House
File
737
-
Introduced
HOUSE
FILE
737
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HF
516)
A
BILL
FOR
An
Act
relating
to
the
placement
of
dental
sealants
on
teeth
by
1
a
dental
assistant.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
2528HV
(3)
89
pf/rh
H.F.
737
Section
1.
Section
153.38,
Code
2021,
is
amended
to
read
as
1
follows:
2
153.38
Dental
assistants
——
scope
of
practice.
3
1.
A
registered
dental
assistant
may
perform
those
services
4
of
assistance
to
a
licensed
dentist
as
determined
by
the
5
board
by
rule.
A
registered
dental
assistant
with
additional
6
education
and
training,
as
provided
by
the
board
by
rule,
7
may
become
certified
to
perform
expanded
functions
or
become
8
qualified
to
participate
in
dental
radiography.
9
2.
Level
one
expanded
function
procedures
for
dental
10
assistants
shall
include
the
placement
of
dental
sealants
on
11
teeth.
A
registered
dental
assistant
who
has
successfully
12
completed
expanded
function
training
for
the
placement
of
13
dental
sealants
on
teeth
through
the
university
of
Iowa
college
14
of
dentistry
or
a
program
certified
by
the
commission
on
dental
15
accreditation
or
through
another
program
or
entity
approved
by
16
the
board
may
place
dental
sealants
on
teeth.
17
3.
Services
performed
by
a
registered
dental
assistant
18
shall
be
performed
under
supervision
of
a
licensed
dentist,
19
but
this
section
shall
not
be
construed
to
authorize
a
dental
20
assistant
to
practice
dentistry
or
dental
hygiene.
21
4.
The
board
shall
not
adopt
rules
that
delegate
to
a
dental
22
assistant
the
administration
of
local
anesthesia
or
the
removal
23
of
plaque,
stain,
calculus,
or
hard
natural
material
except
by
24
toothbrush,
floss,
or
rubber
cup
coronal
polish.
25
5.
Every
licensed
dentist
who
utilizes
the
services
of
26
a
registered
dental
assistant
for
the
purpose
of
assistance
27
in
the
practice
of
dentistry
shall
be
responsible
for
acts
28
delegated
to
the
registered
dental
assistant.
29
6.
A
dentist
shall
delegate
to
a
registered
dental
assistant
30
only
those
acts
which
are
authorized
to
be
delegated
to
31
registered
dental
assistants
by
the
board.
32
EXPLANATION
33
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
34
the
explanation’s
substance
by
the
members
of
the
general
assembly.
35
-1-
LSB
2528HV
(3)
89
pf/rh
1/
2
H.F.
737
This
bill
relates
to
the
scope
of
practice
of
dental
1
assistants.
2
Under
current
law,
a
registered
dental
assistant
may
3
perform
those
services
of
assistance
to
a
licensed
dentist
4
as
determined
by
the
dental
board
by
rule.
A
registered
5
dental
assistant
with
additional
education
and
training,
as
6
provided
by
the
board
by
rule,
may
become
certified
to
perform
7
expanded
functions
or
become
qualified
to
participate
in
dental
8
radiography.
9
Current
law
also
provides
that
a
registered
dental
assistant
10
who
has
successfully
completed
expanded
function
training
11
through
the
university
of
Iowa
college
of
dentistry
or
a
12
program
certified
by
the
commission
on
dental
accreditation
may
13
place
sealants
on
teeth.
14
The
dental
board
noticed
rule
ARC
5381C,
reviewed
by
the
15
administrative
rules
review
committee
on
February
5,
2021,
16
proposed
amending
650
IAC
23.6
to
provide
that
level
two
17
expanded
function
procedures
for
dental
assistants
include
the
18
placement
of
sealants.
19
The
bill
provides
instead
that
level
one
expanded
function
20
procedures
for
dental
assistants
shall
include
the
placement
of
21
dental
sealants
on
teeth
and
that
a
registered
dental
assistant
22
who
has
successfully
completed
training
for
the
placement
23
of
dental
sealants
on
teeth
through
a
program
certified
by
24
the
commission
on
dental
accreditation
or
through
another
25
program
or
entity
approved
by
the
dental
board
may
place
dental
26
sealants
on
teeth.
27
-2-
LSB
2528HV
(3)
89
pf/rh
2/
2