87R3088 JCG-D     By: Klick H.B. No. 2348       A BILL TO BE ENTITLED   AN ACT   relating to the regulation of the practice of dental hygiene.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 258.001, Occupations Code, is amended to   read as follows:          Sec. 258.001.  [IMPERMISSIBLE] DELEGATIONS.  (a)  A dentist   may not delegate:                (1)  an act to an individual who, by board order, is   prohibited from performing the act;                (2)  any of the following acts to a person not licensed   as a dentist or dental hygienist:                      (A)  the removal of calculus, deposits, or   accretions from the natural and restored surfaces of exposed human   teeth and restorations in the human mouth;                      (B)  root planing or the smoothing and polishing   of roughened root surfaces or exposed human teeth; or                      (C)  any other act the delegation of which is   prohibited by board rule; or                (3)  any of the following acts to a person not licensed   as a dentist:                      (A)  comprehensive examination or diagnosis and   treatment planning;                      (B)  a surgical or cutting procedure on hard or   soft tissue;                      (C)  the prescription of a drug, medication, or   work authorization;                      (D)  the taking of an impression for a final   restoration, appliance, or prosthesis;                      (E)  the making of an intraoral occlusal   adjustment;                      (F)  direct pulp capping, pulpotomy, or any other   endodontic procedure;                      (G)  the final placement and intraoral adjustment   of a fixed or removable appliance; or                      (H)  the placement of any final restoration.          (b)  A dentist may delegate[; or                [(4)  the authority] to an individual the authority to   administer a local anesthetic agent, inhalation sedative agent,   parenteral sedative agent, or general anesthetic agent if the   individual is [not] licensed as:                (1) [(A)]  a dentist, with a permit issued by the board   for the procedure being performed[,] if a permit is required;                (2) [(B)]  a certified registered nurse anesthetist   [licensed] by the Texas Board of Nursing, only if the delegating   dentist holds a permit issued by the board for the procedure being   performed[,] if a permit is required; [or]                (3) [(C)]  a physician anesthesiologist [licensed] by   the Texas Medical Board; or                (4)  a dental hygienist, only if:                      (A)  the procedure is the administration of a   local anesthetic agent under Section 262.002(a)(6);                      (B)  the dental hygienist has passed a   certification examination approved by the board; and                      (C)  the dental hygienist:                            (i)  has completed a course approved by the   board to train dental hygienists to administer local anesthetic   agents; or                            (ii)  has been licensed in good standing   within the preceding year to administer local anesthetic agents:                                  (a)  by a branch of the United States   armed forces; or                                  (b)  by another state.          SECTION 2.  Section 262.002(a), Occupations Code, is amended   to read as follows:          (a)  A person practices dental hygiene if the person:                (1)  removes accumulated matter, tartar, deposits,   accretions, or stains, other than mottled enamel stains, from the   natural and restored surface of exposed human teeth and   restorations in the human mouth;                (2)  smoothes roughened root surfaces;                (3)  polishes exposed human teeth, restorations in the   human mouth, or roughened root surfaces;                (4)  topically applies drugs to the surface tissues of   the human mouth or the exposed surface of human teeth;                (5)  makes dental x-rays; [and]                (6)  administers intraoral block or infiltration   anesthesia under the authorization and direct supervision of a   dentist; and                (7)  performs any other service, task, or procedure   prescribed by board rule.          SECTION 3.  (a)  Not later than January 1, 2022, the State   Board of Dental Examiners shall:                (1)  prescribe by rule the requirements for a course to   train dental hygienists to administer local anesthetic agents; and                (2)  develop a procedure for the approval of courses   described by Subdivision (1) of this subsection.          (b)  A rule adopted under Subsection (a) of this section must   require that a course be offered in a classroom setting at an   educational institution accredited by the Commission on Dental   Accreditation of the American Dental Association.          SECTION 4.  This Act takes effect September 1, 2021.