Bill Text: FL S0604 | 2021 | Regular Session | Introduced
Bill Title: Dental Therapy
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2021-04-30 - Died in Health Policy [S0604 Detail]
Download: Florida-2021-S0604-Introduced.html
Florida Senate - 2021 SB 604 By Senator Brandes 24-00348C-21 2021604__ 1 A bill to be entitled 2 An act relating to dental therapy; amending s. 3 409.906, F.S.; authorizing Medicaid to reimburse for 4 dental services provided in a mobile dental unit that 5 is owned by, operated by, or contracted with a health 6 access setting or another similar setting or program; 7 conforming a cross-reference; amending s. 466.001, 8 F.S.; revising legislative purpose and intent; 9 amending s. 466.002, F.S.; providing applicability; 10 amending s. 466.003, F.S.; defining the terms “dental 11 therapist” and “dental therapy”; revising the 12 definition of the term “health access setting” to 13 include certain dental therapy programs; amending s. 14 466.004, F.S.; requiring the chair of the Board of 15 Dentistry to appoint a Council on Dental Therapy 16 within a specified timeframe; providing for 17 membership, meetings, and the purpose of the council; 18 providing a process for rulemaking; making technical 19 changes; amending s. 466.006, F.S.; revising the 20 definition of the terms “full-time practice” and 21 “full-time practice of dentistry within the geographic 22 boundaries of this state within 1 year” to include 23 full-time faculty members of certain dental therapy 24 schools; amending s. 466.0075, F.S.; authorizing the 25 board to require any person who applies to take the 26 examination to practice dental therapy in this state 27 to maintain medical malpractice insurance in a certain 28 amount; amending s. 466.009, F.S.; requiring the 29 Department of Health to allow an applicant who fails 30 the dental therapy examination to retake the 31 examination; providing that an applicant who fails a 32 practical or clinical examination to practice dental 33 therapy because of a failing grade on just one part or 34 procedure tested is required to retake and receive a 35 passing score on only the failed part or procedure to 36 be eligible for licensure; requiring an applicant who 37 fails more than one part or procedure tested to retake 38 the entire examination; making technical changes; 39 amending s. 466.011, F.S.; requiring the board to 40 certify certain applicants for licensure as a dental 41 therapist; creating s. 466.0136, F.S.; providing that 42 the board must require each licensed dental therapist 43 to complete a specified number of hours of continuing 44 education; providing requirements for the content of 45 such continuing education; requiring the board to 46 adopt rules and guidelines; authorizing the board to 47 excuse licensees from continuing education 48 requirements in certain circumstances; amending s. 49 466.016, F.S.; requiring a practitioner of dental 50 therapy to post and display her or his license in each 51 office where she or he practices; amending s. 466.017, 52 F.S.; requiring the board to adopt certain rules 53 relating to dental therapists; requiring certain 54 dental therapists to possess a specified 55 certification; authorizing a dental therapist under 56 the general supervision of a dentist to administer 57 local anesthesia and operate an X-ray machine, expose 58 dental X-ray films, and interpret or read such films 59 if specified requirements are met; requiring certain 60 dental therapists to report to the board within a 61 specified timeframe adverse incidents related to or 62 the result of the administration of local anesthesia; 63 requiring a complete written report to be filed with 64 the board within a specified timeframe; providing for 65 discipline; making a technical change; amending s. 66 466.018, F.S.; providing that a dentist of record 67 remains primarily responsible for the dental treatment 68 of a patient regardless of whether the treatment is 69 provided by a dental therapist; requiring the name or 70 initials of a dental therapist who renders treatment 71 to a patient to be placed in the record of the 72 patient; creating s. 466.0225, F.S.; providing 73 application requirements and examination and licensure 74 qualifications for dental therapists; creating s. 75 466.0227, F.S.; providing legislative findings and 76 intent; limiting the practice of dental therapy to 77 specified settings; authorizing a dental therapist to 78 perform specified services, including specified state 79 specific dental therapy services, under the general 80 supervision of a dentist under certain conditions; 81 requiring a collaborative management agreement to be 82 signed by a supervising dentist and a dental therapist 83 and to include certain information; requiring a 84 supervising dentist to determine the number of hours 85 of practice which a dental therapist must complete 86 under direct or indirect supervision before performing 87 certain authorized services under general supervision; 88 authorizing a supervising dentist to restrict or limit 89 a dental therapist’s practice in a collaborative 90 management agreement; authorizing a dental therapist 91 to provide dental therapy services to a patient before 92 the supervising dentist examines or diagnoses the 93 patient under certain conditions; requiring a 94 supervising dentist to be licensed or registered and 95 practicing in this state; specifying that the 96 supervising dentist is responsible for certain 97 services and for providing and arranging certain 98 followup services; amending s. 466.026, F.S.; 99 providing criminal penalties; amending s. 466.028, 100 F.S.; revising grounds for denial of a license or 101 disciplinary action to include the practice of dental 102 therapy; amending s. 921.0022, F.S.; conforming the 103 criminal offense severity chart to changes made by the 104 act; requiring the Department of Health, in 105 consultation with the Board of Dentistry and the 106 Agency for Health Care Administration, to submit 107 certain reports to the Legislature by specified dates; 108 providing requirements for such reports; providing an 109 effective date. 110 111 Be It Enacted by the Legislature of the State of Florida: 112 113 Section 1. Paragraph (c) of subsection (1) and subsection 114 (6) of section 409.906, Florida Statutes, are amended to read: 115 409.906 Optional Medicaid services.—Subject to specific 116 appropriations, the agency may make payments for services which 117 are optional to the state under Title XIX of the Social Security 118 Act and are furnished by Medicaid providers to recipients who 119 are determined to be eligible on the dates on which the services 120 were provided. Any optional service that is provided shall be 121 provided only when medically necessary and in accordance with 122 state and federal law. Optional services rendered by providers 123 in mobile units to Medicaid recipients may be restricted or 124 prohibited by the agency. Nothing in this section shall be 125 construed to prevent or limit the agency from adjusting fees, 126 reimbursement rates, lengths of stay, number of visits, or 127 number of services, or making any other adjustments necessary to 128 comply with the availability of moneys and any limitations or 129 directions provided for in the General Appropriations Act or 130 chapter 216. If necessary to safeguard the state’s systems of 131 providing services to elderly and disabled persons and subject 132 to the notice and review provisions of s. 216.177, the Governor 133 may direct the Agency for Health Care Administration to amend 134 the Medicaid state plan to delete the optional Medicaid service 135 known as “Intermediate Care Facilities for the Developmentally 136 Disabled.” Optional services may include: 137 (1) ADULT DENTAL SERVICES.— 138 (c) However, Medicaid will not provide reimbursement for 139 dental services provided in a mobile dental unit, except for a 140 mobile dental unit: 141 1. Owned by, operated by, or having a contractual agreement 142 with the Department of Health and complying with Medicaid’s 143 county health department clinic services program specifications 144 as a county health department clinic services provider. 145 2. Owned by, operated by, or having a contractual 146 arrangement with a federally qualified health center and 147 complying with Medicaid’s federally qualified health center 148 specifications as a federally qualified health center provider. 149 3. Rendering dental services to Medicaid recipients, 21 150 years of age and older, at nursing facilities. 151 4. Owned by, operated by, or having a contractual agreement 152 with a state-approved dental educational institution. 153 5. Owned by, operated by, or having a contractual agreement 154 with a health access setting, as defined in s. 466.003(16), or a 155 similar setting or program that serves underserved or vulnerable 156 populations that face serious barriers to accessing dental 157 services and which may include, but is not limited to, homeless 158 shelters, schools, Early Head Start programs, and the Special 159 Supplemental Nutrition Program for Women, Infants, and Children. 160 (6) CHILDREN’S DENTAL SERVICES.—The agency may pay for 161 diagnostic, preventive, or corrective procedures, including 162 orthodontia in severe cases, provided to a recipient under age 163 21, by or under the supervision of a licensed dentist. The 164 agency may also reimburse a health access setting as defined in 165 s. 466.003(16)s. 466.003for the remediable tasks that a 166 licensed dental hygienist is authorized to perform under s. 167 466.024(2). Services provided under this program include 168 treatment of the teeth and associated structures of the oral 169 cavity, as well as treatment of disease, injury, or impairment 170 that may affect the oral or general health of the individual. 171 However, Medicaid will not provide reimbursement for dental 172 services provided in a mobile dental unit, except for a mobile 173 dental unit: 174 (a) Owned by, operated by, or having a contractual 175 agreement with the Department of Health and complying with 176 Medicaid’s county health department clinic services program 177 specifications as a county health department clinic services 178 provider. 179 (b) Owned by, operated by, or having a contractual 180 arrangement with a federally qualified health center and 181 complying with Medicaid’s federally qualified health center 182 specifications as a federally qualified health center provider. 183 (c) Rendering dental services to Medicaid recipients, 21 184 years of age and older, at nursing facilities. 185 (d) Owned by, operated by, or having a contractual 186 agreement with a state-approved dental educational institution. 187 (e) Owned by, operated by, or having a contractual 188 agreement with a health access setting, as defined in s. 189 466.003(16), or a similar setting or program that serves 190 underserved or vulnerable populations that face serious barriers 191 to accessing dental services and which may include, but is not 192 limited to, homeless shelters, schools, Early Head Start 193 programs, and the Special Supplemental Nutrition Program for 194 Women, Infants, and Children. 195 Section 2. Section 466.001, Florida Statutes, is amended to 196 read: 197 466.001 Legislative purpose and intent.—The legislative 198 purpose for enacting this chapter is to ensure that every 199 dentist, dental therapist, andordental hygienist practicing in 200 this state meets minimum requirements for safe practice without 201 undue clinical interference by persons not licensed under this 202 chapter. It is the legislative intent that dental services be 203 provided only in accordance withthe provisions ofthis chapter 204 and not be delegated to unauthorized individuals. It is the 205 further legislative intent that dentists, dental therapists, and 206 dental hygienists who fall below minimum competency or who 207 otherwise present a danger to the public areshall beprohibited 208 from practicing in this state. All provisions of this chapter 209 relating to the practice of dentistry, dental therapy, and 210 dental hygiene mustshallbe liberally construed to carry out 211 such purpose and intent. 212 Section 3. Subsections (5) and (6) of section 466.002, 213 Florida Statutes, are amended to read: 214 466.002 Persons exempt from operation of chapter.—Nothing 215 in this chapter shall apply to the following practices, acts, 216 and operations: 217 (5) Students in Florida schools of dentistry, dental 218 therapy, and dental hygiene or dental assistant educational 219 programs, while performing regularly assigned work under the 220 curriculum of such schools. 221 (6) Instructors in Florida schools of dentistry, 222 instructors in dental programs that prepare persons holding 223 D.D.S. or D.M.D. degrees for certification by a specialty board 224 and that are accredited in the United States by January 1, 2005, 225 in the same manner as the board recognizes accreditation for 226 Florida schools of dentistry that are not otherwise affiliated 227 with a Florida school of dentistry, or instructors in Florida 228 schools of dental therapy or dental hygiene or dental assistant 229 educational programs, while performing regularly assigned 230 instructional duties under the curriculum of such schools or 231 programs. A full-time dental instructor at a dental school or 232 dental program approved by the board may be allowed to practice 233 dentistry at the teaching facilities of such school or program, 234 upon receiving a teaching permit issued by the board, in strict 235 compliance with such rules as are adopted by the board 236 pertaining to the teaching permit and with the established rules 237 and procedures of the dental school or program as recognized in 238 this section. 239 Section 4. Present subsections (7) through (15) of section 240 466.003, Florida Statutes, are redesignated as subsections (9) 241 through (17), respectively, new subsections (7) and (8) are 242 added to that section, and present subsections (14) and (15) of 243 that section are amended, to read: 244 466.003 Definitions.—As used in this chapter: 245 (7) “Dental therapist” means a person licensed to practice 246 dental therapy pursuant to s. 466.0225. 247 (8) “Dental therapy” means the rendering of services 248 pursuant to s. 466.0227 and any related extraoral services or 249 procedures required in the performance of such services. 250 (16)(14)“Health access setting” means a program or an 251 institution of the Department of Children and Families, the 252 Department of Health, the Department of Juvenile Justice, a 253 nonprofit community health center, a Head Start center, a 254 federally qualified health center or look-alike as defined by 255 federal law, a school-based prevention program, a clinic 256 operated by an accredited college of dentistry, or an accredited 257 dental therapy or dental hygiene program in this state if such 258 community service program or institution immediately reports to 259 the Board of Dentistry all violations of s. 466.027, s. 466.028, 260 or other practice act or standard of care violations related to 261 the actions or inactions of a dentist, dental therapist, dental 262 hygienist, or dental assistant engaged in the delivery of dental 263 care in such setting. 264 (17)(15)“School-based prevention program” means preventive 265 oral health services offered at a school by one of the entities 266 defined in subsection (16)(14)or by a nonprofit organization 267 that is exempt from federal income taxation under s. 501(a) of 268 the Internal Revenue Code, and described in s. 501(c)(3) of the 269 Internal Revenue Code. 270 Section 5. Subsection (2) of section 466.004, Florida 271 Statutes, is amended to read: 272 466.004 Board of Dentistry.— 273 (2)To advise the board,It is the intent of the 274 Legislature that councils be appointed as specified in this 275 subsection to advise the boardparagraphs(a), (b), and (c). The 276 department shall provide administrative support to the councils 277 and shall provide public notice of meetings and agendasagenda278 of the councils. Councils mustshallinclude at least one board 279 member, who shall chair the council, andshall includenonboard 280 members. All council members shall be appointed by the board 281 chair. Council members shall be appointed for 4-year terms, and 282 all members areshall beeligible for reimbursement of expenses 283 in the manner of board members. 284 (a) A Council on Dental Hygiene shall be appointed by the 285 board chair and shall include one dental hygienist member of the 286 board, who shall chair the council, one dental member of the 287 board, and three dental hygienists who are actively engaged in 288 the practice of dental hygiene in this state. In making the 289 appointments, the chair shall consider recommendations from the 290 Florida Dental Hygienists’HygieneAssociation. The council 291 shall meet at the request of the board chair, a majority of the 292 members of the board, or the council chair; however, the council 293 must meet at least three times a year. The councilis charged294with the responsibility of andshall recommend proposedmeet for295the purpose of developingrules and policiesfor recommendation296to the board, which the board shall consider, on matters297 pertaining to the areasthat part of dentistry consistingof 298 educational, preventive, or therapeutic dental hygiene services; 299 dental hygiene licensure, discipline, or regulation; and dental 300 hygiene education. The board shall consider these rules and 301 policiesRule and policy recommendations of the council shall be302considered by the boardat its next regularly scheduled meeting 303 in the same manner in which it considers rule and policy 304 recommendations from designated subcommittees of the board. Any 305 rule or policy proposed by the board pertaining to these areas 306 mustthe specified part of dentistry defined by this subsection307shallbe referred to the council for itsarecommendation before 308 final action by the board. The board may take final action on 309 rules pertaining to these areasthe specified part of dentistry310defined by this subsectionwithout a council recommendation if 311 the council fails to submit a recommendation in a timely 312 fashion, as prescribed by the board. 313 (b) A Council on Dental Assisting shall be appointed by the 314 board chair and shall include one board member, who shall chair 315 the council, and three dental assistants who are actively 316 engaged in dental assisting in this state. The council shall 317 meet at the request of the board chair or a majority of the 318 members of the board. The council shall meetfor the purpose of 319 developing recommendations to the board on matters pertaining to 320that part of dentistry related todental assisting. 321 (c) Effective 28 months after the first dental therapy 322 license is granted by the board, the board chair shall appoint a 323 Council on Dental Therapy, which must include one board member, 324 who shall chair the council, and three dental therapists who are 325 actively engaged in the practice of dental therapy in this 326 state. The council shall meet at the request of the board chair, 327 a majority of the members of the board, or the council chair; 328 however, the council must meet at least three times per year. 329 The council shall recommend proposed rules and policies to the 330 board on matters pertaining to the areas of educational, 331 preventive, or therapeutic dental therapy services; dental 332 therapy licensure, discipline, or regulation; and dental therapy 333 education. The council’s rule and policy recommendations must be 334 considered by the board at its next regularly scheduled meeting 335 in the same manner in which it considers rule and policy 336 recommendations from designated subcommittees of the board. Any 337 rule or policy proposed by the board pertaining to these areas 338 must be referred to the council for its recommendation before 339 final action by the board. The board may take final action on 340 rules pertaining to these areas without a council recommendation 341 if the council fails to submit a recommendation in a timely 342 fashion, as prescribed by the board. 343 (d)(c)With the concurrence of the State Surgeon General, 344 the board chair may create and abolish other advisory councils 345 relating to dental subjects, including, but not limited to,:346 examinations, access to dental care, indigent care, nursing home 347 and institutional care, public health, disciplinary guidelines, 348 and other subjects, as appropriate. Such councils mustshallbe 349 appointed by the board chair and mustshallinclude at least one 350 board member, who shall serve as chair. 351 Section 6. Subsection (4) and paragraph (b) of subsection 352 (6) of section 466.006, Florida Statutes, are amended to read: 353 466.006 Examination of dentists.— 354 (4) Notwithstanding any other provision of law in chapter 355 456 pertaining to the clinical dental licensure examination or 356 national examinations, to be licensed as a dentist in this 357 state, an applicant must successfully complete both of the 358 following: 359 (a) A written examination on the laws and rules of the 360 state regulating the practice of dentistry. 361 (b) A practical or clinical examination, which must be the 362 American Dental Licensing Examination produced by the American 363 Board of Dental Examiners, Inc., or its successor entity, if 364 any, that is administered in this state, provided that the board 365 has attained, and continues to maintain thereafter, 366 representation on the board of directors of the American Board 367 of Dental Examiners, the examination development committee of 368 the American Board of Dental Examiners, and such other 369 committees of the American Board of Dental Examiners as the 370 board deems appropriate by rule to assure that the standards 371 established herein are maintained organizationally. A passing 372 score on the American Dental Licensing Examination administered 373 in this state is valid for 365 days after the date the official 374 examination results are published. 375 1. As an alternative to such practical or clinical 376 examination, an applicant may submit scores from an American 377 Dental Licensing Examination previously administered in a 378 jurisdiction other than this state after October 1, 2011, and 379 such examination results shall be recognized as valid for the 380 purpose of licensure in this state. A passing score on the 381 American Dental Licensing Examination administered out of state 382 shall be the same as the passing score for the American Dental 383 Licensing Examination administered in this state. The 384 examination results are valid for 365 days after the date the 385 official examination results are published. The applicant must 386 have completed the examination after October 1, 2011. This 387 subparagraph may not be given retroactive application. 388 2. If the date of an applicant’s passing American Dental 389 Licensing Examination scores from an examination previously 390 administered in a jurisdiction other than this state under 391 subparagraph 1. is older than 365 days, such scores are 392 nevertheless valid for the purpose of licensure in this state, 393 but only if the applicant demonstrates that all of the following 394 additional standards have been met: 395 a. The applicant completed the American Dental Licensing 396 Examination after October 1, 2011. This sub-subparagraph may not 397 be given retroactive application; 398 b. The applicant graduated from a dental school accredited 399 by the American Dental Association Commission on Dental 400 Accreditation or its successor entity, if any, or any other 401 dental accrediting organization recognized by the United States 402 Department of Education. Provided, however, if the applicant did 403 not graduate from such a dental school, the applicant may submit 404 proof of having successfully completed a full-time supplemental 405 general dentistry program accredited by the American Dental 406 Association Commission on Dental Accreditation of at least 2 407 consecutive academic years at such accredited sponsoring 408 institution. Such program must provide didactic and clinical 409 education at the level of a D.D.S. or D.M.D. program accredited 410 by the American Dental Association Commission on Dental 411 Accreditation. For purposes of this sub-subparagraph, a 412 supplemental general dentistry program does not include an 413 advanced education program in a dental specialty; 414 c. The applicant currently possesses a valid and active 415 dental license in good standing, with no restriction, which has 416 never been revoked, suspended, restricted, or otherwise 417 disciplined, from another state or territory of the United 418 States, the District of Columbia, or the Commonwealth of Puerto 419 Rico; 420 d. The applicant submits proof that he or she has never 421 been reported to the National Practitioner Data Bank, the 422 Healthcare Integrity and Protection Data Bank, or the American 423 Association of Dental Boards Clearinghouse. This sub 424 subparagraph does not apply if the applicant successfully 425 appealed to have his or her name removed from the data banks of 426 these agencies; 427 e.(I)(A) The applicant submits proof of having been 428 consecutively engaged in the full-time practice of dentistry in 429 another state or territory of the United States, the District of 430 Columbia, or the Commonwealth of Puerto Rico in the 5 years 431 immediately preceding the date of application for licensure in 432 this state; or 433 (B) If the applicant has been licensed in another state or 434 territory of the United States, the District of Columbia, or the 435 Commonwealth of Puerto Rico for less than 5 years, the applicant 436 submits proof of having been engaged in the full-time practice 437 of dentistry since the date of his or her initial licensure. 438 (II) As used in this section, “full-time practice” is 439 defined as a minimum of 1,200 hours per year for each and every 440 year in the consecutive 5-year period or, when applicable, the 441 period since initial licensure, and must include any combination 442 of the following: 443 (A) Active clinical practice of dentistry providing direct 444 patient care. 445 (B) Full-time practice as a faculty member employed by a 446 dental, dental therapy, or dental hygiene school approved by the 447 board or accredited by the American Dental Association 448 Commission on Dental Accreditation. 449 (C) Full-time practice as a student at a postgraduate 450 dental education program approved by the board or accredited by 451 the American Dental Association Commission on Dental 452 Accreditation. 453 (III) The board shall develop rules to determine what type 454 of proof of full-time practice is required and to recoup the 455 cost to the board of verifying full-time practice under this 456 section. Such proof must, at a minimum, be: 457 (A) Admissible as evidence in an administrative proceeding; 458 (B) Submitted in writing; 459 (C) Submitted by the applicant under oath with penalties of 460 perjury attached; 461 (D) Further documented by an affidavit of someone unrelated 462 to the applicant who is familiar with the applicant’s practice 463 and testifies with particularity that the applicant has been 464 engaged in full-time practice; and 465 (E) Specifically found by the board to be both credible and 466 admissible. 467 (IV) An affidavit of only the applicant is not acceptable 468 proof of full-time practice unless it is further attested to by 469 someone unrelated to the applicant who has personal knowledge of 470 the applicant’s practice. If the board deems it necessary to 471 assess credibility or accuracy, the board may require the 472 applicant or the applicant’s witnesses to appear before the 473 board and give oral testimony under oath; 474 f. The applicant submits documentation that he or she has 475 completed, or will complete before he or she is licensed in this 476 state, continuing education equivalent to this state’s 477 requirements for the last full reporting biennium; 478 g. The applicant proves that he or she has never been 479 convicted of, or pled nolo contendere to, regardless of 480 adjudication, any felony or misdemeanor related to the practice 481 of a health care profession in any jurisdiction; 482 h. The applicant has successfully passed a written 483 examination on the laws and rules of this state regulating the 484 practice of dentistry and the computer-based diagnostic skills 485 examination; and 486 i. The applicant submits documentation that he or she has 487 successfully completed the applicable examination administered 488 by the Joint Commission on National Dental Examinations or its 489 successor organization. 490 (6) 491 (b)1. As used in this section, “full-time practice of 492 dentistry within the geographic boundaries of this state within 493 1 year” is defined as a minimum of 1,200 hours in the initial 494 year of licensure, which must include any combination of the 495 following: 496 a. Active clinical practice of dentistry providing direct 497 patient care within the geographic boundaries of this state. 498 b. Full-time practice as a faculty member employed by a 499 dental, dental therapy, or dental hygiene school approved by the 500 board or accredited by the American Dental Association 501 Commission on Dental Accreditation and located within the 502 geographic boundaries of this state. 503 c. Full-time practice as a student at a postgraduate dental 504 education program approved by the board or accredited by the 505 American Dental Association Commission on Dental Accreditation 506 and located within the geographic boundaries of this state. 507 2. The board shall develop rules to determine what type of 508 proof of full-time practice of dentistry within the geographic 509 boundaries of this state for 1 year is required in order to 510 maintain active licensure and shall develop rules to recoup the 511 cost to the board of verifying maintenance of such full-time 512 practice under this section. Such proof must, at a minimum: 513 a. Be admissible as evidence in an administrative 514 proceeding; 515 b. Be submitted in writing; 516 c. Be submitted by the applicant under oath with penalties 517 of perjury attached; 518 d. Be further documented by an affidavit of someone 519 unrelated to the applicant who is familiar with the applicant’s 520 practice and testifies with particularity that the applicant has 521 been engaged in full-time practice of dentistry within the 522 geographic boundaries of this state within the last 365 days; 523 and 524 e. Include such additional proof as specifically found by 525 the board to be both credible and admissible. 526 3. An affidavit of only the applicant is not acceptable 527 proof of full-time practice of dentistry within the geographic 528 boundaries of this state within 1 year, unless it is further 529 attested to by someone unrelated to the applicant who has 530 personal knowledge of the applicant’s practice within the last 531 365 days. If the board deems it necessary to assess credibility 532 or accuracy, the board may require the applicant or the 533 applicant’s witnesses to appear before the board and give oral 534 testimony under oath. 535 Section 7. Section 466.0075, Florida Statutes, is amended 536 to read: 537 466.0075 Applicants for examination; medical malpractice 538 insurance.—The board may require any person applying to take the 539 examination to practice dentistry in this state, the examination 540 to practice dental therapy in this state, or the examination to 541 practice dental hygiene in this state to maintain medical 542 malpractice insurance in amounts sufficient to cover any 543 incident of harm to a patient during the clinical examination. 544 Section 8. Section 466.009, Florida Statutes, is amended to 545 read: 546 466.009 Reexamination.— 547 (1) The department shall allowpermitany person who fails 548 an examination thatwhichis required under s. 466.006,ors. 549 466.007, or s. 466.0225 to retake the examination. If the 550 examination to be retaken is a practical or clinical 551 examination, the applicant mustshallpay a reexamination fee 552 set by rule of the board in an amount not to exceed the original 553 examination fee. 554 (2) If an applicant for a license to practice dentistry 555 fails the practical or clinical examination because of a failing 556 grade on just one part or procedure tested, she or he mustshall557be required toretake and receive a passing score on only the 558 failedthatpart or procedure to be eligible for licensure. 559 However, ifanysuch applicant fails more than one part or 560 procedure of any such examination, she or he mustshall be561required toretake the entire examination. 562 (3) If an applicant for a license to practice dental 563 hygiene failsone portion ofthe practical or clinical 564 examination because of a failing grade on just one part or 565 procedure tested, such applicant mustshall be required to566 retake and receive a passing score on only the failed part or 567 procedure to be eligible for licensurethat portionif she or he 568 reapplies within 12 months. If, however, the applicant fails the 569 prophylaxis, she or he mustshall be required toretake the 570 entire examination. 571 (4) If an applicant for a license to practice dental 572 therapy fails the practical or clinical examination because of a 573 failing grade on just one part or procedure tested, she or he 574 must retake and receive a passing score on only the failed part 575 or procedure to be eligible for licensure. However, if such 576 applicant fails more than one part or procedure of any such 577 examination, she or he must retake the entire examination. 578 Section 9. Section 466.011, Florida Statutes, is amended to 579 read: 580 466.011 Licensure.—The board shall certify for licensure by 581 the department any applicant who satisfies the requirements of 582 s. 466.006, s. 466.0067,ors. 466.007, or s. 466.0225. The 583 board may refuse to certify an applicant who has violatedany of584the provisions ofs. 466.026 or s. 466.028. 585 Section 10. Section 466.0136, Florida Statutes, is created 586 to read: 587 466.0136 Continuing education; dental therapists.—In 588 addition to any other requirements specified in this chapter for 589 relicensure of dental therapists, the board shall require each 590 licensed dental therapist to complete at least 24 hours, but not 591 more than 36 hours, biennially of continuing education in dental 592 subjects in programs approved by the board or in equivalent 593 programs of continuing education. Programs of continuing 594 education approved by the board must be programs of learning 595 which, in the opinion of the board, contribute directly to the 596 dental education of the dental therapist. An individual who is 597 licensed as both a dental therapist and a dental hygienist may 598 use continuing education that is approved for both dental 599 therapy and dental hygiene education to satisfy both dental 600 therapy and dental hygiene continuing education requirements. 601 The board shall adopt rules and guidelines to administer and 602 enforce this section. A dental therapist shall retain in her or 603 his records any receipts, vouchers, or certificates necessary to 604 document completion of the required continuing education. 605 Compliance with the continuing education requirements is 606 mandatory for issuance of the renewal certificate. The board may 607 excuse licensees, as a group or as individuals, from all or part 608 of the continuing education requirements if an unusual 609 circumstance, emergency, or hardship prevents compliance with 610 this section. 611 Section 11. Section 466.016, Florida Statutes, is amended 612 to read: 613 466.016 License to be displayed.—Every practitioner of 614 dentistry, dental therapy, or dental hygiene within the meaning 615 of this chapter shall post and keep conspicuously displayed her 616 or his license in the office wherewhereinshe or he practices, 617 in plain sight of the practitioner’s patients. Any dentist, 618 dental therapist, or dental hygienist who practices at more than 619 one location shallbe required todisplay a copy of her or his 620 license in each office where she or he practices. 621 Section 12. Present subsections (7) through (10) and (11) 622 through (15) of section 466.017, Florida Statutes, are 623 redesignated as subsections (8) through (11) and (13) through 624 (17), respectively, new subsections (7) and (12) are added to 625 that section, and paragraphs (d) and (e) of subsection (3), 626 subsection (4), and present subsections (7), (8), (12), and (14) 627 of that section are amended, to read: 628 466.017 Prescription of drugs; anesthesia.— 629 (3) The board shall adopt rules which: 630 (d) Establish further requirements relating to the use of 631 general anesthesia or sedation, including, but not limited to, 632 office equipment and the training of dental assistants, dental 633 therapists, or dental hygienists who work with dentists using 634 general anesthesia or sedation. 635 (e) Establish an administrative mechanism enabling the 636 board to verify compliance with training, education, experience, 637 equipment, or certification requirements of dentists, dental 638 therapists, dental hygienists, and dental assistants adopted 639 pursuant to this subsection. The board may charge a fee to 640 defray the cost of verifying compliance with requirements 641 adopted pursuant to this paragraph. 642 (4) A dentist, dental therapist, or dental hygienist who 643 administers or employs the use of any form of anesthesia must 644 possess a certification in either basic cardiopulmonary 645 resuscitation for health professionals or advanced cardiac life 646 support approved by the American Heart Association or the 647 American Red Cross or an equivalent agency-sponsored course with 648 recertification every 2 years. Each dental office thatwhich649 uses any form of anesthesia must have immediately available and 650 in good working order such resuscitative equipment, oxygen, and 651 other resuscitative drugs as are specified by rule of the board 652 in order to manage possible adverse reactions. 653 (7) A dental therapist under the general supervision of a 654 dentist may administer local anesthesia, including intraoral 655 block anesthesia or soft tissue infiltration anesthesia, or 656 both, if she or he has completed the course described in 657 paragraph (5)(a) and presents evidence of current certification 658 in basic or advanced cardiac life support. 659 (8)(7)A licensed dentist, or a dental therapist who is 660 authorized by her or his supervising dentist, may operate 661utilizean X-ray machine, expose dental X-ray films, and 662 interpret or read such films. NotwithstandingThe provisions of663 part IV of chapter 468to the contrary notwithstanding, a 664 licensed dentist, or a dental therapist who is authorized by her 665 or his supervising dentist, may authorize or direct a dental 666 assistant to operate such equipment and expose such films under 667 her or his direction and supervision, pursuant to rules adopted 668 by the board in accordance with s. 466.024 which ensure that the 669saidassistant is competent by reason of training and experience 670 to operate the X-raysaidequipment in a safe and efficient 671 manner. The board may charge a fee not to exceed $35 to defray 672 the cost of verifying compliance with requirements adopted 673 pursuant to this section. 674 (9)(8)NotwithstandingThe provisions ofs. 465.0276 675notwithstanding, a dentist need not register with the board or 676 comply with the continuing education requirements of that 677 section if the dentist confines her or his dispensing activity 678 to the dispensing of fluorides and chlorhexidinechlorohexidine679 rinse solutions,;provided that the dentist complies with and is 680 subject to all laws and rules applicable to pharmacists and 681 pharmacies, including, but not limited to, chapters 465, 499, 682 and 893, and all applicable federal laws and regulations, when 683 dispensing such products. 684 (12) A licensed dental therapist administering local 685 anesthesia must notify the board in writing by registered mail 686 within 48 hours after any adverse incident that was related to 687 or the result of the administration of local anesthesia. A 688 complete written report must be filed with the board within 30 689 days after the mortality or other adverse incident. 690 (14)(12)A failure by the dentist, dental therapist, or 691 dental hygienist to timely and completely comply with all the 692 reporting requirements in this section is the basis for 693 disciplinary action by the board pursuant to s. 466.028(1). 694 (16)(14)As used in subsections (10)-(15)(9)-(13), the 695 term “adverse incident” means any mortality that occurs during 696 or as the result of a dental procedure, or an incident that 697 results in a temporary or permanent physical or mental injury 698 that requires hospitalization or emergency room treatment of a 699 dental patient which occurs during or as a direct result of the 700 use of general anesthesia, deep sedation, moderate sedation, 701 pediatric moderate sedation, oral sedation, minimal sedation 702 (anxiolysis), nitrous oxide, or local anesthesia. 703 Section 13. Subsection (1) of section 466.018, Florida 704 Statutes, is amended to read: 705 466.018 Dentist of record; patient records.— 706 (1) Each patient shall have a dentist of record. The 707 dentist of record shall remain primarily responsible for all 708 dental treatment on such patient regardless of whether the 709 treatment is rendered by the dentist or by another dentist, 710 dental therapist, dental hygienist, or dental assistant 711 rendering such treatment in conjunction with, at the direction 712 or request of, or under the supervision of such dentist of 713 record. The dentist of record shall be identified in the record 714 of the patient. If treatment is rendered by a dentist other than 715 the dentist of record or by a dental therapist, dental 716 hygienist, or dental assistant, the name or initials of such 717 person mustshallbe placed in the record of the patient. In any 718 disciplinary proceeding brought pursuant to this chapter or 719 chapter 456, it isshall bepresumed as a matter of law that 720 treatment was rendered by the dentist of record unless otherwise 721 noted on the patient record pursuant to this section. The 722 dentist of record and any other treating dentist are subject to 723 discipline pursuant to this chapter or chapter 456 for treatment 724 rendered to the patient and performed in violation of such 725 chapter. One of the purposes of this section is to ensure that 726 the responsibility for each patient is assigned to one dentist 727 in a multidentist practice of any nature and to assign primary 728 responsibility to the dentist for treatment rendered by a dental 729 therapist, dental hygienist, or dental assistant under her or 730 his supervision. This section shall not be construed to assign 731 any responsibility to a dentist of record for treatment rendered 732 pursuant to a proper referral to another dentist who does notin733 practice with the dentist of record or to prohibit a patient 734 from voluntarily selecting a new dentist without permission of 735 the dentist of record. 736 Section 14. Section 466.0225, Florida Statutes, is created 737 to read: 738 466.0225 Examination of dental therapists; licensing.— 739 (1) Any person desiring to be licensed as a dental 740 therapist shall apply to the department to take the licensure 741 examinations and shall verify the information required on the 742 application by oath. The application must be accompanied by two 743 recent photographs of the applicant. 744 (2) An applicant is entitled to take the examinations 745 required under this section and receive licensure to practice 746 dental therapy in this state if the applicant: 747 (a) Is 18 years of age or older; 748 (b) Is a graduate of a dental therapy college or school 749 accredited by the American Dental Association Commission on 750 Dental Accreditation or its successor entity, if any, or any 751 other dental therapy accrediting entity recognized by the United 752 States Department of Education. For applicants applying for a 753 dental therapy license before January 1, 2025, the board shall 754 approve the applicant’s dental therapy education program if the 755 program was administered by a college or school that operates an 756 accredited dental or dental hygiene education program and the 757 college or school certifies to the board that the applicant’s 758 education substantially conformed to the education standards 759 established by the American Dental Association Commission on 760 Dental Accreditation; 761 (c) Has successfully completed a dental therapy practical 762 or clinical examination produced by the American Board of Dental 763 Examiners, Inc., (ADEX) or its successor entity, if any, if the 764 board finds that the successor entity’s examination meets or 765 exceeds the provisions of this section. If an applicant fails to 766 pass such an examination after three attempts, the applicant is 767 not eligible to retake the examination unless the applicant 768 completes additional education requirements as specified by the 769 board. If a dental therapy examination has not been established 770 by the ADEX, the board shall administer or approve an 771 alternative examination; 772 (d) Has not been disciplined by a board, except for 773 citation offenses or minor violations; 774 (e) Has not been convicted of or pled nolo contendere to, 775 regardless of adjudication, any felony or misdemeanor related to 776 the practice of a health care profession; and 777 (f) Has successfully completed a written examination on the 778 laws and rules of this state regulating the practice of dental 779 therapy. 780 (3) An applicant who meets the requirements of this section 781 and who has successfully completed the examinations identified 782 in paragraph (2)(c) in a jurisdiction other than this state, or 783 who has successfully completed comparable examinations 784 administered or approved by the licensing authority in a 785 jurisdiction other than this state, shall be licensed to 786 practice dental therapy in this state if the board determines 787 that the other jurisdiction’s examinations and scope of practice 788 are substantially similar to those identified in paragraph 789 (2)(c). 790 Section 15. Section 466.0227, Florida Statutes, is created 791 to read: 792 466.0227 Dental therapists; scope and area of practice.— 793 (1) The Legislature finds that authorizing licensed dental 794 therapists to perform the services specified in subsection (3) 795 would improve access to high-quality, affordable oral health 796 services for all residents in this state. The Legislature 797 intends to rapidly improve such access for low-income, 798 uninsured, and underserved patients and communities. To further 799 this intent, a dental therapist licensed under this chapter is 800 limited to practicing dental therapy in the following settings 801 or programs: 802 (a) A health access setting, as defined in s. 466.003(16). 803 (b) A community health center, including an off-site care 804 setting. 805 (c) A nursing facility. 806 (d) A military or veterans’ hospital or clinic, including 807 an off-site care setting. 808 (e) A governmental or public health clinic, including an 809 off-site care setting. 810 (f) A school, a Head Start program, or a school-based 811 prevention program as defined in s. 466.003(17). 812 (g) An oral health education institution, including an off 813 site care setting. 814 (h) A hospital. 815 (i) A correctional facility clinic setting. 816 (j) A geographic area designated as a dental health 817 professional shortage area by the state or the Federal 818 Government. 819 (k) A health facility operated by the Indian Health Service 820 or by a tribal organization. 821 (l) Any other clinic or practice setting if at least 50 822 percent of the patients served by the dental therapist in such 823 clinic or practice setting: 824 1. Are enrolled in Medicaid or another state or local 825 governmental health care program for low-income or uninsured 826 patients; or 827 2. Do not have dental insurance and report a gross annual 828 income that is less than 200 percent of the applicable federal 829 poverty guidelines. 830 (2) Except as otherwise provided in this chapter, a dental 831 therapist may perform the dental therapy services specified in 832 subsection (3) under the general supervision of a dentist to the 833 extent authorized by the supervising dentist and provided within 834 the terms of a written collaborative management agreement signed 835 by the dental therapist and the supervising dentist which meets 836 the requirements of subsection (4). 837 (3) Dental therapy services include all of the following: 838 (a) All services, treatments, and competencies identified 839 by the American Dental Association Commission on Dental 840 Accreditation in its Dental Therapy Education Accreditation 841 Standards. 842 (b) All of the following state-specific services, if the 843 dental therapist’s education included curriculum content 844 satisfying the American Dental Association Commission on Dental 845 Accreditation criteria for state-specific dental therapy 846 services: 847 1. Evaluation of radiographs. 848 2. Placement of space maintainers. 849 3. Pulpotomies on primary teeth. 850 4. Tooth reimplantation and stabilization. 851 5. Recementation of permanent dental crowns. 852 6. Direct pulp capping of primary teeth. 853 7. Fabrication of soft occlusal guards. 854 8. Dispensing and administering nonopioid analgesics, 855 including nitrous oxide, anti-inflammatories, and antibiotics, 856 as authorized by the supervising dentist and within the 857 parameters of the collaborative management agreement. 858 9. Oral evaluation and assessment of dental disease and 859 formulation of an individualized treatment plan if authorized by 860 a supervising dentist and subject to any conditions, 861 limitations, and protocols specified by the supervising dentist 862 in the collaborative management agreement. 863 (c) Any other task deemed appropriate by the board. 864 (4) Before performing any of the services authorized in 865 subsection (3), a dental therapist must enter into a written 866 collaborative management agreement with a supervising dentist. 867 The agreement must be signed by the dental therapist and the 868 supervising dentist and must include all of the following: 869 (a) Any limitation on the practice settings, services, and 870 populations which may be provided. If the agreement is silent as 871 to any such limitation, the full scope of practice is permitted 872 under the agreement. 873 (b) A procedure for creating and maintaining dental records 874 for the patients who are treated by the dental therapist. 875 (c) A plan to manage medical emergencies in each practice 876 setting where the dental therapist provides care. 877 (d) A quality assurance plan for monitoring care provided 878 by the dental therapist, including patient care review, referral 879 followup, and a quality assurance chart review. 880 (e) Protocols for the dental therapist to administer and 881 dispense medications, including the specific conditions and 882 circumstances under which the medications are to be dispensed 883 and administered. 884 (f) Criteria relating to the provision of care by the 885 dental therapist to patients with specific medical conditions or 886 complex medication histories, including requirements for 887 consultation before the initiation of care. 888 (g) Supervision criteria for dental therapists. 889 (h) A plan for the provision of clinical resources and 890 referrals in situations that are beyond the capabilities of the 891 dental therapist. 892 (5) A supervising dentist shall determine the number of 893 hours of practice a dental therapist must complete under direct 894 or indirect supervision of the supervising dentist before the 895 dental therapist may perform any of the services authorized in 896 subsection (3) under general supervision. 897 (6) A supervising dentist may restrict or limit the dental 898 therapist’s practice in a collaborative management agreement to 899 be less than the full scope of practice for dental therapists 900 which is authorized in subsection (3). 901 (7) A dental therapist may provide dental therapy services 902 to a patient before the supervising dentist examines or 903 diagnoses the patient if the applicable authority, conditions, 904 and protocols are established in a written collaborative 905 management agreement and the patient is subsequently referred to 906 a dentist for any needed additional services that exceed the 907 dental therapist’s scope of practice or authorization under the 908 collaborative management agreement. 909 (8) A supervising dentist must be licensed under chapter 910 466 or registered under s. 456.47 and practicing in this state. 911 The supervising dentist is responsible for all services 912 authorized and performed by the dental therapist pursuant to the 913 collaborative management agreement and for providing or 914 arranging followup services to be provided by a dentist for 915 those services that are beyond the dental therapist’s scope of 916 practice and authorization under the collaborative management 917 agreement. 918 Section 16. Section 466.026, Florida Statutes, is amended 919 to read: 920 466.026 Prohibitions; penalties.— 921 (1) Each of the following acts constitutes a felony of the 922 third degree, punishable as provided in s. 775.082, s. 775.083, 923 or s. 775.084: 924 (a) Practicing dentistry, dental therapy, or dental hygiene 925 unless the person has an appropriate, active license issued by 926 the department pursuant to this chapter. 927 (b) Using or attempting to use a license issued pursuant to 928 this chapter which license has been suspended or revoked. 929 (c) Knowingly employing any person to perform duties 930 outside the scope allowed such person under this chapter or the 931 rules of the board. 932 (d) Giving false or forged evidence to the department or 933 board for the purpose of obtaining a license. 934 (e) Selling or offering to sell a diploma conferring a 935 degree from a dental college or a dental therapy or dental 936 hygiene school or college,or a license issued pursuant to this 937 chapter, or procuring such diploma or license with intent that 938 it shall be used as evidence of that which the document stands 939 for, by a person other than the one upon whom it was conferred 940 or to whom it was granted. 941 (2) Each of the following acts constitutes a misdemeanor of 942 the first degree, punishable as provided in s. 775.082 or s. 943 775.083: 944 (a) Using the name or title “dentist,” the initialsletters945 “D.D.S.” or “D.M.D.”, or any other words, letters, title, or 946 descriptive matter which in any way represents a person as being 947 able to diagnose, treat, prescribe, or operate for any disease, 948 pain, deformity, deficiency, injury, or physical condition of 949 the teeth or jaws or oral-maxillofacial region unless the person 950 has an active dentist’s license issued by the department 951 pursuant to this chapter. 952 (b) Using the name or title “dental therapist” or the 953 initials “D.T.” or otherwise holding herself or himself out as 954 an actively licensed dental therapist or implying to any patient 955 or consumer that she or he is an actively licensed dental 956 therapist unless that person has an active dental therapist’s 957 license issued by the department pursuant to this chapter. 958 (c) Using the name or title “dental hygienist” or the 959 initials “R.D.H.” or otherwise holding herself or himself out as 960 an actively licensed dental hygienist or implying to any patient 961 or consumer that she or he is an actively licensed dental 962 hygienist unless that person has an active dental hygienist’s 963 license issued by the department pursuant to this chapter. 964 (d)(c)Presenting as her or his own the license of another. 965 (e)(d)Knowingly concealing information relative to 966 violations of this chapter. 967 (f)(e)Performing any services as a dental assistant as 968 defined herein, except in the office of a licensed dentist, 969 unless authorized by this chapter or by rule of the board. 970 Section 17. Paragraphs (b), (c), (g), (s), and (t) of 971 subsection (1) of section 466.028, Florida Statutes, are amended 972 to read: 973 466.028 Grounds for disciplinary action; action by the 974 board.— 975 (1) The following acts constitute grounds for denial of a 976 license or disciplinary action, as specified in s. 456.072(2): 977 (b) Having a license to practice dentistry, dental therapy, 978 or dental hygiene revoked, suspended, or otherwise acted 979 against, including the denial of licensure, by the licensing 980 authority of another state, territory, or country. 981 (c) Being convicted or found guilty of or entering a plea 982 of nolo contendere to, regardless of adjudication, a crime in 983 any jurisdiction which relates to the practice of dentistry, 984 dental therapy, or dental hygiene. A plea of nolo contendere 985 shall create a rebuttable presumption of guilt to the underlying 986 criminal charges. 987 (g) Aiding, assisting, procuring, or advising any 988 unlicensed person to practice dentistry, dental therapy, or 989 dental hygiene contrary to this chapter or to a rule of the 990 department or the board. 991 (s) Being unable to practice her or his profession with 992 reasonable skill and safety to patients by reason of illness or 993 use of alcohol, drugs, narcotics, chemicals, or any other type 994 of material or as a result of any mental or physical condition. 995 In enforcing this paragraph, the department shall have, upon a 996 finding of the State Surgeon General or her or his designee that 997 probable cause exists to believe that the licensee is unable to 998 practice dentistry, dental therapy, or dental hygiene because of 999 the reasons stated in this paragraph, the authority to issue an 1000 order to compel a licensee to submit to a mental or physical 1001 examination by physicians designated by the department. If the 1002 licensee refuses to comply with such order, the department’s 1003 order directing such examination may be enforced by filing a 1004 petition for enforcement in the circuit court where the licensee 1005 resides or does business. The licensee against whom the petition 1006 is filed shall not be named or identified by initials in any 1007 public court records or documents, and the proceedings shall be 1008 closed to the public. The department shall be entitled to the 1009 summary procedure provided in s. 51.011. A licensee affected 1010 under this paragraph shall at reasonable intervals be afforded 1011 an opportunity to demonstrate that she or he can resume the 1012 competent practice of her or his profession with reasonable 1013 skill and safety to patients. 1014 (t) Fraud, deceit, or misconduct in the practice of 1015 dentistry, dental therapy, or dental hygiene. 1016 Section 18. Paragraph (g) of subsection (3) of section 1017 921.0022, Florida Statutes, is amended to read: 1018 921.0022 Criminal Punishment Code; offense severity ranking 1019 chart.— 1020 (3) OFFENSE SEVERITY RANKING CHART 1021 (g) LEVEL 7 1022 1023 FloridaStatute FelonyDegree Description 1024 316.027(2)(c) 1st Accident involving death, failure to stop; leaving scene. 1025 316.193(3)(c)2. 3rd DUI resulting in serious bodily injury. 1026 316.1935(3)(b) 1st Causing serious bodily injury or death to another person; driving at high speed or with wanton disregard for safety while fleeing or attempting to elude law enforcement officer who is in a patrol vehicle with siren and lights activated. 1027 327.35(3)(c)2. 3rd Vessel BUI resulting in serious bodily injury. 1028 402.319(2) 2nd Misrepresentation and negligence or intentional act resulting in great bodily harm, permanent disfiguration, permanent disability, or death. 1029 409.920(2)(b)1.a. 3rd Medicaid provider fraud; $10,000 or less. 1030 409.920(2)(b)1.b. 2nd Medicaid provider fraud; more than $10,000, but less than $50,000. 1031 456.065(2) 3rd Practicing a health care profession without a license. 1032 456.065(2) 2nd Practicing a health care profession without a license which results in serious bodily injury. 1033 458.327(1) 3rd Practicing medicine without a license. 1034 459.013(1) 3rd Practicing osteopathic medicine without a license. 1035 460.411(1) 3rd Practicing chiropractic medicine without a license. 1036 461.012(1) 3rd Practicing podiatric medicine without a license. 1037 462.17 3rd Practicing naturopathy without a license. 1038 463.015(1) 3rd Practicing optometry without a license. 1039 464.016(1) 3rd Practicing nursing without a license. 1040 465.015(2) 3rd Practicing pharmacy without a license. 1041 466.026(1) 3rd Practicing dentistry, dental therapy, or dental hygiene without a license. 1042 467.201 3rd Practicing midwifery without a license. 1043 468.366 3rd Delivering respiratory care services without a license. 1044 483.828(1) 3rd Practicing as clinical laboratory personnel without a license. 1045 483.901(7) 3rd Practicing medical physics without a license. 1046 484.013(1)(c) 3rd Preparing or dispensing optical devices without a prescription. 1047 484.053 3rd Dispensing hearing aids without a license. 1048 494.0018(2) 1st Conviction of any violation of chapter 494 in which the total money and property unlawfully obtained exceeded $50,000 and there were five or more victims. 1049 560.123(8)(b)1. 3rd Failure to report currency or payment instruments exceeding $300 but less than $20,000 by a money services business. 1050 560.125(5)(a) 3rd Money services business by unauthorized person, currency or payment instruments exceeding $300 but less than $20,000. 1051 655.50(10)(b)1. 3rd Failure to report financial transactions exceeding $300 but less than $20,000 by financial institution. 1052 775.21(10)(a) 3rd Sexual predator; failure to register; failure to renew driver license or identification card; other registration violations. 1053 775.21(10)(b) 3rd Sexual predator working where children regularly congregate. 1054 775.21(10)(g) 3rd Failure to report or providing false information about a sexual predator; harbor or conceal a sexual predator. 1055 782.051(3) 2nd Attempted felony murder of a person by a person other than the perpetrator or the perpetrator of an attempted felony. 1056 782.07(1) 2nd Killing of a human being by the act, procurement, or culpable negligence of another (manslaughter). 1057 782.071 2nd Killing of a human being or unborn child by the operation of a motor vehicle in a reckless manner (vehicular homicide). 1058 782.072 2nd Killing of a human being by the operation of a vessel in a reckless manner (vessel homicide). 1059 784.045(1)(a)1. 2nd Aggravated battery; intentionally causing great bodily harm or disfigurement. 1060 784.045(1)(a)2. 2nd Aggravated battery; using deadly weapon. 1061 784.045(1)(b) 2nd Aggravated battery; perpetrator aware victim pregnant. 1062 784.048(4) 3rd Aggravated stalking; violation of injunction or court order. 1063 784.048(7) 3rd Aggravated stalking; violation of court order. 1064 784.07(2)(d) 1st Aggravated battery on law enforcement officer. 1065 784.074(1)(a) 1st Aggravated battery on sexually violent predators facility staff. 1066 784.08(2)(a) 1st Aggravated battery on a person 65 years of age or older. 1067 784.081(1) 1st Aggravated battery on specified official or employee. 1068 784.082(1) 1st Aggravated battery by detained person on visitor or other detainee. 1069 784.083(1) 1st Aggravated battery on code inspector. 1070 787.06(3)(a)2. 1st Human trafficking using coercion for labor and services of an adult. 1071 787.06(3)(e)2. 1st Human trafficking using coercion for labor and services by the transfer or transport of an adult from outside Florida to within the state. 1072 790.07(4) 1st Specified weapons violation subsequent to previous conviction of s. 790.07(1) or (2). 1073 790.16(1) 1st Discharge of a machine gun under specified circumstances. 1074 790.165(2) 2nd Manufacture, sell, possess, or deliver hoax bomb. 1075 790.165(3) 2nd Possessing, displaying, or threatening to use any hoax bomb while committing or attempting to commit a felony. 1076 790.166(3) 2nd Possessing, selling, using, or attempting to use a hoax weapon of mass destruction. 1077 790.166(4) 2nd Possessing, displaying, or threatening to use a hoax weapon of mass destruction while committing or attempting to commit a felony. 1078 790.23 1st,PBL Possession of a firearm by a person who qualifies for the penalty enhancements provided for in s. 874.04. 1079 794.08(4) 3rd Female genital mutilation; consent by a parent, guardian, or a person in custodial authority to a victim younger than 18 years of age. 1080 796.05(1) 1st Live on earnings of a prostitute; 2nd offense. 1081 796.05(1) 1st Live on earnings of a prostitute; 3rd and subsequent offense. 1082 800.04(5)(c)1. 2nd Lewd or lascivious molestation; victim younger than 12 years of age; offender younger than 18 years of age. 1083 800.04(5)(c)2. 2nd Lewd or lascivious molestation; victim 12 years of age or older but younger than 16 years of age; offender 18 years of age or older. 1084 800.04(5)(e) 1st Lewd or lascivious molestation; victim 12 years of age or older but younger than 16 years; offender 18 years or older; prior conviction for specified sex offense. 1085 806.01(2) 2nd Maliciously damage structure by fire or explosive. 1086 810.02(3)(a) 2nd Burglary of occupied dwelling; unarmed; no assault or battery. 1087 810.02(3)(b) 2nd Burglary of unoccupied dwelling; unarmed; no assault or battery. 1088 810.02(3)(d) 2nd Burglary of occupied conveyance; unarmed; no assault or battery. 1089 810.02(3)(e) 2nd Burglary of authorized emergency vehicle. 1090 812.014(2)(a)1. 1st Property stolen, valued at $100,000 or more or a semitrailer deployed by a law enforcement officer; property stolen while causing other property damage; 1st degree grand theft. 1091 812.014(2)(b)2. 2nd Property stolen, cargo valued at less than $50,000, grand theft in 2nd degree. 1092 812.014(2)(b)3. 2nd Property stolen, emergency medical equipment; 2nd degree grand theft. 1093 812.014(2)(b)4. 2nd Property stolen, law enforcement equipment from authorized emergency vehicle. 1094 812.0145(2)(a) 1st Theft from person 65 years of age or older; $50,000 or more. 1095 812.019(2) 1st Stolen property; initiates, organizes, plans, etc., the theft of property and traffics in stolen property. 1096 812.131(2)(a) 2nd Robbery by sudden snatching. 1097 812.133(2)(b) 1st Carjacking; no firearm, deadly weapon, or other weapon. 1098 817.034(4)(a)1. 1st Communications fraud, value greater than $50,000. 1099 817.234(8)(a) 2nd Solicitation of motor vehicle accident victims with intent to defraud. 1100 817.234(9) 2nd Organizing, planning, or participating in an intentional motor vehicle collision. 1101 817.234(11)(c) 1st Insurance fraud; property value $100,000 or more. 1102 817.2341(2)(b) & (3)(b) 1st Making false entries of material fact or false statements regarding property values relating to the solvency of an insuring entity which are a significant cause of the insolvency of that entity. 1103 817.535(2)(a) 3rd Filing false lien or other unauthorized document. 1104 817.611(2)(b) 2nd Traffic in or possess 15 to 49 counterfeit credit cards or related documents. 1105 825.102(3)(b) 2nd Neglecting an elderly person or disabled adult causing great bodily harm, disability, or disfigurement. 1106 825.103(3)(b) 2nd Exploiting an elderly person or disabled adult and property is valued at $10,000 or more, but less than $50,000. 1107 827.03(2)(b) 2nd Neglect of a child causing great bodily harm, disability, or disfigurement. 1108 827.04(3) 3rd Impregnation of a child under 16 years of age by person 21 years of age or older. 1109 837.05(2) 3rd Giving false information about alleged capital felony to a law enforcement officer. 1110 838.015 2nd Bribery. 1111 838.016 2nd Unlawful compensation or reward for official behavior. 1112 838.021(3)(a) 2nd Unlawful harm to a public servant. 1113 838.22 2nd Bid tampering. 1114 843.0855(2) 3rd Impersonation of a public officer or employee. 1115 843.0855(3) 3rd Unlawful simulation of legal process. 1116 843.0855(4) 3rd Intimidation of a public officer or employee. 1117 847.0135(3) 3rd Solicitation of a child, via a computer service, to commit an unlawful sex act. 1118 847.0135(4) 2nd Traveling to meet a minor to commit an unlawful sex act. 1119 872.06 2nd Abuse of a dead human body. 1120 874.05(2)(b) 1st Encouraging or recruiting person under 13 to join a criminal gang; second or subsequent offense. 1121 874.10 1st,PBL Knowingly initiates, organizes, plans, finances, directs, manages, or supervises criminal gang-related activity. 1122 893.13(1)(c)1. 1st Sell, manufacture, or deliver cocaine (or other drug prohibited under s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)5.) within 1,000 feet of a child care facility, school, or state, county, or municipal park or publicly owned recreational facility or community center. 1123 893.13(1)(e)1. 1st Sell, manufacture, or deliver cocaine or other drug prohibited under s. 893.03(1)(a), (1)(b), (1)(d), (2)(a), (2)(b), or (2)(c)5., within 1,000 feet of property used for religious services or a specified business site. 1124 893.13(4)(a) 1st Use or hire of minor; deliver to minor other controlled substance. 1125 893.135(1)(a)1. 1st Trafficking in cannabis, more than 25 lbs., less than 2,000 lbs. 1126 893.135(1)(b)1.a. 1st Trafficking in cocaine, more than 28 grams, less than 200 grams. 1127 893.135(1)(c)1.a. 1st Trafficking in illegal drugs, more than 4 grams, less than 14 grams. 1128 893.135(1)(c)2.a. 1st Trafficking in hydrocodone, 28 grams or more, less than 50 grams. 1129 893.135(1)(c)2.b. 1st Trafficking in hydrocodone, 50 grams or more, less than 100 grams. 1130 893.135(1)(c)3.a. 1st Trafficking in oxycodone, 7 grams or more, less than 14 grams. 1131 893.135(1)(c)3.b. 1st Trafficking in oxycodone, 14 grams or more, less than 25 grams. 1132 893.135(1)(c)4.b.(I) 1st Trafficking in fentanyl, 4 grams or more, less than 14 grams. 1133 893.135(1)(d)1.a. 1st Trafficking in phencyclidine, 28 grams or more, less than 200 grams. 1134 893.135(1)(e)1. 1st Trafficking in methaqualone, 200 grams or more, less than 5 kilograms. 1135 893.135(1)(f)1. 1st Trafficking in amphetamine, 14 grams or more, less than 28 grams. 1136 893.135(1)(g)1.a. 1st Trafficking in flunitrazepam, 4 grams or more, less than 14 grams. 1137 893.135(1)(h)1.a. 1st Trafficking in gamma-hydroxybutyric acid (GHB), 1 kilogram or more, less than 5 kilograms. 1138 893.135(1)(j)1.a. 1st Trafficking in 1,4-Butanediol, 1 kilogram or more, less than 5 kilograms. 1139 893.135(1)(k)2.a. 1st Trafficking in Phenethylamines, 10 grams or more, less than 200 grams. 1140 893.135(1)(m)2.a. 1st Trafficking in synthetic cannabinoids, 280 grams or more, less than 500 grams. 1141 893.135(1)(m)2.b. 1st Trafficking in synthetic cannabinoids, 500 grams or more, less than 1,000 grams. 1142 893.135(1)(n)2.a. 1st Trafficking in n-benzyl phenethylamines, 14 grams or more, less than 100 grams. 1143 893.1351(2) 2nd Possession of place for trafficking in or manufacturing of controlled substance. 1144 896.101(5)(a) 3rd Money laundering, financial transactions exceeding $300 but less than $20,000. 1145 896.104(4)(a)1. 3rd Structuring transactions to evade reporting or registration requirements, financial transactions exceeding $300 but less than $20,000. 1146 943.0435(4)(c) 2nd Sexual offender vacating permanent residence; failure to comply with reporting requirements. 1147 943.0435(8) 2nd Sexual offender; remains in state after indicating intent to leave; failure to comply with reporting requirements. 1148 943.0435(9)(a) 3rd Sexual offender; failure to comply with reporting requirements. 1149 943.0435(13) 3rd Failure to report or providing false information about a sexual offender; harbor or conceal a sexual offender. 1150 943.0435(14) 3rd Sexual offender; failure to report and reregister; failure to respond to address verification; providing false registration information. 1151 944.607(9) 3rd Sexual offender; failure to comply with reporting requirements. 1152 944.607(10)(a) 3rd Sexual offender; failure to submit to the taking of a digitized photograph. 1153 944.607(12) 3rd Failure to report or providing false information about a sexual offender; harbor or conceal a sexual offender. 1154 944.607(13) 3rd Sexual offender; failure to report and reregister; failure to respond to address verification; providing false registration information. 1155 985.4815(10) 3rd Sexual offender; failure to submit to the taking of a digitized photograph. 1156 985.4815(12) 3rd Failure to report or providing false information about a sexual offender; harbor or conceal a sexual offender. 1157 985.4815(13) 3rd Sexual offender; failure to report and reregister; failure to respond to address verification; providing false registration information. 1158 1159 Section 19. The Department of Health, in consultation with 1160 the Board of Dentistry and the Agency for Health Care 1161 Administration, shall submit a progress report to the President 1162 of the Senate and the Speaker of the House of Representatives by 1163 July 1, 2024, and shall submit a final report 3 years after the 1164 first dental therapy license is issued. The reports must include 1165 all of the following components: 1166 (1) The progress that has been made in this state to 1167 implement training programs, licensing, and Medicaid 1168 reimbursement for dental therapists. 1169 (2) Data demonstrating the effects of authorizing the 1170 practice of dental therapy in this state on: 1171 (a) Patient access to dental services; 1172 (b) The use of primary and preventive dental services in 1173 underserved regions and populations, including the Medicaid 1174 population; 1175 (c) Costs to dental providers, patients, dental insurance 1176 carriers, and the state; and 1177 (d) The quality and safety of dental services. 1178 (3) Specific recommendations for any necessary legislative, 1179 administrative, or regulatory reforms relating to the practice 1180 of dental therapy. 1181 (4) Any other information the department deems appropriate. 1182 Section 20. This act shall take effect July 1, 2021.