authorizing	785
dentist reviews and evaluates the history and determines that the	786
patient may safely receive dental hygiene services.	787

(4) Immediately prior to the provision of dental hygiene	788
services, the patient or patient's representative verifies, by the	789
signature or mark of the patient or representative, that no	790
medically significant changes to the patient's medical or dental	791
history have occurred since the authorizing dentist most recently	792
reviewed and evaluated the history and determined that the patient	793
could safely receive dental hygiene services. The signature or	794
mark may be provided through reasonable accommodation, including	795
the use of assistive technology or augmentative devices.	796

(5) Prior to receiving dental hygiene services, the patient	797
and the operator of the facility where the dental hygiene services	798
are to be provided are notified that no dentist will be present at	799
the location and that the dental hygienist is prohibited from	800
doing either of the following:	801

(a) Diagnosing the patient's oral health care status;

802

(b) Providing dental hygiene services to the same patient on	803
a subsequent occasion until the patient has received a clinical	804
evaluation performed by a dentist, except in instances described	805
in division (D)(2) of this section.	806

(6) The dental hygienist is employed by, or under contract	807
with, one of the following:	808

(a) The authorizing dentist;

809

(b) A dentist who is any of the following:

810

(i) The authorizing dentist's employer;

811

(ii) A shareholder in a professional association, formed	812
under Chapter 1785. of the Revised Code, of which the authorizing	813
dentist is a shareholder;	814

(iii) A member or manager of a limited liability company,	815
formed under Chapter 1705. of the Revised Code, of which the	816
authorizing dentist is a member or manager;	817

(iv) A shareholder in a corporation, formed under division	818
(B) of section 1701.03 of the Revised Code, of which the	819
authorizing dentist is a shareholder;	820

(v) A partner or employee of a partnership, formed under	821
Chapter 1775. of the Revised Code, of which the authorizing	822
dentist is a partner or employee;	823

(vi) A partner or employee of a limited liability	824
partnership, formed under Chapter 1775. of the Revised Code, of	825
which the authorizing dentist is a partner or employee.	826

(c) A government entity that employs the dental hygienist to	827
provide dental hygiene services.	828

(7) If the patient to whom the services are to be provided	829
previously received dental hygiene services under this section,	830
there is written evidence that the patient received a clinical	831
evaluation after the most recent provision of those services.	832

(B) No dentist shall authorize a dental hygienist to perform,	833
and no dental hygienist shall perform, dental hygiene services on	834
a patient under this section unless all of the conditions in	835
division (A) of this section are met.	836

(C) If a patient or patient's representative indicates, under	837
division (A)(4) of this section, that a medically significant	838
change has occurred in the patient's medical or dental history	839
since the authorizing dentist's most recent review and evaluation	840
of the medical and dental history required by division (A)(3) of	841
this section, no dental hygiene services shall be provided under	842
this section until the authorizing dentist completes another	843
review and evaluation of the patient's medical and dental history.	844
The authorizing dentist may complete the subsequent review and	845
evaluation of the patient's medical and dental history by	846
telephone, facsimile, electronic mail, video, or any other means	847
of electronic communication.	848

(D)(1) Except as provided in division (D)(2) of this section,	849
no dentist shall authorize a dental hygienist to provide, and no	850
dental hygienist shall provide, dental hygiene services under this	851
section to the same patient on a subsequent occasion until the	852
patient has received a clinical evaluation performed by a dentist.	853

(2) Division (D)(1) of this section does not apply if the	854
patient requires multiple visits to complete one or more	855
procedures that could not be completed during the visit in which	856
dental hygiene services were commenced. If the patient requires	857
multiple visits to complete the one or more procedures that could	858
not be completed during the visit in which dental hygiene services	859
were commenced, the one or more procedures shall be completed not	860
later than eight weeks after the visit in which the dental hygiene	861
services were commenced.	862

(E) No authorizing dentist shall authorize a dental hygienist	863
to diagnose a patient's oral health care status. No dental	864
hygienist practicing under a permit issued under section 4715.363	865
of the Revised Code to practice under the oral health access	866
supervision of a dentist shall diagnose a patient's oral health	867
care status.	868

Sec. 4715.366. (A) A dental hygienist providing dental	869
hygiene services under a permit issued under section 4715.363 of	870
the Revised Code to practice under the oral health access	871
supervision of a dentist shall do both of the following:	872

(1) Comply with written protocols established by the	873
authorizing dentist who authorizes the dental hygienist's	874
provision of services and standing orders established by the	875
authorizing dentist, including protocols and standing orders	876
regarding emergencies and, for the purpose of section 4715.365 of	877
the Revised Code, protocols regarding what constitutes a medically	878
significant change to a patient's medical or dental history;	879

(2) Immediately following the completion of the dental	880
hygiene services and subject to division (B) of this section,	881
direct the patient to the authorizing dentist for a clinical	882
evaluation and schedule or cause to be scheduled an appointment	883
for the patient with the authorizing dentist.	884

(B) For purposes of division (A)(2) of this section, the	885
dental hygienist shall make every attempt to schedule the	886
patient's appointment with the authorizing dentist not later than	887
ninety days after the completion of the dental hygiene services.	888
The dental hygienist shall provide the patient with a written	889
notice of the appointment that includes, at a minimum, the	890
authorizing dentist's name, address, and telephone number; the	891
date and time of the appointment; and a statement of the dental	892
hygiene services performed by the hygienist. The notice shall be	893
given to the patient or the patient's representative and one copy	894
shall be given to the authorizing dentist.	895

Sec. 4715.367. An authorizing dentist shall not at any one	896
time have more than three dental hygienists who hold permits	897
issued under section 4715.363 of the Revised Code working under	898
the dentist's authorization pursuant to section 4715.365 of the	899
Revised Code.	900

Sec. 4715.368. At the request of the state dental board, an	901
authorizing dentist or the dental hygienist who has been	902
authorized to perform dental hygiene services in accordance with	903
section 4715.365 of the Revised Code shall make available to the	904
board a list of all locations where the dental hygienist provided	905
services, the locations where the hygienist plans to provide	906
services in the future, or both, as specified in the board's	907
request.	908

Sec. 4715.369. (A) An oral health access supervision permit	909
issued under section 4715.362 of the Revised Code expires on the	910
thirty-first day of December of the odd-numbered year that occurs	911
after the permit's issuance. A dentist who desires to renew a	912
permit shall apply, under oath, to the state dental board on a	913
form prescribed by the board in rules adopted under section	914
4715.372 of the Revised Code. At the time of application, the	915
dentist shall pay a renewal fee of twenty dollars.	916

(B) The board shall renew an oral health access supervision	917
permit for a two-year period if the dentist submitted a complete	918
application, paid the renewal fee, is in good standing with the	919
board, and verified with the board all of the following:	920

(1) The locations at which dental hygienists have, under the	921
dentist's authorization, provided services during the two years	922
prior to submission of the renewal application;	923

(2) The number of patients treated, during the two years	924
prior to submission of the renewal application, by each dental	925
hygienist providing dental hygiene services under the dentist's	926
authorization;	927

(3) For each number of patients provided under division	928
(B)(2) of this section, the number of patients whom the dentist	929
clinically evaluated following the provision of dental hygiene	930
services by a dental hygienist.	931

Sec. 4715.37. (A) A permit to practice under the oral health	932
access supervision of a dentist issued under section 4715.363 of	933
the Revised Code expires on the thirty-first day of December of	934
the odd-numbered year that occurs after the permit's issuance. A	935
dental hygienist who desires to renew a permit to practice under	936
the oral health access supervision of a dentist shall apply, under	937
oath, to the state dental board on a form prescribed by the board	938
in rules adopted under section 4715.372 of the Revised Code. At	939
the time of application, the dental hygienist shall pay a renewal	940
fee of twenty dollars.	941

(B) The state dental board shall renew a permit for a	942
two-year period if the dental hygienist submitted a complete	943
application, paid the renewal fee, is in good standing with the	944
board, and has verified with the board both of the following:	945

(1) The locations at which the hygienist has provided dental	946
hygiene services under a permit to practice under the oral health	947
access supervision of a dentist;	948

(2) The number of patients that the hygienist has treated	949
under a permit during the two years prior to submission of the	950
renewal application.	951

Sec. 4715.371. The state dental board shall develop and	952
publish on its web site a directory containing the names and	953
contact information of dentists and dental hygienists who hold	954
current, valid permits issued under sections 4715.362 and 4715.363	955
of the Revised Code.	956

Sec. 4715.372. (A) The state dental board shall adopt rules	957
in accordance with Chapter 119. of the Revised Code as necessary	958
to implement the oral health access supervision program, including	959
rules that do all of the following:	960

(1) For the purpose of division (G)(20) of section 4715.36 of	961
the Revised Code, designate additional facilities at which a	962
dental hygienist may be authorized to perform dental hygiene	963
services under the oral health access supervision program;	964

(2) For the purpose of section 4715.362 of the Revised Code,	965
prescribe the application form and requirements for obtaining an	966
oral health access supervision permit;	967

(3) For the purpose of section 4715.363 of the Revised Code,	968
prescribe the application form for a permit to practice as a	969
dental hygienist under the oral health access supervision of a	970
dentist;	971

(4) For the purpose of division (B)(3) of section 4715.363 of	972
the Revised Code and subject to division (B) of this section,	973
establish standards for the course in the practice of dental	974
hygiene under oral health access supervision;	975

(5) For the purpose of section 4715.369 of the Revised Code,	976
prescribe the form for renewal of an oral health access	977
supervision permit;	978

(6) For the purpose of section 4715.37 of the Revised Code,	979
prescribe the form for renewal of a permit to practice as a dental	980
hygienist under the oral health access supervision of a dentist.	981

(B) The course in the practice of dental hygiene under oral	982
health access supervision for which the board establishes	983
standards under division (A)(4) of this section shall meet all of	984
the following requirements:	985

(1) Be eight hours in length;

986

(2) Include, at a minimum, instruction in both of the	987
following:	988

(a) The treatment of geriatric patients, medically	989
compromised patients, developmentally disabled patients, and	990
pediatric patients;	991

(b) Recordkeeping practices.

992

(3) Be developed and offered by an institution accredited by	993
the American dental association commission on dental accreditation	994
or a program provided by a sponsor of continuing education	995
approved by the board;	996

(4) Include content that is separate and independent from the	997
course content required for the completion of dental hygiene	998
education from an accredited dental hygiene school.	999

Sec. 4715.373. Nothing in sections 4715.36 to 4715.372 of the	1000
Revised Code authorizes any activity prohibited by this chapter or	1001
prohibited by a rule adopted under this chapter by the state	1002
dental board, including the activities prohibited by division (E)	1003
of section 4715.22 of the Revised Code and the activities	1004
prohibited or not authorized by section 4715.23 of the Revised	1005
Code.	1006

Sec. 4715.374. The state dental board may, in accordance with	1007
Chapter 119. of the Revised Code, suspend or revoke a permit	1008
issued under section 4715.362 or 4715.363 of the Revised Code if	1009
the permit holder fails to comply with sections 4715.361 to	1010
4715.373 of the Revised Code.	1011

Sec. 4715.375. The state dental board shall annually report	1012
the status of the oral health access supervision program. The	1013
report shall be submitted to the governor and, in accordance with	1014
section 101.68 of the Revised Code, to the general assembly. The	1015
report shall specify, for the year covered by the report, at least	1016
all of the following:	1017

(A) The number of dentists who applied for and were issued	1018
oral health access supervision permits under section 4715.362 of	1019
the Revised Code;	1020

(B) The number of dental hygienists who applied for and were	1021
issued permits to practice under the oral health access	1022
supervision of a dentist under section 4715.363 of the Revised	1023
Code;	1024

(C) The number of dentists who applied for and were granted	1025
renewal of oral health access supervision permits under section	1026
4715.369 of the Revised Code;	1027

(D) The number of dental hygienists who applied for and were	1028
granted renewal of permits to practice under the oral health	1029
access supervision of a dentist under section 4715.37 of the	1030
Revised Code;	1031

(E) The number and geographic locations of facilities at	1032
which dental hygienists provided dental hygiene services under	1033
permits to practice under the oral health access supervision of a	1034
dentist;	1035

(F) The number of patients who received dental hygiene	1036
services from dental hygienists providing services under permits	1037
to practice under the oral health access supervision of a dentist;	1038

(G) The number of patients who received a clinical evaluation	1039
from a dentist following the provision of dental hygiene services	1040
under section 4715.365 of the Revised Code.	1041

Section 2.  That existing sections 3313.713, 4715.14,	1042
4715.141, 4715.21, 4715.22, 4715.231, 4715.24, and 4715.25 of the	1043
Revised Code are hereby repealed.	1044

Section 3. (A) As used in this section, "registration period"	1045
has the same meaning as in section 4715.241 of the Revised Code,	1046
as enacted by this act.	1047

(B) Notwithstanding the provisions of section 4715.25 of the	1048
Revised Code, as amended by this act, that increase from twelve to	1049
twenty-four the minimum number of hours of continuing education	1050
that a dental hygienist must certify to the State Dental Board	1051
when applying for a renewal of registration, a dental hygienist	1052
whose registration expired on December 31, 2009, remains subject	1053
to the requirement to certify completion of a minimum of twelve	1054
hours of continuing education when applying for a renewal of	1055
registration for the 2010 to 2011 registration period.	1056