ARC 5381C
DENTAL BOARD[650]
Notice of Intended Action
Proposing rule making related to training for placing sealants
and providing an opportunity for public comment
The Dental Board hereby proposes to amend Chapter 23, “Expanded Functions,” Iowa Administrative Code.
Legal Authority for Rule Making
This rule making is proposed under the authority provided in Iowa Code sections 147.76 and 153.33.
State or Federal Law Implemented
This rule making implements, in whole or in part, 2020 Iowa Acts, House File 2267.
Purpose and Summary
The proposed amendments would allow dental assistants who complete expanded function training at the University of Iowa College of Dentistry or another program accredited by the Commission on Dental Accreditation to place sealants. 
Fiscal Impact
This rule making has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rule making, no impact on jobs has been found because the individuals must be registered as dental assistants prior to completing the training and providing the additional service.
Waivers
Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Board for a waiver of the discretionary provisions, if any, pursuant to rule 650—7.4(17A,147,153).
Public Comment
Any interested person may submit written or oral comments concerning this proposed rule making. Written or oral comments in response to this rule making must be received by the Board no later than 4:30 p.m. on February 5, 2021. Comments should be directed to:

Tiffany Allison
Iowa Dental Board
400 S.W. Eighth Street, Suite D
Des Moines, Iowa 50309
Phone: 515.281.3248
Fax: 515.281.7969
Email: Tiffany.Allison@iowa.gov	
Public Hearing
No public hearing is scheduled at this time. As provided in Iowa Code section 17A.4(1)“b,” an oral presentation regarding this rule making may be demanded by 25 interested persons, a governmental subdivision, the Administrative Rules Review Committee, an agency, or an association having 25 or more members.
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
The following rule-making action is proposed:
	Amend rule 650—23.6(153) as follows:
650—23.6(153) Level 2 expanded function procedures for dental hygienists and dental assistants.
	23.6(1) Level 2 expanded function procedures for dental hygienists and dental assistants include:
	a. 	Placement and shaping of amalgam following preparation of a tooth by a dentist;
	b. 	Placement and shaping of adhesive restorative materials following preparation of a tooth by a dentist;
	c. 	Polishing of adhesive restorative material using a slow-speed handpiece;
	d. 	Fitting of stainless steel crowns on primary posterior teeth, and cementation after fit verification by the a dentist;
	e. 	Tissue conditioning (soft reline only);
	f. 	Extraoral adjustment to acrylic dentures without making any adjustments to the prosthetic teeth; and
	g. 	Placement of intracoronal temporary fillings following preparation of a tooth by a dentist.
	23.6(2) Level 2 expanded function procedures for dental assistants include the placement of sealants. The placement of sealants is included in the scope of practice for dental hygienists and is not considered an expanded function for dental hygienists.
	23.6(2) 23.6(3) These Level 2 expanded function procedures refer to both primary and permanent teeth except as otherwise noted.