<section article="gho" article_name="Health Occupations" number="4-101" title_number="4" title_name="Dentistry" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>In this title the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Board” means the State Board of Dental Examiners.</text> </level> <level label="c"> <text>“Dental appliance” means any:</text> <level label="1"> <text>Oral prosthesis;</text> </level> <level label="2"> <text>Orthodontic appliance;</text> </level> <level label="3"> <text>Regulatory appliance;</text> </level> <level label="4"> <text>Supportive appliance; or</text> </level> <level label="5"> <text>Other intraoral appliance or restoration.</text> </level> </level> <level label="c–1"> <text>“Dental assistant” means an individual who directly assists a dentist in the practice of dentistry.</text> </level> <level label="d"> <text>“Dental hygienist” means an individual, other than a dentist, who practices dental hygiene.</text> </level> <level label="e"> <text>“Dental laboratory” means any commercial laboratory or workroom in which a person engages in dental laboratory work.</text> </level> <level label="f"> <text>“Dental laboratory work” means making, repairing, or altering a dental appliance extraorally.</text> </level> <level label="f–1"> <text>“Dental professional corporation” means:</text> <level label="1"> <text>A corporation solely owned by an individual or individuals licensed by the Board to practice dentistry and formed under Title 5 of the Corporations and Associations Article; or</text> </level> <level label="2"> <text>A professional service limited liability company owned solely by an individual or individuals licensed by the Board to practice dentistry and formed under Title 4A of the Corporations and Associations Article.</text> </level> </level> <level label="g"> <text>“Dentist” means an individual who practices dentistry.</text> </level> <level label="g–1"> <text>“Expanded function dental assistant” means a dental assistant who is certified by the Board to perform specific intraoral procedures.</text> </level> <level label="h"> <level label="1"> <text>“License” means, unless the context requires otherwise, a license issued by the Board to:</text> <level label="i"> <text>Practice dentistry; or</text> </level> <level label="ii"> <text>Practice dental hygiene.</text> </level> </level> <level label="2"> <text>“License” includes, unless the context requires otherwise:</text> <level label="i"> <text>A general license to practice dentistry;</text> </level> <level label="ii"> <text>A limited license to practice dentistry;</text> </level> <level label="iii"> <text>A teacher’s license to practice dentistry;</text> </level> <level label="iv"> <text>A general license to practice dental hygiene;</text> </level> <level label="v"> <text>A teacher’s license to practice dental hygiene;</text> </level> <level label="vi"> <text>A retired volunteer dentist’s license to practice dentistry;</text> </level> <level label="vii"> <text>A retired volunteer dental hygienist’s license to practice dental hygiene;</text> </level> <level label="viii"> <text>A volunteer dentist’s license to practice dentistry;</text> </level> <level label="ix"> <text>A volunteer dental hygienist’s license to practice dental hygiene;</text> </level> <level label="x"> <text>A temporary volunteer dentist’s license to practice dentistry; and</text> </level> <level label="xi"> <text>A temporary volunteer dental hygienist’s license to practice dental hygiene.</text> </level> </level> </level> <level label="i"> <level label="1"> <text>“Licensed dental hygienist” means, unless the context requires otherwise, a dental hygienist who is licensed by the Board to practice dental hygiene.</text> </level> <level label="2"> <text>“Licensed dental hygienist” includes, unless the context requires otherwise, a holder of:</text> <level label="i"> <text>A general license to practice dental hygiene;</text> </level> <level label="ii"> <text>A teacher’s license to practice dental hygiene;</text> </level> <level label="iii"> <text>A retired volunteer dental hygienist’s license to practice dental hygiene;</text> </level> <level label="iv"> <text>A volunteer dental hygienist’s license to practice dental hygiene; or</text> </level> <level label="v"> <text>A temporary volunteer dental hygienist’s license to practice dental hygiene.</text> </level> </level> </level> <level label="j"> <level label="1"> <text>“Licensed dentist” means, unless the context requires otherwise, a dentist who is licensed by the Board to practice dentistry.</text> </level> <level label="2"> <text>“Licensed dentist” includes, unless the context requires otherwise, a holder of:</text> <level label="i"> <text>A general license to practice dentistry;</text> </level> <level label="ii"> <text>A limited license to practice dentistry;</text> </level> <level label="iii"> <text>A teacher’s license to practice dentistry;</text> </level> <level label="iv"> <text>A retired volunteer dentist’s license to practice dentistry;</text> </level> <level label="v"> <text>A volunteer dentist’s license to practice dentistry; or</text> </level> <level label="vi"> <text>A temporary volunteer dentist’s license to practice dentistry.</text> </level> </level> </level> <level label="k"> <text>“Practice dental hygiene” means to:</text> <level label="1"> <text>Perform a preliminary dental examination;</text> </level> <level label="2"> <text>Perform a complete prophylaxis, including the removal of any deposit, accretion, or stain from the surface of a tooth or a restoration;</text> </level> <level label="3"> <text>Polish a tooth or a restoration;</text> </level> <level label="4"> <text>Chart cavities, restorations, missing teeth, periodontal conditions, and other features observed during preliminary examination, prophylaxis, or polishing;</text> </level> <level label="5"> <text>Apply a medicinal agent to a tooth for a prophylactic purpose;</text> </level> <level label="6"> <text>Take a dental X ray;</text> </level> <level label="7"> <text>Perform a manual curettage in conjunction with scaling and root planing;</text> </level> <level label="8"> <text>Administer local anesthesia in accordance with § 4–206.1 or § 4–206.3 of this title;</text> </level> <level label="9"> <text>Administer nitrous oxide in accordance with § 4–206.2 of this title; or</text> </level> <level label="10"> <text>Perform any other intraoral function that the Board authorizes by a rule or regulation adopted under § 4–206 of this title.</text> </level> </level> <level label="l"> <level label="1"> <text>“Practice dentistry” means to:</text> <level label="i"> <text>Perform or attempt to perform any intraoral dental service or intraoral dental operation;</text> </level> <level label="ii"> <text>Diagnose, treat, or attempt to diagnose or treat any disease, injury, malocclusion, or malposition of a tooth, gum, or jaw, or structures associated with a tooth, gum, or jaw if the service, operation, or procedure is included in the curricula of an accredited dental school or in an approved dental residency program of an accredited hospital or teaching institution;</text> </level> <level label="iii"> <text>Perform or offer to perform dental laboratory work;</text> </level> <level label="iv"> <text>Place or adjust a dental appliance in a human mouth; or</text> </level> <level label="v"> <text>Administer anesthesia for the purposes of dentistry and not as a medical specialty.</text> </level> </level> <level label="2"> <text>“Practice dentistry” includes:</text> <level label="i"> <text>Patient evaluation, diagnosis, and determination of treatment plans;</text> </level> <level label="ii"> <text>Determination of treatment options, including the choice of restorative and treatment materials and diagnostic equipment; and</text> </level> <level label="iii"> <text>Determination and establishment of dental patient protocols, dental standards of care, and dental practice guidelines.</text> </level> </level> <level label="3"> <text>“Practice dentistry” does not include the responsibilities of a supervising dentist under § 4–104 of this subtitle.</text> </level> </level> <level label="m"> <text>Except as provided in § 4–308(f)(2) of this title, “supervision” means supervision of a dental hygienist by a dentist, where the dentist may or may not be present when the dental hygienist performs the dental hygiene procedures but is available on the premises.</text> </level> <level label="n"> <text>“Temporary dental clinic permit” means, unless the context requires otherwise, a temporary permit issued by the Board to a bona fide charitable organization to provide dental services to the poor, elderly, or disabled at a dental clinic.</text> </level> <level label="o"> <text>“Third party” means any person who collects premiums, assumes financial risks, pays claims, or provides administrative services relating to any:</text> <level label="1"> <text>Insurance policy;</text> </level> <level label="2"> <text>Insurance contract;</text> </level> <level label="3"> <text>Health prepayment contract;</text> </level> <level label="4"> <text>Health care plan; or</text> </level> <level label="5"> <text>Nonprofit health service plan contract.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-102" title_number="4" title_name="Dentistry" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <level label="1"> <text>Except as otherwise provided in this subsection, this title does not limit the right of an individual to practice a health occupation that the individual is authorized to practice under this article.</text> </level> <level label="2"> <text>The provisions of this title do not affect a physician while practicing medicine, unless the physician practices dentistry as a specialty.</text> </level> </level> <level label="b"> <text>This title does not prohibit an educational program broadcast on radio or television by the Department or by the health department of a political subdivision of this State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-103" title_number="4" title_name="Dentistry" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <text>Only an individual or individuals licensed by the Board to practice dentistry or a dental professional corporation may own a dental practice.</text> </level> <level label="b"> <text>Only an individual licensed by the Board to practice dentistry may:</text> <level label="1"> <text>Direct the clinical training of a dentist, dental hygienist, or dental assistant who assists in the care and treatment of dental patients;</text> </level> <level label="2"> <text>Direct a dentist, dental hygienist, or dental assistant in providing dental care and treatment to dental patients;</text> </level> <level label="3"> <text>Hire, supervise, or terminate the employment of a dentist, dental hygienist, or dental assistant who provides dental care and treatment to dental patients;</text> </level> <level label="4"> <text>Direct the preparation and maintenance of patient treatment records or exert control of a patient’s or treating dentist’s right of access to patient treatment records; or</text> </level> <level label="5"> <text>Share in the income, revenues, profits, or fees with licensed dentists within the same dental practice.</text> </level> </level> <level label="c"> <text>Except as provided in subsection (b)(5) of this section, a licensed dentist may not share in revenues or split fees.</text> </level> <level label="d"> <text>It is unlawful for any person who is not a licensed dentist to direct, control, or interfere with the independent professional judgment of a dentist or dental hygienist regarding the diagnosis, care, or treatment of a patient’s dental disease, disorder, or physical condition.</text> </level> <level label="e"> <text>Subject to subsections (a), (b), and (c) of this section, this section does not prohibit a dentist or dental professional corporation from entering into an agreement that provides that an unlicensed person may:</text> <level label="1"> <text>Own, lease, or otherwise provide real property or furnishings, equipment, or other goods that are used by a dentist or dental practice;</text> </level> <level label="2"> <text>Provide bookkeeping, accounting, and tax preparation services;</text> </level> <level label="3"> <text>Administer and process payroll of a dental practice;</text> </level> <level label="4"> <text>Provide administrative management of patient treatment records;</text> </level> <level label="5"> <text>Interact with patients and third–party payors for the billing and collections for dental services;</text> </level> <level label="6"> <text>Create and place advertising and marketing, as approved by a licensed dentist;</text> </level> <level label="7"> <text>Provide services to assist in the recruitment of dentists, dental hygienists, and dental assistants for interview and hiring by a licensed dentist within the dental practice;</text> </level> <level label="8"> <text>Hire, supervise, and terminate the employment of nonprofessional office staff, subject to approval by a licensed dentist who has the authority to make that decision;</text> </level> <level label="9"> <text>Except as otherwise provided in subsection (b) of this section, provide and administer all normal and usual human resource–related services to nondental employees;</text> </level> <level label="10"> <text>Determine and assist in the acquisition of information technology;</text> </level> <level label="11"> <text>Provide general property management and maintenance;</text> </level> <level label="12"> <text>Assist in risk management, including legal and regulatory compliance, securing appropriate insurance coverages and policy limits, and the processing of insurance claims;</text> </level> <level label="13"> <text>Provide consulting services relating to productivity, efficiency, and cost management of a dental practice;</text> </level> <level label="14"> <text>Receive compensation in the form of fees negotiated with and approved by the dentist owners of the dental practice that shall be a predetermined fixed fee or fixed compensation and may be based on prior revenues or profits over a preceding period of 12 months or longer; or</text> </level> <level label="15"> <text>Contract with a third party to provide any of the services specified under this subsection.</text> </level> </level> <level label="f"> <level label="1"> <text>The requirements of subsections (a) and (b) of this section do not apply to:</text> <level label="i"> <text>A clinic maintained by:</text> <level label="1"> <text>A public school;</text> </level> <level label="2"> <text>A federal, State, or local government agency or institution;</text> </level> <level label="3"> <text>A dental or dental hygiene program that is approved by the Commission on Dental Accreditation (CODA) for an institution of higher education, as defined in § 10–101 of the Education Article; or</text> </level> <level label="4"> <text>A charitable organization, as defined in § 6–101 of the Business Regulation Article;</text> </level> </level> <level label="ii"> <text>A federal, State, or local government agency; or</text> </level> <level label="iii"> <text>A nonprofit organization that provides dental services and is:</text> <level label="1"> <text>A health care center or program that offers dental services:</text> </level> <level label="A"> <text>Free of cost or on a sliding scale fee schedule; and</text> </level> <level label="B"> <text>Without regard to an individual’s ability to pay; or</text> </level> <level label="2"> <text>A Federally Qualified Health Center or a Federally Qualified Health Center Look–Alike.</text> </level> </level> </level> <level label="2"> <text>Notwithstanding the provisions of paragraph (1) of this subsection:</text> <level label="i"> <text>Each dental hygienist, dental assistant, and dental technician employed by an entity described in paragraph (1) of this subsection shall be subject to the provisions of this title; and</text> </level> <level label="ii"> <text>Each dentist employed by an entity described in paragraph (1) of this subsection shall be licensed and subject to the provisions of Subtitle 3 of this title.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-104" title_number="4" title_name="Dentistry" subtitle_number="1" subtitle_name="Definitions; General Provisions"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <level label="i"> <text>“Infection control activities” means structural infection control or infection control that impacts the entirety of the private dental office, as determined by the Board in regulation.</text> </level> <level label="ii"> <text>“Infection control activities” includes:</text> <level label="1"> <text>Adherence to the Centers for Disease Control and Prevention Guidelines for Infection Control in Dental Health–Care Settings, or its successor guidelines;</text> </level> <level label="2"> <text>Water quality testing; and</text> </level> <level label="3"> <text>Spore testing.</text> </level> </level> <level label="iii"> <text>“Infection control activities” does not include activities in control of individual dentists, including use of adequate personal protective equipment or sterilization of instruments.</text> </level> </level> <level label="3"> <text>“Private dental office” has the meaning stated in § 4–308(l)(1) of this title.</text> </level> </level> <level label="b"> <level label="1"> <text>This section applies only with respect to private dental offices.</text> </level> <level label="2"> <text>This section may not be construed to prevent an unlicensed individual from assisting with regulatory compliance consistent with § 4–103(e)(12) of this subtitle.</text> </level> </level> <level label="c"> <text>Each owner of a private dental office shall designate a licensed dentist to be the supervising dentist for the private dental office.</text> </level> <level label="d"> <text>A supervising dentist designated under subsection (c) of this section shall:</text> <level label="1"> <text>Complete the registration required by the Board; and</text> </level> <level label="2"> <text>Be responsible for all infection control activities within the private dental office.</text> </level> </level> <level label="e"> <text>If a supervising dentist for a private dental office relinquishes the supervising dentist’s responsibility under subsection (d)(2) of this section for any reason, the owner of the private dental office shall immediately designate an interim supervising dentist who shall be responsible for all infection control within the private dental office until a new supervising dentist for the private dental office registers with the Board.</text> </level> <level label="f"> <text>The Board may charge a fee for the registration of a supervising dentist under this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-201" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <text>There is a State Board of Dental Examiners in the Department.</text> </section> <section article="gho" article_name="Health Occupations" number="4-202" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <level label="1"> <text>The Board consists of 16 members.</text> </level> <level label="2"> <text>Of the 16 Board members:</text> <level label="i"> <text>9 shall be licensed dentists;</text> </level> <level label="ii"> <text>4 shall be licensed dental hygienists; and</text> </level> <level label="iii"> <text>3 shall be consumer members.</text> </level> </level> <level label="3"> <level label="i"> <text>Subject to subsection (b)(1) of this section, the Governor shall appoint the dentist Board members, with the advice of the Secretary and the advice and consent of the Senate, from a list of names submitted to the Governor by the Board.</text> </level> <level label="ii"> <text>The number of names on the list for one vacancy shall be at least four names, for two vacancies at least three names for each vacancy, and for three or more vacancies at least two names for each vacancy.</text> </level> </level> <level label="4"> <level label="i"> <text>Subject to subsection (b)(2) of this section, the Governor shall appoint the dental hygienist Board members, with the advice of the Secretary and the advice and consent of the Senate, from a list of names submitted to the Governor by the Board.</text> </level> <level label="ii"> <text>The number of names on the list shall be four times the number of vacancies.</text> </level> </level> <level label="5"> <text>The Governor shall appoint the consumer members with the advice of the Secretary and the advice and consent of the Senate.</text> </level> <level label="6"> <text>To the extent practicable, the members appointed to the Board shall reasonably reflect the geographic, racial, ethnic, cultural, and gender diversity of the State.</text> </level> </level> <level label="b"> <level label="1"> <text>For each licensed dentist vacancy, the Board shall:</text> <level label="i"> <text>Send by electronic mail or regular mail a solicitation for nominations to fill the vacancy to:</text> <level label="1"> <text>Each dentist licensed by the Board; and</text> </level> <level label="2"> <text>Each State dental organization affiliated with a national organization; and</text> </level> </level> <level label="ii"> <text>Conduct a balloting process by which each dentist licensed by the State is eligible to vote to select the names of the licensed dentists to be submitted to the Governor.</text> </level> </level> <level label="2"> <text>For each licensed dental hygienist vacancy, the Board shall:</text> <level label="i"> <text>Send by electronic mail or regular mail a solicitation for nominations to fill the vacancy to:</text> <level label="1"> <text>Each dental hygienist licensed by the Board; and</text> </level> <level label="2"> <text>Each State dental hygienist organization affiliated with a national organization; and</text> </level> </level> <level label="ii"> <text>Conduct a balloting process by which each dental hygienist licensed by the State is eligible to vote to select the names of the licensed dental hygienists to be submitted to the Governor.</text> </level> </level> <level label="3"> <text>The Board shall develop guidelines for the solicitation of nominations and balloting process that to the extent possible will result in the overall composition of the Board reasonably reflecting the geographic, racial, ethnic, and gender diversity of the State.</text> </level> </level> <level label="c"> <text>Each dentist Board member:</text> <level label="1"> <text>Shall be an individual of recognized ability and honor;</text> </level> <level label="2"> <text>Shall be a practicing holder of a general license to practice dentistry who has practiced dentistry actively in this State for at least 5 years immediately before appointment;</text> </level> <level label="3"> <text>Shall be a resident of this State; and</text> </level> <level label="4"> <text>In the case of a Board member belonging to an association whose members are regulated by the Board, may not be:</text> <level label="i"> <text>An officer of the association;</text> </level> <level label="ii"> <text>A member of the association’s governing board or committee;</text> </level> <level label="iii"> <text>A member of the association’s house of delegates; or</text> </level> <level label="iv"> <text>A voting member of a committee of the association that contributes to the establishment of governmental, regulatory, or legislative policy objectives of the association.</text> </level> </level> </level> <level label="d"> <text>Each dental hygienist Board member:</text> <level label="1"> <text>Shall be a practicing holder of a general license to practice dental hygiene who has practiced dental hygiene actively in this State for at least 3 years immediately before appointment;</text> </level> <level label="2"> <text>Shall be a resident of this State;</text> </level> <level label="3"> <text>In the case of a Board member belonging to an association whose members are regulated by the Board, may not be:</text> <level label="i"> <text>An officer of the association;</text> </level> <level label="ii"> <text>A member of the association’s governing board or committee;</text> </level> <level label="iii"> <text>A member of the association’s house of delegates; or</text> </level> <level label="iv"> <text>A voting member of a committee of the association that contributes to the establishment of governmental, regulatory, or legislative policy objectives of the association.</text> </level> </level> </level> <level label="e"> <text>Each consumer member of the Board:</text> <level label="1"> <text>Shall be a member of the general public;</text> </level> <level label="2"> <text>May not be or ever have been a dentist or dental hygienist or in training to become a dentist or dental hygienist;</text> </level> <level label="3"> <text>May not have a household member who is a dentist or dental hygienist or in training to become a dentist or dental hygienist;</text> </level> <level label="4"> <text>May not participate or ever have participated in a commercial or professional field related to dentistry;</text> </level> <level label="5"> <text>May not have a household member who participates in a commercial or professional field related to dentistry; and</text> </level> <level label="6"> <text>May not have had within 2 years before appointment a substantial financial interest in a person regulated by the Board.</text> </level> </level> <level label="f"> <text>While a member of the Board, a consumer member may not have a substantial financial interest in a person regulated by the Board.</text> </level> <level label="g"> <text>Before taking office, each appointee to the Board shall take the oath required by Article I, § 9 of the Maryland Constitution.</text> </level> <level label="h"> <level label="1"> <text>The term of a member is 4 years.</text> </level> <level label="2"> <text>The terms of the members are staggered as required by the terms provided for members of the Board on October 1, 2006.</text> </level> <level label="3"> <text>At the end of a term, a member continues to serve until a successor is appointed and qualifies.</text> </level> <level label="4"> <text>A member who is appointed after a term has begun serves only for the rest of the term and until a successor is appointed and qualifies.</text> </level> <level label="5"> <text>A member may not be appointed for more than 2 consecutive full terms.</text> </level> <level label="6"> <text>To the extent practicable, the Governor shall fill any vacancy on the Board within 60 days of the date of the vacancy.</text> </level> </level> <level label="i"> <level label="1"> <text>The Governor may remove a member for incompetence, misconduct, continued neglect of duties imposed by this subtitle, unprofessional conduct, or dishonorable conduct.</text> </level> <level label="2"> <text>The Governor shall remove a member whom the Governor finds to have been absent from 2 successive Board meetings without adequate reason.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-203" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>From among its members, the Board shall elect a president and a secretary.</text> </level> <level label="b"> <text>The Board shall determine:</text> <level label="1"> <text>The manner of election of officers;</text> </level> <level label="2"> <text>The term of office of each officer; and</text> </level> <level label="3"> <text>The duties of each officer.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-204" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <level label="1"> <text>The Board shall meet at least twice a year, at the times and places that it determines.</text> </level> <level label="2"> <text>The Board shall hold special meetings, at the places it determines, when:</text> <level label="i"> <text>The Secretary requests a meeting; or</text> </level> <level label="ii"> <text>The Board considers a meeting necessary.</text> </level> </level> <level label="3"> <text>After giving due notice, the president or Board secretary shall call meetings. However, the Board may meet at any time and place without notice if each member of the Board either consents in writing or attends the meeting.</text> </level> </level> <level label="b"> <text>Each member of the Board is entitled to:</text> <level label="1"> <text>Compensation in accordance with the budget of the Board; and</text> </level> <level label="2"> <text>Reimbursement for expenses at a rate determined by the Board.</text> </level> </level> <level label="c"> <text>The Board may employ a staff in accordance with the budget of the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-205" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>In addition to the powers set forth elsewhere in this title, the Board may:</text> <level label="1"> <text>Adopt regulations governing:</text> <level label="i"> <text>The administration of general anesthesia by a licensed dentist;</text> </level> <level label="ii"> <text>The administration of sedation by a licensed dentist;</text> </level> <level label="iii"> <text>The use of a dental assistant by a licensed dentist in performing intraoral procedures, including:</text> <level label="1"> <text>Reasonable policies and guidelines for a dental assistant to assist in performing intraoral procedures authorized under § 4–301(a) of this title; and</text> </level> <level label="2"> <text>Subject to § 4–302.1(e) of this title, reasonable education or training requirements for an individual to become an expanded function dental assistant and perform the intraoral procedures authorized under § 4–301.1(b) of this title;</text> </level> </level> <level label="iv"> <text>Subject to subsection (b) of this section, the issuance of a permit to a facility not otherwise regulated where a dentist administers or has general anesthesia or sedation administered;</text> </level> <level label="v"> <text>Subject to subsection (b) of this section, the issuance of a permit to a dentist who administers or has general anesthesia or sedation administered;</text> </level> <level label="vi"> <text>Reasonable requirements for the training and evaluation of a dentist before the dentist may administer general anesthesia or sedation other than nitrous oxide administered alone and not in conjunction with:</text> <level label="1"> <text>Another method of diminishing or eliminating pain; or</text> </level> <level label="2"> <text>Medication used for diminishing or eliminating anxiety;</text> </level> </level> <level label="vii"> <text>Reasonable requirements for:</text> <level label="1"> <text>The education, training, evaluation, and examination of a dental hygienist before the dental hygienist may perform manual curettage in conjunction with scaling and root planing; and</text> </level> <level label="2"> <text>Performance by a dental hygienist of manual curettage in conjunction with scaling and root planing;</text> </level> </level> <level label="viii"> <text>Reasonable requirements for:</text> <level label="1"> <text>The education, training, evaluation, and examination of a dental hygienist before the dental hygienist may administer local anesthesia under § 4–206.1 of this subtitle; and</text> </level> <level label="2"> <text>Administering by a dental hygienist of local anesthesia under § 4–206.1 of this subtitle;</text> </level> </level> <level label="ix"> <text>Reasonable requirements for:</text> <level label="1"> <text>The education, training, evaluation, and examination of a dental hygienist before a dental hygienist may administer nitrous oxide under § 4–206.2 of this subtitle; and</text> </level> <level label="2"> <text>Administering nitrous oxide by a dental hygienist under § 4–206.2 of this subtitle;</text> </level> </level> <level label="x"> <text>Reasonable requirements for the education, training, evaluation, and examination of a dental hygienist before a dental hygienist may administer local anesthesia by inferior alveolar nerve block under § 4–206.3 of this subtitle;</text> </level> <level label="xi"> <text>Reasonable requirements for:</text> <level label="1"> <text>The education, training, evaluation, and examination of a dental hygienist before a dental hygienist may prescribe or administer medication under § 4–206.4 of this subtitle; and</text> </level> <level label="2"> <text>Prescribing or administering medication by a dental hygienist under § 4–206.4 of this subtitle;</text> </level> </level> <level label="xii"> <text>The discipline of a holder of any facility or administration permit for the administration of general anesthesia or sedation; and</text> </level> <level label="xiii"> <text>The release of patient dental records;</text> </level> </level> <level label="2"> <text>After consulting with the State Board of Pharmacy, adopt regulations regarding the dispensing of prescription drugs by a licensed dentist;</text> </level> <level label="3"> <text>On receipt of a written and signed complaint, investigate an alleged violation of this title;</text> </level> <level label="4"> <text>After consulting with the Maryland Dental Hygienists’ Association, adopt regulations establishing continuing education requirements for licensed dental hygienists;</text> </level> <level label="5"> <text>Adopt regulations establishing continuing education requirements for licensed dentists;</text> </level> <level label="6"> <text>On receipt of a written and signed complaint, including a referral from the Commissioner of Labor and Industry, conduct an unannounced inspection of the office of a dentist, other than an office of a dentist in a hospital, related institution, freestanding medical facility, or a freestanding birthing center, to determine compliance at that office with the Centers for Disease Control and Prevention’s guidelines on universal precautions; and</text> </level> <level label="7"> <text>Establish committees from among its members to facilitate and assist the Board in discharging its duties and responsibilities under this title by evaluating, reviewing, and making recommendations to the Board on matters referred to the committees by the Board. The committees established shall include, but may not be limited to:</text> <level label="i"> <text>A nominations committee;</text> </level> <level label="ii"> <text>A regulations committee;</text> </level> <level label="iii"> <text>A committee on dental hygiene composed of 3 dental hygienists, 1 dentist, and 1 consumer to which the Board shall refer all matters within the Board’s jurisdiction under this title relating to or affecting the practice of dental hygiene for the committee’s evaluation, review, and recommendation;</text> </level> <level label="iv"> <text>A disciplinary committee; and</text> </level> <level label="v"> <text>Such other committees as the Board considers appropriate.</text> </level> </level> </level> <level label="b"> <text>The Board may not require a facility or a dentist to obtain a permit if a dentist:</text> <level label="1"> <text>Administers nitrous oxide that is not administered in conjunction with:</text> <level label="i"> <text>Another method of diminishing or eliminating pain; or</text> </level> <level label="ii"> <text>Medication used for diminishing or eliminating anxiety; or</text> </level> </level> <level label="2"> <text>Prescribes or administers oral medication to a patient within the maximum recommended dosage for that patient for the sole purpose of diminishing or eliminating anxiety that is not prescribed in conjunction with:</text> <level label="i"> <text>Another method of diminishing or eliminating pain; or</text> </level> <level label="ii"> <text>The administration of nitrous oxide.</text> </level> </level> </level> <level label="c"> <level label="1"> <text>In addition to the duties set forth elsewhere in this title, the Board shall:</text> <level label="i"> <text>Keep a record of each license and each action taken under § 4–315 of this title;</text> </level> <level label="ii"> <text>Have an official seal;</text> </level> <level label="iii"> <text>Be trained for at least 1 hour each year on the powers, duties, and procedures, including complaint and hearing procedures, of the Board;</text> </level> <level label="iv"> <level label="1"> <text>Require applicants for an initial license and applicants for a license renewal to report whether the applicant provides or intends to provide mobile dental services or portable dental services; and</text> </level> <level label="2"> <text>Publish on the Board’s website a searchable list of licensed dentists and licensed dental hygienists who provide mobile dental services or portable dental services in the State; and</text> </level> </level> <level label="v"> <text>Adopt rules, regulations, and bylaws as may be necessary to carry out the provisions of this title.</text> </level> </level> <level label="2"> <text>To be determined to be in compliance with the training requirement under paragraph (1)(iii) of this subsection, the Board shall:</text> <level label="i"> <text>Select an attorney, after consultation with the Maryland State Bar Association, with the appropriate expertise to provide the training to the Board;</text> </level> <level label="ii"> <text>Require each member of the Board to attend the training and receive documentation of completion from the attorney providing the training; and</text> </level> <level label="iii"> <text>Include a summary of the training and attendance in the Board’s annual report.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-206" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>Except as otherwise provided in this section, the Board may adopt rules and regulations that authorize a licensed dental hygienist to perform additional intraoral functions.</text> </level> <level label="b"> <text>The Board may not authorize a licensed dental hygienist to:</text> <level label="1"> <text>Perform a diagnosis;</text> </level> <level label="2"> <text>Perform an extraction;</text> </level> <level label="3"> <text>Repair a cavity;</text> </level> <level label="4"> <text>Correct tooth placement;</text> </level> <level label="5"> <text>Perform a surgical procedure; or</text> </level> <level label="6"> <text>Administer anesthesia other than the following:</text> <level label="i"> <text>Topical anesthesia; or</text> </level> <level label="ii"> <text>Local anesthesia in accordance with § 4–206.1 of this subtitle.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-206.1" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>Subject to the requirements of subsections (b) and (c) of this section, a dental hygienist may administer local anesthesia by infiltration to facilitate the practice of dental hygiene by a dental hygienist or the practice of dentistry by a dentist, but not as a medical specialty, provided the administration of local anesthesia is under the supervision of a dentist who:</text> <level label="1"> <text>Is physically present on the premises; and</text> </level> <level label="2"> <text>Prescribes the administration of local anesthesia by the dental hygienist.</text> </level> </level> <level label="b"> <text>Before a dental hygienist may administer local anesthesia under subsection (a) of this section, the dental hygienist shall successfully complete the following:</text> <level label="1"> <text>Any educational requirements established by the Board; and</text> </level> <level label="2"> <text>A written and clinical examination as required by the Board.</text> </level> </level> <level label="c"> <text>A dental hygienist shall obtain the educational requirements established by the Board under subsection (b)(1) of this section from an accredited dental hygiene program.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-206.2" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>Subject to the requirements of subsections (b) and (c) of this section, a dental hygienist may administer nitrous oxide to a patient provided the administration of nitrous oxide is under the supervision of a dentist who:</text> <level label="1"> <text>Is physically present on the premises; and</text> </level> <level label="2"> <text>Prescribes the administration of nitrous oxide by the dental hygienist.</text> </level> </level> <level label="b"> <text>Before a dental hygienist may administer nitrous oxide under subsection (a) of this section, the dental hygienist shall successfully complete the following:</text> <level label="1"> <text>Any educational requirements established by the Board; and</text> </level> <level label="2"> <text>A written and clinical examination as required by the Board.</text> </level> </level> <level label="c"> <text>A dental hygienist shall complete the educational requirements established by the Board under subsection (b)(1) of this section through an accredited dental hygiene program.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-206.3" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>Subject to the requirements of subsection (b) of this section, a dental hygienist may administer local anesthesia by inferior alveolar nerve block to facilitate the practice of dental hygiene by a dental hygienist or the practice of dentistry by a dentist, but not as a medical specialty, provided the administration of the local anesthesia is under the supervision of a dentist who:</text> <level label="1"> <text>Is physically present on the premises; and</text> </level> <level label="2"> <text>Prescribes the administration of local anesthesia by the dental hygienist.</text> </level> </level> <level label="b"> <level label="1"> <text>Before a dental hygienist may administer local anesthesia under subsection (a) of this section, the dental hygienist shall successfully complete the following:</text> <level label="i"> <text>Any educational requirements established by the Board; and</text> </level> <level label="ii"> <text>A written and clinical examination as required by the Board.</text> </level> </level> <level label="2"> <text>A dental hygienist shall obtain the education required under paragraph (1) of this subsection from an accredited dental hygiene program.</text> </level> <level label="3"> <text>A dental hygienist who successfully completed the education requirements and examination required under paragraph (1) of this subsection before October 1, 2011, shall take and successfully complete a refresher course and a clinical examination from an accredited dental hygiene program.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-206.4" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, a dental hygienist who complies with subsections (e) and (f) of this section may prescribe:</text> <level label="i"> <text>Topical and systemic types of prescription or over–the–counter fluoride preparations;</text> </level> <level label="ii"> <text>Topical antimicrobial oral rinses; and</text> </level> <level label="iii"> <text>Ibuprofen not exceeding 600 mg every 6 hours for up to 3 days after nonsurgical periodontal therapy.</text> </level> </level> <level label="2"> <text>A dental hygienist may not prescribe a drug:</text> <level label="i"> <text>That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812; or</text> </level> <level label="ii"> <text>The prescription of which requires a federal Drug Enforcement Agency registration.</text> </level> </level> </level> <level label="b"> <text>Except as provided in subsection (c) of this section, a dental hygienist who complies with subsections (e) and (f) of this section may administer medication, including:</text> <level label="1"> <text>A medication listed under subsection (a)(1) of this section;</text> </level> <level label="2"> <text>Premedication antibiotics by mouth as required for dental treatment;</text> </level> <level label="3"> <text>Subgingival antibiotics and antimicrobials; and</text> </level> <level label="4"> <text>Nonopioid pain medication.</text> </level> </level> <level label="c"> <text>A dental hygienist may not administer a medication:</text> <level label="1"> <text>That is classified as a controlled dangerous substance under Title 5, Subtitle 4 of the Criminal Law Article or a controlled substance as defined by 21 U.S.C. § 812;</text> </level> <level label="2"> <text>The prescription of which requires a federal Drug Enforcement Agency registration; or</text> </level> <level label="3"> <text>Except for local anesthesia administered in accordance with § 4–206.1 or § 4–206.3 of this subtitle, that is administered by intramuscular, subcutaneous, intravenous, or intradermal injection.</text> </level> </level> <level label="d"> <text>A dental hygienist may administer a medication under subsection (b) of this section:</text> <level label="1"> <text>Under a standing order in the patient’s record that is authorized by a supervising dentist; and</text> </level> <level label="2"> <text>If the dental hygienist includes the following information in writing in the patient’s record:</text> <level label="i"> <text>The name of the medication;</text> </level> <level label="ii"> <text>The date and time the medication was administered;</text> </level> <level label="iii"> <text>The route by which the medication was administered; and</text> </level> <level label="iv"> <text>The dosage of the medication that was administered.</text> </level> </level> </level> <level label="e"> <text>A dental hygienist prescribing or administering medication as authorized under this section shall prescribe or administer medication:</text> <level label="1"> <text>Under the general supervision of a licensed dentist;</text> </level> <level label="2"> <text>In compliance with applicable regulations adopted by the Board; and</text> </level> <level label="3"> <text>In compliance with applicable provisions of Title 12 of this article and Title 21 of the Health – General Article regarding prescription packaging, labeling, and record keeping.</text> </level> </level> <level label="f"> <text>Before prescribing or administering medication as authorized under this section, a dental hygienist shall complete any educational requirements established by the Board under § 4–205(a)(1)(xi) of this subtitle through an accredited dental hygiene program.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-207" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <level label="a"> <text>There is a State Board of Dental Examiners Fund.</text> </level> <level label="b"> <level label="1"> <text>The Board may set reasonable fees for the issuance and renewal of licenses and its other services.</text> </level> <level label="2"> <text>The fees charged shall be set so as to approximate the cost of maintaining the Board.</text> </level> <level label="3"> <text>Funds to cover the compensation and expenses of the Board members shall be generated by fees set under this section.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board shall pay all funds collected under this title to the Comptroller of the State.</text> </level> <level label="2"> <text>The Comptroller shall distribute the fees to the State Board of Dental Examiners Fund.</text> </level> </level> <level label="d"> <level label="1"> <text>The Fund shall be used to cover the actual documented direct and indirect costs of fulfilling the statutory and regulatory duties of the Board as provided by the provisions of this article.</text> </level> <level label="2"> <text>The Fund is a continuing, nonlapsing fund, not subject to § 7-302 of the State Finance and Procurement Article.</text> </level> <level label="3"> <text>Any unspent portions of the Fund may not be transferred or revert to the General Fund of the State, but shall remain in the Fund to be used for the purposes specified in this article.</text> </level> <level label="4"> <text>No other State money may be used to support the Fund.</text> </level> </level> <level label="e"> <level label="1"> <text>In addition to the provisions of subsection (d) of this section, the Board shall fund:</text> <level label="i"> <text>The budget of a dental well–being committee, as defined in § 4–501.1 of this title, with fees set, collected, and distributed to the Fund under this title; and</text> </level> <level label="ii"> <text>The budget of a dental hygiene well–being committee, as defined in § 4–508 of this title, with fees set, collected, and distributed to the Fund under this title.</text> </level> </level> <level label="2"> <text>After review and approval by the Board of a budget submitted by the Maryland State Dental Association for a dental well–being committee, the Board may allocate moneys from the Fund to the dental well–being committee.</text> </level> <level label="3"> <text>After review and approval by the Board of a budget submitted by the Maryland Dental Hygienists’ Association for a dental hygiene well–being committee, the Board may allocate moneys from the Fund to a dental hygiene well–being committee.</text> </level> </level> <level label="f"> <level label="1"> <text>A designee of the Board shall administer the Fund.</text> </level> <level label="2"> <text>Moneys in the Fund may be expended only for any lawful purpose authorized under the provisions of this article.</text> </level> </level> <level label="g"> <text>The Legislative Auditor shall audit the accounts and transactions of the Fund as provided in § 2-1220 of the State Government Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-208" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <text>The Board may sue and be sued in its own name in the courts of this State.</text> </section> <section article="gho" article_name="Health Occupations" number="4-209" title_number="4" title_name="Dentistry" subtitle_number="2" subtitle_name="State Board of Dental Examiners"> <text>A person shall have the immunity from liability described under § 5-705 of the Courts and Judicial Proceedings Article for giving information to the Board or otherwise participating in its activities.</text> </section> <section article="gho" article_name="Health Occupations" number="4-301" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>Except as otherwise provided in this title or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board to practice dentistry before the individual may practice dentistry on a human being in this State.</text> </level> <level label="2"> <text>Except as otherwise provided in this title or §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual shall be licensed by the Board to practice dental hygiene before the individual may practice dental hygiene on a human being in this State.</text> </level> </level> <level label="b"> <text>This section does not apply to:</text> <level label="1"> <text>A student of dentistry while engaged in an educational program at an approved school of dentistry;</text> </level> <level label="2"> <text>A student of dental hygiene while engaged in an approved educational program in dental hygiene;</text> </level> <level label="3"> <text>A dentist while performing official duties in a federal dental service;</text> </level> <level label="4"> <text>An individual licensed to practice dentistry in any other state or a foreign country, while the individual:</text> <level label="i"> <text>Makes a clinical demonstration before a dental society, dental convention, association of dentists, or dental college; or</text> </level> <level label="ii"> <text>Performs professional duties on a specific case for which the individual is called into this State;</text> </level> </level> <level label="5"> <text>A dental assistant, if the dental assistant:</text> <level label="i"> <text>Subject to the rules and regulations adopted by the Board, performs only procedures that do not require the professional skills of a licensed dentist; and</text> </level> <level label="ii"> <text>Performs intraoral procedures in accordance with § 4–301.1 of this subtitle only under the direct supervision of a licensed dentist who personally is present in the office area where the procedures are performed; or</text> </level> </level> <level label="6"> <text>An heir of a deceased licensed dentist or a personal representative of a deceased licensed dentist, if:</text> <level label="i"> <text>The deceased licensed dentist was the owner of the dental practice;</text> </level> <level label="ii"> <text>The deceased licensed dentist did not provide for the disposition of the dental practice; and</text> </level> <level label="iii"> <text>The heir or the personal representative of the deceased licensed dentist serves as the owner of the dental practice, regardless of whether the heir or the personal representative is licensed to practice dentistry, for no longer than 1 year after the death of the licensed dentist unless the Board extends the time period under subsection (c)(1) of this section.</text> </level> </level> </level> <level label="c"> <level label="1"> <text>On written request and good cause shown by the heir or personal representative of a deceased licensed dentist, including evidence of a good faith effort to sell or close the dental practice, the Board, in its sole discretion, may extend the 1–year period under subsection (b)(6)(iii) of this section for up to an additional 6 months to allow the heir or personal representative sufficient time to sell or otherwise dispose of the dental practice.</text> </level> <level label="2"> <text>During the temporary ownership of a dental practice by an heir or a representative of a deceased licensed dentist under subsection (b)(6)(iii) of this section and, if applicable, paragraph (1) of this subsection, all patient care shall be provided:</text> <level label="i"> <text>By an appropriate individual who is licensed under this title; and</text> </level> <level label="ii"> <text>In accordance with the individual’s scope of practice.</text> </level> </level> <level label="3"> <text>The temporary ownership of a dental practice by an heir or a personal representative of a deceased licensed dentist under this subsection may not affect the exercise of the independent judgment of a licensed dentist who provides care to patients of the dental practice.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-301.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>A dental assistant may assist a licensed dentist in providing the following intraoral procedures under the direct supervision of a licensed dentist without being certified by the Board:</text> <level label="i"> <text>Rinsing and aspiration of the oral cavity;</text> </level> <level label="ii"> <text>Retraction of the lips, cheeks, tongue, and flaps;</text> </level> <level label="iii"> <text>Placement and removal of materials for the isolation of the dentition, provided that the material is not retained by the dentition;</text> </level> <level label="iv"> <text>Instructing on oral hygiene;</text> </level> <level label="v"> <text>Taking impressions for study models or diagnostic casts;</text> </level> <level label="vi"> <text>Constructing athletic mouth guards on models;</text> </level> <level label="vii"> <text>Applying topical anesthesia;</text> </level> <level label="viii"> <text>Curing by the use of halogen light;</text> </level> <level label="ix"> <text>Checking for loose bands; and</text> </level> <level label="x"> <text>Any other procedure that the Board authorizes by a rule or regulation.</text> </level> </level> <level label="2"> <text>A dental assistant may assist in performing intraoral photography, other than conventional or digital X–ray, under the general supervision of a licensed dentist who reviews the photography and authorizes the treatment plan without being certified by the Board.</text> </level> </level> <level label="b"> <level label="1"> <text>Except for an individual licensed as a dentist or a dental hygienist under this title, an individual shall be certified by the Board as an expanded function dental assistant authorized to perform at least one of the following intraoral procedures before the individual may perform the intraoral procedure in the State:</text> <level label="i"> <text>Assisting in orthodontic procedures authorized by the Board in regulation;</text> </level> <level label="ii"> <text>Placing dental sealants;</text> </level> <level label="iii"> <text>Coronal polishing only to remove stain or biofilm:</text> <level label="1"> <text>In connection with a dental prophylaxis:</text> </level> <level label="A"> <text>As determined necessary and appropriate, secondary to the more complex dental procedures of a dental prophylaxis, such as removal of hard and soft deposits and stain of the tooth crown, root surfaces, and periodontal pocket; and</text> </level> <level label="B"> <text>If applicable, in consultation with the treating dental hygienist; or</text> </level> <level label="2"> <text>Before a dentist performs an esthetic or cementation procedure;</text> </level> </level> <level label="iv"> <text>Applying silver diamine fluoride;</text> </level> <level label="v"> <text>Monitoring nitrous oxide by observing a patient:</text> <level label="1"> <text>During the flow of nitrous oxide;</text> </level> <level label="2"> <text>During the reduction of the flow of nitrous oxide;</text> </level> <level label="3"> <text>During the shutting off of equipment controlling the flow of nitrous oxide; and</text> </level> <level label="4"> <text>At all times in between the start of the flow of nitrous oxide until the nitrous oxide has been terminated and the patient has fully awoken and is coherent; or</text> </level> </level> <level label="vi"> <text>Additional intraoral procedures authorized by the Board in regulations.</text> </level> </level> <level label="2"> <text>A dental assistant who is certified by the Board to perform an intraoral procedure listed in paragraph (1) of this subsection may perform the intraoral procedure listed in paragraph (1) of this subsection if a licensed dentist:</text> <level label="i"> <text>Gives the expanded function dental assistant specific instructions to perform the intraoral procedure; and</text> </level> <level label="ii"> <text>Directly supervises the expanded function dental assistant performing the intraoral procedure.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-302" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as otherwise provided in this title, to qualify for a license, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant shall be of good moral character.</text> </level> <level label="c"> <text>To qualify for a license to practice dentistry, the applicant shall be at least 18 years old.</text> </level> <level label="d"> <text>The applicant shall submit to a criminal history records check in accordance with § 4–302.2 of this subtitle.</text> </level> <level label="e"> <text>Unless waived by the Board under §§ 4–303 and 4–303.1 of this subtitle, and except as provided in § 4–306.1 of this subtitle, to qualify for a license to practice dentistry, the applicant shall hold a degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or the equivalent, from a college or university that is:</text> <level label="1"> <text>Authorized by any state or any province of Canada to grant the degree; and</text> </level> <level label="2"> <text>Recognized by the Board as requiring adequate preprofessional collegiate training and as maintaining an acceptable course of dental instruction.</text> </level> </level> <level label="f"> <text>To qualify for a license to practice dental hygiene, the applicant shall be a graduate of a school for dental hygienists that:</text> <level label="1"> <text>Requires at least 2 years of education in an institution of higher education;</text> </level> <level label="2"> <text>Is accredited by the American Dental Association Commission on Dental Accreditation; and</text> </level> <level label="3"> <text>Is approved by the Board.</text> </level> </level> <level label="g"> <level label="1"> <text>Unless the examination requirement is waived under § 4–306 or § 4–310 of this subtitle, and except as provided in § 4–303.1 of this subtitle, to qualify for a general license to practice dentistry or a general license to practice dental hygiene, the applicant shall pass an examination given by the Board under this subtitle.</text> </level> <level label="2"> <text>An examination is not required for a teacher’s license to practice dentistry, a limited license to practice dentistry, or a teacher’s license to practice dental hygiene.</text> </level> </level> <level label="h"> <text>In addition to the requirements of subsections (a), (b), (c), (d), and (e) of this section, to qualify for a teacher’s license to practice dentistry, the applicant shall:</text> <level label="1"> <text>Be licensed to practice dentistry in any other state;</text> </level> <level label="2"> <text>Have been active in the dental profession for at least 5 years;</text> </level> <level label="3"> <text>Be a full–time or part–time faculty member at a college or university where the applicant teaches a subject required by the dental school of that college or university; and</text> </level> <level label="4"> <text>If the applicant is engaged in a teaching area that is designated as a specialty by the National Commission on Recognition of Dental Specialties and Certifying Boards, meet the requirements established by the National Commission on Recognition of Dental Specialties and Certifying Boards for that specialty.</text> </level> </level> <level label="i"> <text>In addition to the requirements of subsections (a), (b), (d), and (f) of this section, to qualify for a teacher’s license to practice dental hygiene, the applicant shall:</text> <level label="1"> <text>Be licensed to practice dental hygiene in any other state;</text> </level> <level label="2"> <text>Have been active as a dental hygienist for at least 5 years before applying for the teacher’s license to practice dental hygiene; and</text> </level> <level label="3"> <text>Be a full–time or part–time faculty member at a dental school where the applicant teaches a subject required by that school.</text> </level> </level> <level label="j"> <text>In addition to the requirements of subsections (a), (b), (c), (d), and (e) of this section, to qualify for a retired volunteer dentist’s license to practice dentistry, the applicant shall:</text> <level label="1"> <text>Have had a general license to practice dentistry issued under this title within the last 2 years;</text> </level> <level label="2"> <text>Complete the continuing education requirements that the Board establishes for a general license; and</text> </level> <level label="3"> <text>Provide dental services as required under § 4–308(c) of this subtitle.</text> </level> </level> <level label="k"> <text>In addition to the requirements of subsections (a), (b), (d), and (f) of this section, to qualify for a retired dental hygienist’s license to practice dental hygiene, the applicant shall:</text> <level label="1"> <text>Have had a general license to practice dental hygiene under this title within the last 2 years;</text> </level> <level label="2"> <text>Complete the continuing education requirements that the Board establishes for a general license; and</text> </level> <level label="3"> <text>Provide dental hygiene services as required under § 4–308(g) of this subtitle.</text> </level> </level> <level label="l"> <text>In addition to the requirements of subsections (a), (b), (c), (d), and (e) of this section, to qualify for a volunteer dentist’s license to practice dentistry, the applicant shall:</text> <level label="1"> <text>Satisfy the requirements of § 4–306(b)(1) and (d)(2) of this subtitle;</text> </level> <level label="2"> <text>Hold an active license to practice dentistry in another state or in the District of Columbia;</text> </level> <level label="3"> <text>Complete the continuing education requirements that the Board establishes for a general license;</text> </level> <level label="4"> <text>Provide dental services exclusively in the manner described in § 4–308(c) of this subtitle; and</text> </level> <level label="5"> <text>Immediately upon ceasing to provide services exclusively in the manner described in § 4–308(c) of this subtitle, surrender the volunteer license to the Board.</text> </level> </level> <level label="m"> <text>In addition to the requirements of subsections (a), (b), (c), (d), and (f) of this section, to qualify for a volunteer dental hygienist’s license to practice dental hygiene, an applicant shall:</text> <level label="1"> <text>Satisfy the requirements of § 4–306(b)(2) and (e)(2) of this subtitle;</text> </level> <level label="2"> <text>Hold an active license to practice dental hygiene in another state or in the District of Columbia;</text> </level> <level label="3"> <text>Complete the continuing education requirements that the Board establishes for a general license;</text> </level> <level label="4"> <text>Provide dental hygiene services exclusively in the manner described in § 4–308(g) of this subtitle; and</text> </level> <level label="5"> <text>Immediately upon ceasing to provide services exclusively in the manner described in § 4–308(g) of this subtitle, surrender the volunteer license to the Board.</text> </level> </level> <level label="n"> <text>To qualify for a limited license to practice dentistry, the applicant shall meet the requirements set forth in subsections (a), (b), (c), (d), and (e) of this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-302.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>To qualify for a certificate to be an expanded function dental assistant, an applicant shall be an individual who meets the requirements of this section.</text> </level> <level label="b"> <text>The applicant must be of good moral character.</text> </level> <level label="c"> <text>The applicant must be at least 18 years old.</text> </level> <level label="d"> <text>The applicant must:</text> <level label="1"> <text>Be a high school graduate or have attained a high school equivalency;</text> </level> <level label="2"> <text>Have successfully completed a course of study approved, subject to subsection (e) of this section, by the Board related to the intraoral procedure for which the applicant has applied for a certificate;</text> </level> <level label="3"> <text>Have the appropriate certification from the Dental Assisting National Board;</text> </level> <level label="4"> <text>Have passed any examination provided for in a regulation adopted by the Board; and</text> </level> <level label="5"> <text>Submit to a State criminal history records check.</text> </level> </level> <level label="e"> <text>The Board may not approve a course of study under subsection (d)(2) of this section unless the course of study is part of:</text> <level label="1"> <text>A U.S. Department of Labor Job Corps dental assisting program;</text> </level> <level label="2"> <text>A dental assisting program located within an institution of postsecondary education that is accredited by an accrediting institution recognized by the U.S. Department of Education;</text> </level> <level label="3"> <text>A dental assisting program that is located within a high school and is recognized by an accrediting body recognized by the U.S. Department of Education or the high school accrediting body of a state;</text> </level> <level label="4"> <text>A dental assisting program that is accredited by the Council on Dental Accreditation, or a successor organization;</text> </level> <level label="5"> <text>A dental assisting course or program offered by the Dale Foundation, an affiliate of the Dental Assisting National Board, or any successor entity; or</text> </level> <level label="6"> <text>An orthodontic dental assisting course or program offered by the Trapezio Orthodontic Assistant Training Solutions, or any successor entity.</text> </level> </level> <level label="f"> <level label="1"> <text>A course of study for initial certification under this section shall include at least 35 hours of instruction consisting of both online and in–person instruction.</text> </level> <level label="2"> <text>The Board shall adopt regulations specifying the required number of hours for in–person instruction, online instruction, and clinical hands–on training.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-302.2" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>In this section, “Central Repository” means the Criminal Justice Information System Central Repository of the Department of Public Safety and Correctional Services.</text> </level> <level label="b"> <text>An applicant shall apply to the Central Repository for a State and national criminal history records check.</text> </level> <level label="c"> <text>As part of the application for a criminal history records check, an applicant shall complete and submit to the Central Repository:</text> <level label="1"> <text>A complete set of legible fingerprints taken in a format approved by the Director of the Central Repository and the Director of the Federal Bureau of Investigation;</text> </level> <level label="2"> <text>The fee authorized under § 10–221(b)(7) of the Criminal Procedure Article for access to Maryland criminal history records; and</text> </level> <level label="3"> <text>The mandatory processing fee required by the Federal Bureau of Investigation for a national criminal history records check.</text> </level> </level> <level label="d"> <text>In accordance with §§ 10–201 through 10–229 of the Criminal Procedure Article, the Central Repository shall forward to the Board and the individual the individual’s criminal history record information.</text> </level> <level label="e"> <text>Information obtained from the Central Repository under this section:</text> <level label="1"> <text>Is confidential;</text> </level> <level label="2"> <text>May not be redisseminated; and</text> </level> <level label="3"> <text>May be used only for the licensing purpose authorized by this title.</text> </level> </level> <level label="f"> <text>The subject of a criminal history records check under this section may contest the contents of the criminal history record information issued by the Central Repository as provided in § 10–223 of the Criminal Procedure Article.</text> </level> <level label="g"> <text>If criminal history record information is reported to the Central Repository after the date of the initial criminal history records check, the Central Repository shall provide to the Board and the individual revised criminal history record information for the individual.</text> </level> <level label="h"> <text>On receipt of the criminal history record information of an applicant for licensure or certification forwarded to the Board in accordance with this section, in determining whether to grant a license or certificate, the Board shall consider:</text> <level label="1"> <text>The age at which the crime was committed;</text> </level> <level label="2"> <text>The circumstances surrounding the crime;</text> </level> <level label="3"> <text>The length of time that has passed since the crime;</text> </level> <level label="4"> <text>Subsequent work history;</text> </level> <level label="5"> <text>Employment and character references; and</text> </level> <level label="6"> <text>Other evidence that demonstrates whether the applicant poses a threat to the public health or safety.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-303" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to the provisions of this section, the Board may waive the education requirements of § 4-302 of this subtitle for an applicant for a limited license who does not hold a degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or the equivalent from a college or university that is authorized by any state or any province of Canada to grant the degree and is recognized by the Board under § 4-302(d)(2) of this subtitle.</text> </level> <level label="b"> <text>The Board may grant a waiver under this section only if the applicant:</text> <level label="1"> <text>Completes at least 2 years of formal general clinical training in a college or university that is authorized by any state or any province of Canada to grant the degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or the equivalent and is recognized by the Board under § 4-302(d)(2) of this subtitle; and</text> </level> <level label="2"> <text>Meets any other requirements that the Board establishes for a waiver of the education requirements of § 4-302 of this subtitle.</text> </level> </level> <level label="c"> <level label="1"> <text>Notwithstanding the provisions of subsection (b) of this section and § 4-302(g) of this subtitle, the Board may grant a waiver for a teacher’s license if it finds that:</text> <level label="i"> <text>The applicant holds a degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or an equivalent degree from a school, college, or faculty of dentistry;</text> </level> <level label="ii"> <text>The applicant demonstrates that the applicant has had at least 5 years of clinical dental experience;</text> </level> <level label="iii"> <text>The applicant is found to be of good moral character and professionally competent;</text> </level> <level label="iv"> <text>The Dean of the University of Maryland Dental School requests the waiver and circumstances exist that justify the granting of a waiver; and</text> </level> <level label="v"> <text>The applicant is appointed to a full-time or part-time faculty position at the University of Maryland Dental School.</text> </level> </level> <level label="2"> <text>A teacher’s license granted pursuant to a waiver under paragraph (1) of this subsection:</text> <level label="i"> <text>Authorizes the licensee to practice dentistry to the same extent as other faculty members who hold general licenses to practice dentistry, provided that the licensee only practices dentistry at established teaching sites and faculty programs of the University of Maryland Dental School; and</text> </level> <level label="ii"> <text>Shall be surrendered immediately to the Board when the licensee ceases to hold an appointment as a full-time or part-time faculty member of the University of Maryland Dental School.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-303.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to the provisions of this section, the Board may waive the education requirements of § 4–302 of this subtitle for an applicant for a limited license to practice dentistry who does not hold a degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or the equivalent from a college or university that is authorized by any state or any province of Canada to grant the degree and is recognized by the Board under § 4–302(d)(2) of this subtitle.</text> </level> <level label="b"> <text>The Board may grant a waiver under this section only if:</text> <level label="1"> <text>The applicant:</text> <level label="i"> <text>Holds a degree of Doctor of Dental Surgery, Doctor of Dental Medicine, or an equivalent degree from a school, college, or faculty of dentistry other than one located in the United States or Canada;</text> </level> <level label="ii"> <text>Has successfully completed at least a 2–year dentistry residency program at a dental school or a hospital authorized by any state and which is recognized by the Board;</text> </level> <level label="iii"> <text>Either is a dental fellow, or has successfully completed a dental fellowship, at the University of Maryland School of Dentistry or another dental school recognized by the Board;</text> </level> <level label="iv"> <text>Is contractually obligated to provide dental services for at least 2 years:</text> <level label="1"> <text>In a public health dental clinic operated by the State or a county or municipality of the State; or</text> </level> <level label="2"> <text>In a federally qualified health center or Maryland qualified health center only to Medicaid, uninsured, or indigent patients or patients who otherwise qualify for dental care in a public health dental clinic;</text> </level> </level> <level label="v"> <text>Limits practice to the public health dental clinic, federally qualified health center, or Maryland qualified health center for which the applicant has contractually agreed to provide dental services;</text> </level> <level label="vi"> <text>Is found to be of good moral character and professionally competent; and</text> </level> <level label="vii"> <text>Meets any other requirements that the Board may reasonably require; and</text> </level> </level> <level label="2"> <text>The health officer of the public health program or dental director of the federally qualified health center or Maryland qualified health center for which the applicant has contractually agreed to provide at least 2 years of dental services requests the waiver from the Board and states that circumstances exist to justify granting the waiver.</text> </level> </level> <level label="c"> <text>A limited license to practice dentistry issued to an applicant for a waiver under this section shall expire and be surrendered immediately to the Board if:</text> <level label="1"> <text>The licensee’s contract with the public health dental clinic, federally qualified health center, or Maryland qualified health center expires; or</text> </level> <level label="2"> <text>The licensee fails, for any reason, to fully satisfy the licensee’s obligations under subsection (b)(1)(iv) and (v) of this section.</text> </level> </level> <level label="d"> <text>The Board may issue a general license to a limited licensee who was granted a waiver under this section if the limited licensee:</text> <level label="1"> <text>Successfully completes at least a 2–year contractual obligation to provide dental care in accordance with subsection (b)(1)(iv) of this section;</text> </level> <level label="2"> <text>Submits an application for a general license to practice dentistry on a form provided by the Board;</text> </level> <level label="3"> <text>Passes the ADLEX as defined in § 4–306(a)(4) of this subtitle;</text> </level> <level label="4"> <text>Passes the Maryland Dental Jurisprudence Examination given by the Board or its designee;</text> </level> <level label="5"> <text>Passes the National Board Examinations;</text> </level> <level label="6"> <text>Demonstrates oral English competency by scoring 220 or better for overall comprehension and 2.0 or better for pronunciation, grammar, and fluency on the test of spoken English administered by the Educational Testing Service; and</text> </level> <level label="7"> <text>Is found to be of good moral character.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-304" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>To apply for a license, an applicant shall:</text> <level label="1"> <text>Submit an application to the Board on the form that the Board requires;</text> </level> <level label="2"> <text>Submit to a criminal history records check in accordance with § 4–302.2 of this subtitle; and</text> </level> <level label="3"> <text>Pay to the Board an application fee set by the Board.</text> </level> </level> <level label="b"> <text>In addition to the other requirements of this section, an applicant for a limited license to practice dentistry shall submit to the Board a written request, from the hospital, sanatorium, dental school, or public health program to which the practice is to be limited, that the license be issued.</text> </level> <level label="c"> <text>To apply for a retired volunteer dentist’s license, a volunteer dentist’s license, or a temporary volunteer dentist’s license to practice dentistry, an applicant:</text> <level label="1"> <text>Shall submit an application to the Board on the form that the Board requires; and</text> </level> <level label="2"> <text>May not be required to pay an application fee.</text> </level> </level> <level label="d"> <level label="1"> <text>At least 30 days before the examination, an applicant for a general license to practice dental hygiene shall submit the application to the Board.</text> </level> <level label="2"> <text>In addition to the other requirements of this section, an applicant for a license to practice dental hygiene shall submit to the Board:</text> <level label="i"> <text>Satisfactory evidence of graduation from a dental hygiene program accredited by the American Dental Association Commission on Dental Accreditation; and</text> </level> <level label="ii"> <text>Any other credentials that the Board requires.</text> </level> </level> </level> <level label="e"> <text>To apply for a retired volunteer dental hygienist’s license, a volunteer dental hygienist’s license, or a temporary volunteer dental hygienist’s license to practice dental hygiene, an applicant:</text> <level label="1"> <text>Shall submit an application to the Board on the form that the Board requires; and</text> </level> <level label="2"> <text>May not be required to pay an application fee.</text> </level> </level> <level label="f"> <text>To apply for a temporary dental clinic permit, an applicant:</text> <level label="1"> <text>Shall submit an application on the form that the Board requires; and</text> </level> <level label="2"> <text>May not be required to pay an application fee.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-304.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <text>To apply for a certificate to be an expanded function dental assistant, an applicant shall:</text> <level label="1"> <text>Submit an application to the Board in a manner that the Board requires; and</text> </level> <level label="2"> <text>Pay to the Board an application fee set by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-305" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>An applicant who otherwise qualifies for a general license to practice dentistry or a general license to practice dental hygiene is entitled to be examined as provided in this section.</text> </level> <level label="b"> <text>The Board shall notify each qualified applicant of the time and place of examination.</text> </level> <level label="c"> <text>The Board shall determine the subjects, scope, form, and passing score for examinations given under this title.</text> </level> <level label="d"> <text>An applicant shall pay:</text> <level label="1"> <text>To the Board an examination fee set by the Board in an amount that does not exceed the costs of administering the examination; or</text> </level> <level label="2"> <text>To an examining body designated by the Board an examination fee set by the examining body as approved by the Board.</text> </level> </level> <level label="e"> <text>An applicant who fails an examination 4 times may not be licensed.</text> </level> <level label="f"> <text>Consumer members of the Board may only participate in the proctoring or monitoring of examinations under this title.</text> </level> <level label="g"> <text>Unless authorized by the Board, a dental hygienist member of the Board may not participate in any activity relating to the examination of dentists under this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-305.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>An applicant who otherwise qualifies for a certificate to be an expanded function dental assistant is entitled to be examined as provided for in this section.</text> </level> <level label="b"> <text>The Board shall notify each qualified applicant of the time and place of the examination.</text> </level> <level label="c"> <text>The Board shall determine the subjects, scope, form, and passing score for examinations given under this section.</text> </level> <level label="d"> <text>An applicant shall pay to the Board an examination fee set by the Board in an amount that does not exceed the costs of administering the examination.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-306" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“ADEX” means the American Board of Dental Examiners, Inc., or its successor organization.</text> </level> <level label="3"> <level label="i"> <text>“ADHLEX” means the American Dental Hygiene Licensing Examination designed and developed by ADEX, or its successor examination.</text> </level> <level label="ii"> <text>“ADHLEX” includes a written component and a clinical component.</text> </level> </level> <level label="4"> <level label="i"> <text>“ADLEX” means the American Dental Licensing Examination designed and developed by ADEX, or its successor examination.</text> </level> <level label="ii"> <text>“ADLEX” includes a written component and a clinical component.</text> </level> </level> </level> <level label="b"> <level label="1"> <text>A dentist licensed in any other state shall be issued a license in this State if the applicant:</text> <level label="i"> <level label="1"> <text>Has passed the ADLEX; and</text> </level> <level label="2"> <text>Has passed the Maryland Dental Jurisprudence Examination given by the Board or its designee; or</text> </level> </level> <level label="ii"> <level label="1"> <text>For the 5 preceding years, has been actively engaged in practicing dentistry for at least 850 hours on average per year;</text> </level> <level label="2"> <text>Has passed an examination with a clinical component as a requirement for licensure in another state;</text> </level> <level label="3"> <text>Has passed a comprehensive written examination on applied clinical diagnosis and treatment planning administered by ADEX; and</text> </level> <level label="4"> <text>Has passed the Maryland Dental Jurisprudence Examination given by the Board or its designee.</text> </level> </level> </level> <level label="2"> <text>A dental hygienist licensed in any other state shall be issued a license in this State if the applicant:</text> <level label="i"> <level label="1"> <text>Has passed the ADHLEX; and</text> </level> <level label="2"> <text>Has passed the Maryland Dental Hygiene Jurisprudence Examination given by the Board or its designee; or</text> </level> </level> <level label="ii"> <level label="1"> <text>For the 3 preceding years, has been actively engaged in practicing dental hygiene for at least 150 hours on average per year;</text> </level> <level label="2"> <text>Has passed an examination with a clinical component as a requirement for licensure in another state;</text> </level> <level label="3"> <text>Has passed a comprehensive written examination on applied clinical diagnosis and treatment planning administered by ADEX; and</text> </level> <level label="4"> <text>Has passed the Maryland Dental Hygiene Jurisprudence Examination given by the Board or its designee.</text> </level> </level> </level> </level> <level label="c"> <level label="1"> <text>The Board may adopt regulations for the content and administration of examinations and any other regulations necessary to provide for the licensure of individuals who apply for a license to practice dentistry under subsection (b)(1) of this section.</text> </level> <level label="2"> <text>The Board may adopt regulations for the content and administration of examinations and any other regulations necessary to provide for the licensure of individuals who apply for a license to practice dental hygiene under subsection (b)(2) of this section.</text> </level> </level> <level label="d"> <text>An applicant for a general license to practice dentistry under this section shall:</text> <level label="1"> <text>Pay the application fee required by § 4–304 of this subtitle; and</text> </level> <level label="2"> <text>Provide adequate evidence that the applicant:</text> <level label="i"> <text>Meets the qualifications otherwise required by this title for a general license to practice dentistry;</text> </level> <level label="ii"> <text>Holds a license to practice dentistry in another state;</text> </level> <level label="iii"> <text>Has satisfied the examination requirements provided in subsection (b)(1) of this section;</text> </level> <level label="iv"> <text>Is not being investigated by a disciplinary authority of another state, does not have charges pending against the applicant’s license, and has not been disciplined by a disciplinary or licensing authority of any other state or country, or been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under § 4–315 of this subtitle; and</text> </level> <level label="v"> <text>Has not previously failed an examination for licensure as a dentist in this State.</text> </level> </level> </level> <level label="e"> <text>An applicant for a general license to practice dental hygiene under this section shall:</text> <level label="1"> <text>Pay the application fee required by § 4–304 of this subtitle; and</text> </level> <level label="2"> <text>Provide adequate evidence that the applicant:</text> <level label="i"> <text>Meets the qualifications otherwise required by this title for a general license to practice dental hygiene;</text> </level> <level label="ii"> <text>Holds a license to practice dental hygiene in another state;</text> </level> <level label="iii"> <text>Has satisfied the examination requirements provided in subsection (b)(2) of this section;</text> </level> <level label="iv"> <text>Is not being investigated by a disciplinary authority of another state, does not have charges pending against the applicant’s license, and has not been disciplined by a disciplinary or licensing authority of any other state or country, or been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under § 4–315 of this subtitle; and</text> </level> <level label="v"> <text>Has not previously failed an examination for licensure as a dental hygienist in this State.</text> </level> </level> </level> <level label="f"> <text>If an applicant meets the requirements for licensure under this section, the Board shall issue the license within 15 business days after receiving the completed application.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-306.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>A dentist who is a faculty member at the University of Maryland School of Dentistry and was trained at a foreign dental school shall be qualified by the Board to take an examination offered by ADEX, as defined in § 4–306 of this subtitle, if the applicant:</text> <level label="1"> <level label="i"> <level label="1"> <text>Completes training in a dental specialty recognized by the Board; and</text> </level> <level label="2"> <text>Is board certified in a dental specialty recognized by the Board; or</text> </level> </level> <level label="ii"> <text>Is a general dentist who:</text> <level label="1"> <text>Has successfully completed:</text> </level> <level label="A"> <text>A general dental practice residency; or</text> </level> <level label="B"> <text>Advanced education in a general dentistry program; or</text> </level> <level label="2"> <text>Is board certified by the American Board of General Dentistry;</text> </level> </level> </level> <level label="2"> <text>At the time the application is made, is a full–time faculty member at the University of Maryland School of Dentistry who has completed at least 7 consecutive years as a full–time faculty member; and</text> </level> <level label="3"> <text>Submits to the Board a written letter of support from the University of Maryland School of Dentistry stating that the school supports the applicant to take the ADEX examination.</text> </level> </level> <level label="b"> <text>If the dentist receives a passing score on the ADEX examination, the dentist may apply for a general license to practice dentistry.</text> </level> <level label="c"> <text>A dentist who applied for a general license to practice dentistry under subsection (b) of this section and was issued a general license shall surrender the license if the dentist violates any provision of this title or any regulation adopted by the Board.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-307" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board shall issue the appropriate license to any applicant who meets the requirements of this title for that license.</text> </level> <level label="b"> <level label="1"> <text>The Board shall include on each license that the Board issues:</text> <level label="i"> <text>The name of the licensee;</text> </level> <level label="ii"> <text>The date the license was issued;</text> </level> <level label="iii"> <text>A serial number;</text> </level> <level label="iv"> <text>The signatures of the president and secretary of the Board; and</text> </level> <level label="v"> <text>The seal of the Board.</text> </level> </level> <level label="2"> <text>On a limited license to practice dentistry, the Board also shall include:</text> <level label="i"> <text>The date the license expires, for a license that expires on the first anniversary of its effective date; and</text> </level> <level label="ii"> <text>The name of the institution or public health program at which the licensee is authorized to practice dentistry.</text> </level> </level> <level label="3"> <text>On a teacher’s license to practice dentistry, the Board also shall include the name of the college or university at which the licensee is a full-time or part-time faculty member.</text> </level> <level label="4"> <text>On a teacher’s license to practice dental hygiene, the Board also shall include the name of the dental school at which the licensee is a full-time or part-time faculty member.</text> </level> </level> <level label="c"> <text>The Board shall issue a license to replace a lost or destroyed license if the licensee pays a fee set by the Board that approximates the actual cost of replacing the license.</text> </level> <level label="d"> <text>The Board may not issue a license if the criminal history record information required under § 4–302.2 of this subtitle has not been received.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-307.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board shall issue an appropriate certificate to any applicant who meets the requirements of this title and regulations adopted by the Board for that certificate.</text> </level> <level label="b"> <text>The Board shall include on each certificate that the Board issues:</text> <level label="1"> <text>The name of the certified individual;</text> </level> <level label="2"> <text>The date the certificate was issued;</text> </level> <level label="3"> <text>The intraoral procedures that the expanded function dental assistant is qualified to perform;</text> </level> <level label="4"> <text>A serial number;</text> </level> <level label="5"> <text>The signatures of the president and secretary of the Board; and</text> </level> <level label="6"> <text>The seal of the Board.</text> </level> </level> <level label="c"> <text>The Board shall issue a certificate to replace a lost or destroyed certificate if the expanded function dental assistant pays a fee set by the Board that approximates the actual cost of replacing the certificate.</text> </level> <level label="d"> <text>An individual may be simultaneously certified as a dental radiation technologist under § 4–505 of this title and as an expanded function dental assistant.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-308" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>A general license to practice dentistry issued under this title authorizes the licensee to practice dentistry while the license is effective.</text> </level> <level label="b"> <text>While it is effective, a limited license to practice dentistry issued under this title authorizes the licensee to practice dentistry, including as an intern or a resident:</text> <level label="1"> <text>Only for the institution or public health program named on the license; and</text> </level> <level label="2"> <text>Only on patients of the institution or public health program named on the license.</text> </level> </level> <level label="c"> <text>While it is effective, a retired volunteer dentist’s license or a volunteer dentist’s license to practice dentistry issued under this title authorizes the licensee to practice dentistry:</text> <level label="1"> <text>Only in a dental office, dental clinic, ambulatory care facility, or hospital;</text> </level> <level label="2"> <text>Only for an entity providing medical care to the poor, elderly, or disabled that is operated by:</text> <level label="i"> <text>The State or a local government;</text> </level> <level label="ii"> <text>A bona fide charitable organization; or</text> </level> <level label="iii"> <text>Any other entity authorized under regulations adopted by the Board;</text> </level> </level> <level label="3"> <text>If the dentist signs a written statement agreeing to donate at least 100 hours of dental services without compensation in a facility that satisfies the requirements of items (1) and (2) of this subsection;</text> </level> <level label="4"> <text>If the dentist provides documentation as required by the Board which evidences that the licensee is covered by malpractice insurance; and</text> </level> <level label="5"> <text>If the dentist does not otherwise practice dentistry for profit in Maryland.</text> </level> </level> <level label="d"> <level label="1"> <text>While it is effective, a temporary volunteer dentist’s license issued under this title authorizes the licensee to practice dentistry:</text> <level label="i"> <text>Only in a temporary dental clinic providing medical care to the poor, elderly, or disabled that is operated by:</text> <level label="1"> <text>A bona fide charitable organization;</text> </level> <level label="2"> <text>The State or a local government; or</text> </level> <level label="3"> <text>A local health department;</text> </level> </level> <level label="ii"> <text>If:</text> <level label="1"> <text>The dentist holds a general license to practice dentistry in another state that permits clinical practice and the dentist is not subject to clinical restrictions; and</text> </level> <level label="2"> <text>The dentist has:</text> </level> <level label="A"> <text>Passed the North East Regional Board Clinical Examination; or</text> </level> <level label="B"> <text>Submitted to the Board a notarized affidavit or other evidence satisfactory to the Board indicating that for the 5 years preceding application, the applicant has actively engaged in practicing dentistry for at least 850 hours on average per year;</text> </level> </level> <level label="iii"> <text>If the dentist has fulfilled any requirements of the Board relating to knowledge of the regulations adopted by the Board and the laws concerning the practice of dentistry in the State;</text> </level> <level label="iv"> <text>If the dentist provides a notarized affidavit to the Board agreeing to donate dental services without compensation for a temporary dental clinic that satisfies the requirements of subsection (i) of this section;</text> </level> <level label="v"> <text>If the dentist provides documentation as required by the Board that evidences that the dentist is covered by malpractice insurance;</text> </level> <level label="vi"> <text>If the dentist does not otherwise practice dentistry for profit in the State; and</text> </level> <level label="vii"> <text>If the dentist provides verification of current cardiopulmonary resuscitation certification.</text> </level> </level> <level label="2"> <text>A dentist who holds a temporary volunteer dentist’s license may not administer, maintain, or monitor general anesthesia or sedation.</text> </level> <level label="3"> <text>A dentist who holds a temporary volunteer dentist’s license may only provide services authorized under the Maryland Dentistry Act and the regulations adopted by the Board.</text> </level> <level label="4"> <text>A dentist who holds a temporary volunteer dentist’s license or the temporary dental clinic in which the dentist is providing services shall provide a form to a patient at the conclusion of treatment that contains:</text> <level label="i"> <text>A summary of the services that were provided to the patient by the dentist and, if applicable, the dental hygienist; and</text> </level> <level label="ii"> <text>Instructions for any recommended follow–up dental care.</text> </level> </level> <level label="5"> <text>The Board may deny a temporary volunteer dentist’s license on the grounds provided under § 4–315 of this subtitle.</text> </level> <level label="6"> <text>A temporary volunteer dentist’s license issued to a dentist under this title shall be issued for the duration of the temporary dental clinic only and may not be renewed.</text> </level> <level label="7"> <text>The Board may issue a temporary volunteer dentist’s license to a dentist who previously held a temporary volunteer dentist’s license if the dentist applies for a new license and satisfies the requirements of this subtitle.</text> </level> <level label="8"> <text>The Board may not require continuing education as a condition for the issuance of a temporary volunteer dentist’s license.</text> </level> </level> <level label="e"> <text>While it is effective, a teacher’s license to practice dentistry issued under this title authorizes the licensee to practice dentistry at only the following institutions:</text> <level label="1"> <text>The institution named on the license; and</text> </level> <level label="2"> <text>Other affiliated institutions as appropriate because of the specialized nature of the services to be performed.</text> </level> </level> <level label="f"> <level label="1"> <text>Except as provided in subsection (k) of this section, while it is effective, a general license to practice dental hygiene issued under this title authorizes the licensee to practice dental hygiene:</text> <level label="i"> <text>Under the supervision of a licensed dentist who is:</text> <level label="1"> <text>On the premises and available for personal consultation while the services are being performed; or</text> </level> <level label="2"> <text>Not on the premises while authorized dental hygiene services are provided when the requirements of subsection (l) of this section have been fully satisfied; and</text> </level> </level> <level label="ii"> <text>Only in a:</text> <level label="1"> <text>Dental office;</text> </level> <level label="2"> <text>Dental clinic;</text> </level> <level label="3"> <text>Hospital;</text> </level> <level label="4"> <text>School;</text> </level> <level label="5"> <text>Charitable institution; or</text> </level> <level label="6"> <text>Health maintenance organization certified by the State Insurance Commissioner.</text> </level> </level> </level> <level label="2"> <level label="i"> <text>The Board may waive, on a case by case basis only, the supervision requirements of this subsection for:</text> <level label="1"> <text>A dental facility owned and operated by the federal, the State, or a local government;</text> </level> <level label="2"> <text>A health facility licensed by the Maryland Department of Health;</text> </level> <level label="3"> <text>A facility providing medical care to the poor, elderly, or handicapped that is owned and operated by:</text> </level> <level label="A"> <text>The State or a local government; or</text> </level> <level label="B"> <text>A bona fide charitable organization; or</text> </level> <level label="4"> <text>Any other setting authorized under regulations adopted by the Board.</text> </level> </level> <level label="ii"> <text>A waiver is not required to practice dental hygiene under general supervision in accordance with subsection (k) of this section.</text> </level> </level> <level label="3"> <text>The Board may grant a waiver under paragraph (2) of this subsection if:</text> <level label="i"> <text>The facility requesting the waiver has submitted a written application;</text> </level> <level label="ii"> <text>The facility requesting the waiver has submitted a medical emergency plan of action at the time of application; and</text> </level> <level label="iii"> <text>The Board finds that:</text> <level label="1"> <text>Good cause exists to justify the granting of the waiver;</text> </level> <level label="2"> <text>Adequate facilities and equipment, including portable equipment where appropriate and appropriate armamentarium, are available for the appropriate delivery of dental hygiene services; and</text> </level> <level label="3"> <text>Adequate safeguards are present to protect the patient’s health and safety.</text> </level> </level> </level> <level label="4"> <level label="i"> <text>The Board, upon written request or its own motion, may conduct a public informational meeting on any waiver application.</text> </level> <level label="ii"> <text>The Board shall maintain records of all waiver applications and the criteria and basis for its action on each application.</text> </level> <level label="iii"> <text>The Board shall have the power to inspect or review any facility, location, person, or entity applying for, covered by, or acting under a waiver.</text> </level> </level> <level label="5"> <level label="i"> <text>Except as provided under subparagraph (ii) of this paragraph, the Board shall accept or deny a waiver under paragraph (2) of this subsection within 60 calendar days of the receipt of the application for the waiver or it shall be deemed to have been accepted.</text> </level> <level label="ii"> <text>If extraordinary circumstances exist, the Board shall accept or deny a waiver under paragraph (2) of this subsection within 90 calendar days of the receipt of the application for the waiver or it shall be deemed to have been accepted.</text> </level> </level> <level label="6"> <text>Any changes in the procedures or personnel of a facility with a waiver granted under this subsection shall be reported to the Board within 15 business days after the change.</text> </level> </level> <level label="g"> <text>While it is effective, a retired volunteer dental hygienist’s license or a volunteer dental hygienist’s license to practice dental hygiene issued under this title authorizes the licensee to practice dental hygiene:</text> <level label="1"> <text>Only in a dental office, dental clinic, ambulatory care facility, or hospital;</text> </level> <level label="2"> <text>Only for an entity providing medical care to the poor, elderly, or handicapped that is operated by:</text> <level label="i"> <text>The State or a local government;</text> </level> <level label="ii"> <text>A bona fide charitable organization; or</text> </level> <level label="iii"> <text>Any other entity authorized under regulations adopted by the Board;</text> </level> </level> <level label="3"> <text>If the dental hygienist signs a written statement agreeing to donate at least 100 hours of dental hygiene services without compensation in a facility that satisfies the requirements of items (1) and (2) of this subsection;</text> </level> <level label="4"> <text>If the dental hygienist provides documentation as required by the Board which evidences that the licensee is covered by malpractice insurance; and</text> </level> <level label="5"> <text>If the dental hygienist does not otherwise practice dental hygiene for profit in Maryland.</text> </level> </level> <level label="h"> <level label="1"> <text>While it is effective, a temporary volunteer dental hygienist’s license issued under this title authorizes the licensee to practice dental hygiene:</text> <level label="i"> <text>Only in a temporary dental clinic providing medical care to the poor, elderly, or disabled that is operated by:</text> <level label="1"> <text>A bona fide charitable organization;</text> </level> <level label="2"> <text>The State or a local government; or</text> </level> <level label="3"> <text>A local health department;</text> </level> </level> <level label="ii"> <text>If the dental hygienist holds a general license to practice dental hygiene in another state that permits clinical practice and the dental hygienist is not subject to clinical restrictions;</text> </level> <level label="iii"> <text>In addition to holding a general license to practice dental hygiene, if the dental hygienist:</text> <level label="1"> <text>Provides documentation as required by the Board which evidences that the dental hygienist passed the North East Regional Board Clinical Examination; or</text> </level> <level label="2"> <text>Submits to the Board a notarized affidavit or other evidence satisfactory to the Board indicating that for the 3 years preceding application, the dental hygienist has actively engaged in practicing dental hygiene for at least 150 hours on average per year;</text> </level> </level> <level label="iv"> <text>If the dental hygienist has fulfilled any requirements of the Board related to knowledge of the laws and regulations governing the practice of dental hygiene in the State;</text> </level> <level label="v"> <text>If the dental hygienist provides a notarized affidavit to the Board agreeing to donate dental hygiene services without compensation for a temporary dental clinic that satisfies the requirements of subsection (i) of this section;</text> </level> <level label="vi"> <text>If the dental hygienist provides documentation as required by the Board evidencing that the dental hygienist is covered by malpractice insurance;</text> </level> <level label="vii"> <text>If the dental hygienist does not otherwise practice dental hygiene for profit in the State; and</text> </level> <level label="viii"> <text>If the dental hygienist provides verification of current cardiopulmonary resuscitation certification.</text> </level> </level> <level label="2"> <text>A dental hygienist who holds a temporary volunteer dental hygienist’s license may only provide services authorized under the Maryland Dentistry Act and the regulations adopted by the Board.</text> </level> <level label="3"> <text>A dental hygienist who holds a temporary volunteer dental hygienist’s license may not:</text> <level label="i"> <text>Administer local anesthesia; or</text> </level> <level label="ii"> <text>Administer, maintain, or monitor nitrous oxide oxygen.</text> </level> </level> <level label="4"> <text>While it is effective, a temporary volunteer dental hygienist’s license issued under this title authorizes the licensee to practice dental hygiene under the general supervision of a dentist who:</text> <level label="i"> <text>Is on the premises;</text> </level> <level label="ii"> <text>Examines the patient at any time during the treatment; and</text> </level> <level label="iii"> <text>Is available for personal consultation while the services are being performed.</text> </level> </level> <level label="5"> <text>A dental hygienist may perform an assessment of dental needs and provide dental hygiene services prior to an examination by a supervising dentist.</text> </level> <level label="6"> <text>This subsection may not be construed to:</text> <level label="i"> <text>Require a preliminary dental examination or treatment by a dental hygienist; or</text> </level> <level label="ii"> <text>Prohibit a supervising dentist from either examining a patient or providing treatment to a patient prior to treatment by a dental hygienist.</text> </level> </level> <level label="7"> <text>The Board may deny a temporary volunteer license to practice dental hygiene on the grounds provided under § 4–315 of this subtitle.</text> </level> <level label="8"> <text>A temporary volunteer dental hygienist’s license issued to a dental hygienist under this section shall be issued for the duration of the temporary dental clinic only and may not be renewed.</text> </level> <level label="9"> <text>The Board may issue a temporary volunteer dental hygienist’s license to a dental hygienist who previously held a temporary volunteer dental hygienist’s license if the dental hygienist applies for a new license and satisfies the requirements of this subtitle.</text> </level> <level label="10"> <text>The Board may not require continuing education as a condition for the issuance of a temporary volunteer dental hygienist’s license.</text> </level> </level> <level label="i"> <level label="1"> <text>While it is effective, a temporary dental clinic permit issued to a bona fide charitable organization under this title authorizes the permit holder to utilize holders of a temporary volunteer dentist’s license or a temporary volunteer dental hygienist’s license to provide dental services to the poor, elderly, or disabled at a temporary dental clinic that is operated by the bona fide charitable organization.</text> </level> <level label="2"> <text>The Board shall issue a temporary dental clinic permit to a bona fide charitable organization that meets the requirements of this subsection.</text> </level> <level label="3"> <text>A temporary dental clinic permit issued to a bona fide charitable organization under this title shall be issued for the duration of the dental clinic only and may not be renewed.</text> </level> <level label="4"> <text>The Board may issue a temporary dental clinic permit to a bona fide charitable organization that previously held a temporary dental clinic permit if the bona fide charitable organization applies for a new permit and satisfies the requirements of this subtitle.</text> </level> <level label="5"> <text>A bona fide charitable organization that conducts a temporary dental clinic under this title may not be construed to be practicing dentistry as defined in § 4–101 of this title.</text> </level> <level label="6"> <level label="i"> <text>The State, a local government, or a local health department that provides dental services to the poor, elderly, or disabled:</text> <level label="1"> <text>May not be required by the Board to seek authorization under this title to provide the services; and</text> </level> <level label="2"> <text>Shall provide written notice to the Board of its intention to provide dental services to the poor, elderly, or disabled at least 60 days prior to the date the services are to be provided.</text> </level> </level> <level label="ii"> <text>A holder of an out–of–state license to practice dentistry or dental hygiene who would like to provide dental services sponsored by the State, a local government, or a local health department shall obtain a temporary volunteer dentist’s license or temporary volunteer dental hygienist’s license as provided in this title before providing the dental services.</text> </level> </level> <level label="7"> <text>A holder of a temporary dental clinic permit shall have:</text> <level label="i"> <text>A medical emergency plan;</text> </level> <level label="ii"> <text>Adequate equipment, including portable equipment where appropriate, and appropriate armamentarium available for the appropriate delivery of dental services; and</text> </level> <level label="iii"> <text>Adequate safeguards to protect the health and safety of patients.</text> </level> </level> <level label="8"> <text>The Board may:</text> <level label="i"> <text>Enter and inspect a temporary dental clinic in order to carry out a duty under this title; and</text> </level> <level label="ii"> <text>Conduct an investigation of a temporary dental clinic or a holder of a temporary volunteer dentist’s license or a temporary volunteer dental hygienist’s license providing dental services at the temporary dental clinic.</text> </level> </level> </level> <level label="j"> <text>While it is effective, a teacher’s license to practice dental hygiene issued under this title authorizes the licensee to:</text> <level label="1"> <text>Teach dental hygiene only at the institution named on the license; and</text> </level> <level label="2"> <text>Practice dental hygiene under the general supervision of a licensed dentist with the institution named on the license.</text> </level> </level> <level label="k"> <level label="1"> <level label="i"> <text>In this subsection the following words have the meanings indicated.</text> </level> <level label="ii"> <text>“Contractual employee” means a dental hygienist who has an annual contract to practice dental hygiene an average of at least 8 hours per week in a facility specified under paragraph (3)(i) of this subsection.</text> </level> <level label="iii"> <text>“Facility” includes a program operated within a facility that is specified under paragraph (3)(i) of this subsection.</text> </level> <level label="iv"> <text>“Federally qualified health center” has the meaning stated in 42 U.S.C. § 254b(a).</text> </level> <level label="v"> <text>“Federally qualified health center look–alike” has the meaning stated in 42 U.S.C. § 1396d(l)(2)(B).</text> </level> <level label="vi"> <text>“General supervision” means supervision of a dental hygienist by a dentist, where the dentist may or may not be present when the dental hygienist performs the dental hygiene procedures.</text> </level> </level> <level label="2"> <level label="i"> <text>While effective, a general license to practice dental hygiene issued under this title authorizes the licensee to practice dental hygiene and apply sealants or fluoride agents such as professional topical fluoride treatments, mouth rinse, or varnish:</text> <level label="1"> <text>Under general supervision in accordance with this subsection; and</text> </level> <level label="2"> <text>In a facility specified under paragraph (3)(i) of this subsection that complies with the requirements of this subsection.</text> </level> </level> <level label="ii"> <text>This subsection may not be construed to:</text> <level label="1"> <text>Authorize a dental hygienist to practice dental hygiene independent of a supervising dentist;</text> </level> <level label="2"> <text>Prohibit a dentist from being available for personal consultation or on the premises where a dental hygienist is practicing; or</text> </level> <level label="3"> <text>Require a waiver under subsection (f) of this section.</text> </level> </level> </level> <level label="3"> <level label="i"> <text>While it is effective, a general license to practice dental hygiene issued under this title authorizes the licensee to practice dental hygiene under general supervision in:</text> <level label="1"> <text>A dental facility owned and operated by the federal, the State, or a local government;</text> </level> <level label="2"> <text>A public health department or public school of the State or a county;</text> </level> <level label="3"> <text>A facility in which a program licensed by the Department is operating;</text> </level> <level label="4"> <text>A facility owned and operated by the Department of Juvenile Services;</text> </level> <level label="5"> <text>A facility owned and operated by the State or a local government that provides medical care to the poor, elderly, or handicapped;</text> </level> <level label="6"> <text>A facility in which a federally qualified health center or a federally qualified health center look–alike is located; or</text> </level> <level label="7"> <text>A facility in which a State licensed Head Start Program or Early Head Start Program operates.</text> </level> </level> <level label="ii"> <text>Before a facility may allow a dental hygienist authorized to practice dental hygiene under general supervision in accordance with this subsection to practice in the facility, the facility shall report to the Board:</text> <level label="1"> <text>That the facility is operating under general supervision; and</text> </level> <level label="2"> <text>The identity of each supervising dentist and each dental hygienist.</text> </level> </level> </level> <level label="4"> <text>A facility in which a dental hygienist is authorized to practice under the general supervision of a licensed dentist in accordance with this subsection shall ensure that:</text> <level label="i"> <text>The supervising dentist for the facility:</text> <level label="1"> <text>Holds an active general license to practice dentistry in the State;</text> </level> <level label="2"> <text>Holds a current certificate evidencing health provider level C proficiency, or its equivalent, in cardiopulmonary resuscitation; and</text> </level> <level label="3"> <text>Has at least 2 years of active clinical practice in direct patient care;</text> </level> </level> <level label="ii"> <text>Each dental hygienist authorized to practice under the general supervision of a licensed dentist in accordance with this subsection:</text> <level label="1"> <text>Holds an active general license to practice dental hygiene in the State;</text> </level> <level label="2"> <text>Holds a current certificate evidencing health provider level C proficiency, or its equivalent, in cardiopulmonary resuscitation;</text> </level> <level label="3"> <text>Has at least 2 years of active clinical practice in direct patient care; and</text> </level> <level label="4"> <text>Is a permanent or contractual employee of the federal government, a state or local government, or a federally qualified health center;</text> </level> </level> <level label="iii"> <text>The facility has:</text> <level label="1"> <text>A medical emergency plan;</text> </level> <level label="2"> <text>Adequate equipment, including portable equipment where appropriate and appropriate armamentarium, available for the appropriate delivery of dental hygiene services; and</text> </level> <level label="3"> <text>Adequate safeguards to protect the patient’s health and safety;</text> </level> </level> <level label="iv"> <text>A recall patient who has been examined by a dental hygienist practicing under the general supervision of a licensed dentist will be scheduled for an oral examination every 6 months, or as otherwise recommended by the supervising dentist;</text> </level> <level label="v"> <text>A dental hygienist practicing under the general supervision of a licensed dentist ascertains before treating a recall patient that there has been no change in the patient’s medical history;</text> </level> <level label="vi"> <text>A dental hygienist consults with the supervising dentist or the patient’s dentist and the treating physician, registered nurse practitioner, certified nurse midwife, or licensed certified midwife before proceeding with treatment if there is a change in the patient’s medical condition;</text> </level> <level label="vii"> <text>Adequate facilities and equipment are available for the delivery of dental hygiene services other than fluoride rinse programs; and</text> </level> <level label="viii"> <text>The facility reports to the Board any changes in the status of the facility’s general supervision, any supervising dentist, or any dental hygienist within 30 days after the change.</text> </level> </level> </level> <level label="l"> <level label="1"> <text>In this subsection, “private dental office” means a dental office owned and operated by:</text> <level label="i"> <text>A licensed dentist; or</text> </level> <level label="ii"> <text>A professional corporation, partnership, limited liability company, or limited liability partnership owned and controlled by a licensed dentist.</text> </level> </level> <level label="2"> <text>While it is effective, a general license to practice dental hygiene issued under this title authorizes the licensee to practice dental hygiene under the general supervision of a licensed dentist in a private dental office.</text> </level> <level label="3"> <text>A private dental office in which a dental hygienist is authorized to practice under the general supervision of a licensed dentist shall ensure that:</text> <level label="i"> <text>The supervising dentist holds an active license to practice dentistry in this State;</text> </level> <level label="ii"> <text>The dental hygienist holds an active license to practice dental hygiene in this State;</text> </level> <level label="iii"> <text>The dental hygienist has at least 1,500 hours of dental hygiene clinical practice in direct patient care; and</text> </level> <level label="iv"> <text>There is a written agreement between the supervising dentist and the dental hygienist practicing under general supervision that clearly sets forth the terms and conditions under which the dental hygienist may practice, including a statement that the dental hygienist may provide dental hygiene services without the supervising dentist on the premises.</text> </level> </level> <level label="4"> <text>A dental hygienist may perform authorized dental hygiene services without the supervising dentist on the premises only if:</text> <level label="i"> <text>After the supervising dentist examines and evaluates a patient, the prescribed and authorized treatment to be provided by the dental hygienist is written in the patient’s records;</text> </level> <level label="ii"> <level label="1"> <text>Treatments authorized by a supervising dentist to be provided by the dental hygienist are rendered no later than 7 months from the date the patient was examined and evaluated by the supervising dentist; and</text> </level> <level label="2"> <text>Upon expiration of a prescription or prescribed treatment, the supervising dentist examines and reevaluates the patient before writing a new prescription and authorization for treatment;</text> </level> </level> <level label="iii"> <text>Prior to an appointment, the patient or the custodial parent or legal guardian of a minor or incompetent adult shall:</text> <level label="1"> <text>Be informed that a dental hygienist will be providing services previously prescribed by a dentist who will not be on the premises during the appointment; and</text> </level> <level label="2"> <text>Consent to receiving the dental hygiene services;</text> </level> </level> <level label="iv"> <text>Written emergency procedures are in place and the dental hygienist is trained to implement the emergency procedures;</text> </level> <level label="v"> <text>A designated licensed dentist is available for consultation with the dental hygienist; and</text> </level> <level label="vi"> <text>The number of unsupervised clinical hours worked by a supervised dental hygienist in any given 3–month period is less than 60 percent of the dental hygienist’s total hours worked during that 3–month period.</text> </level> </level> <level label="5"> <text>A supervising dentist may not employ more than two dental hygienists to work under the dentist’s general supervision at any given time.</text> </level> </level> <level label="m"> <level label="1"> <level label="i"> <text>In this subsection the following words have the meanings indicated.</text> </level> <level label="ii"> <text>“Assisted living program” has the meaning stated in § 19–1801 of the Health – General Article.</text> </level> <level label="iii"> <text>“Clinical office” means an office of a licensed physician, registered nurse practitioner, certified nurse midwife, or licensed certified midwife who provides prenatal, postpartum, or primary care and in which the supervising dentist and dental hygienist communicate with the licensed physician, certified registered nurse practitioner, certified nurse midwife, or licensed certified midwife in providing dental hygiene services to a patient.</text> </level> <level label="iv"> <text>“Facility” means:</text> <level label="1"> <text>A nursing home;</text> </level> <level label="2"> <text>An assisted living program;</text> </level> <level label="3"> <text>Clinical offices; or</text> </level> <level label="4"> <text>A group home or adult day care center.</text> </level> </level> <level label="v"> <text>“General supervision” means supervision of a dental hygienist by a dentist, where the dentist may or may not be present when the dental hygienist performs the dental hygiene procedures.</text> </level> <level label="vi"> <text>“Group home or adult day care center” means a group home or adult day care center where the patient’s medical records are made available to the dentist and the dental hygienist and that obtains the consent of the patient or the patient’s guardian for dental hygiene services to be provided under this subsection.</text> </level> <level label="vii"> <text>“Nursing home” has the meaning stated in § 19–1401 of the Health – General Article.</text> </level> </level> <level label="2"> <level label="i"> <text>While it is effective, a general license to practice dental hygiene issued under this title authorizes the licensee to practice dental hygiene under the general supervision of a licensed dentist in a facility in accordance with this subsection.</text> </level> <level label="ii"> <text>This subsection may not be construed to:</text> <level label="1"> <text>Authorize a dental hygienist to practice dental hygiene independent of a supervising dentist;</text> </level> <level label="2"> <text>Prohibit a dentist from being available for personal consultation or on the premises where a dental hygienist is practicing;</text> </level> <level label="3"> <text>Prohibit a dental hygienist, without the supervision of a dentist, from performing a preliminary dental examination with subsequent referral to a dentist; or</text> </level> <level label="4"> <text>Require a waiver under subsection (f) of this section.</text> </level> </level> </level> <level label="3"> <text>Before a dental hygienist is authorized to practice dental hygiene under general supervision in a facility in accordance with this subsection, the dental hygienist shall:</text> <level label="i"> <text>Hold an active license to practice dental hygiene in the State;</text> </level> <level label="ii"> <text>Hold a current certificate evidencing health provider level C proficiency, or its equivalent, in cardiopulmonary resuscitation;</text> </level> <level label="iii"> <text>Have at least 3,000 hours of active clinical practice in direct patient care; and</text> </level> <level label="iv"> <text>Ensure that the facility where the dental hygienist will practice under general supervision has:</text> <level label="1"> <text>A written medical emergency plan in place;</text> </level> <level label="2"> <text>Adequate equipment, including portable equipment and appropriate armamentarium, available for the appropriate delivery of dental hygiene services, unless the dental hygienist provides the equipment described; and</text> </level> <level label="3"> <text>Adequate safeguards to protect the patient’s health and safety.</text> </level> </level> </level> <level label="4"> <text>Before a dental hygienist is authorized to practice dental hygiene under general supervision in a facility in accordance with this subsection, the supervising dentist shall:</text> <level label="i"> <text>Hold an active general license to practice dentistry in the State;</text> </level> <level label="ii"> <text>Hold a current certificate evidencing health provider level C proficiency, or its equivalent, in cardiopulmonary resuscitation;</text> </level> <level label="iii"> <text>Have at least 3,000 hours of active clinical practice in direct patient care; and</text> </level> <level label="iv"> <text>Have a written agreement between the supervising dentist and the dental hygienist that:</text> <level label="1"> <text>Clearly sets forth the terms and conditions under which the dental hygienist may practice, including a statement that the dental hygienist may provide dental hygiene services without the supervising dentist on the premises unless this title requires that a licensed dentist be on the premises in order for the service to be performed by the dental hygienist;</text> </level> <level label="2"> <text>Indicates the population to be served;</text> </level> <level label="3"> <text>States the method by which the services are to be provided and the procedures to be used by the supervising dentist to oversee and direct the dental hygienist; and</text> </level> <level label="4"> <text>States the names and license numbers of the dentist and dental hygienist performing services under the written agreement.</text> </level> </level> </level> <level label="5"> <text>A dental hygienist practicing under the general supervision of a licensed dentist in a facility and performing an authorized dental hygiene service for a patient’s initial appointment shall:</text> <level label="i"> <text>Ensure that, while the dental hygienist is performing the service, the supervising dentist is available for consultation with the dental hygienist:</text> <level label="1"> <text>In person;</text> </level> <level label="2"> <text>By telephone; or</text> </level> <level label="3"> <text>Electronically;</text> </level> </level> <level label="ii"> <text>Consult with the supervising dentist and the treating physician, registered nurse practitioner, certified nurse midwife, or licensed certified midwife before proceeding with treatment if there is a change in or concerns about a patient’s medical condition;</text> </level> <level label="iii"> <text>Assess the appropriate recall interval based on the needs of the patient, or as otherwise recommended by the supervising dentist;</text> </level> <level label="iv"> <text>Limit dental hygiene tasks and procedures provided during the initial appointment to:</text> <level label="1"> <text>Toothbrush prophylaxis;</text> </level> <level label="2"> <text>Application of fluoride;</text> </level> <level label="3"> <text>Dental hygiene instruction;</text> </level> <level label="4"> <text>Full mouth debridement;</text> </level> <level label="5"> <text>Assessing the patient’s apparent need for further evaluation by a dentist in order to diagnose the presence of dental disease; and</text> </level> <level label="6"> <text>Other duties as may be delegated, verbally or in writing, by the supervising dentist; and</text> </level> </level> <level label="v"> <text>Submit findings of the initial assessment to the supervising dentist for a collaborative determination of future treatment based on the patient’s overall health status.</text> </level> </level> <level label="6"> <text>A dental hygienist may perform subsequent authorized dental hygiene services following the initial appointment without the supervising dentist on the premises only if:</text> <level label="i"> <text>The supervising dentist:</text> <level label="1"> <text>Examines the patient and the patient’s charts and other dental records;</text> </level> <level label="2"> <text>Authorizes in the patient’s record the scope of a prescription of specific treatment to be provided by the dental hygienist; and</text> </level> <level label="3"> <text>Examines the patient at least once every 12 months, or more frequently as determined by the dentist;</text> </level> </level> <level label="ii"> <text>An authorized treatment is provided by the dental hygienist as soon as possible, but no later than 7 months from the date the patient and the patient’s charts and other dental records were reviewed by the supervising dentist; and</text> </level> <level label="iii"> <text>On completion of the treatment prescribed following the initial appointment, the supervising dentist determines, in consultation with the dental hygienist, future protocols for the treatment of the patient.</text> </level> </level> <level label="7"> <text>While performing dental hygiene services for a patient under paragraph (6)(iii) of this subsection, a dental hygienist shall:</text> <level label="i"> <text>Assess with the supervising dentist the appropriate recall interval based on the needs of the patient;</text> </level> <level label="ii"> <text>Limit services to the preventive services authorized under the current scope of practice of a licensed dental hygienist except for those services for which the presence of a licensed dentist on the premises is required under this title; and</text> </level> <level label="iii"> <text>Report patient clinical findings to the supervising dentist and, with the supervising dentist, determine whether the patient should be referred for a follow–up examination or care by the supervising dentist.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-308.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>In this section, “community–based health fair” means a health service event that offers primary health care services to an individual for free or using a sliding fee schedule that is sponsored by:</text> <level label="1"> <text>The federal, the State, or a local government;</text> </level> <level label="2"> <text>A nonprofit organization that is exempt from taxation under § 501(c)(3) of the Internal Revenue Code; or</text> </level> <level label="3"> <text>A nonprofit community organization that has the stated purpose of providing health services to the disadvantaged.</text> </level> </level> <level label="b"> <text>Notwithstanding any other provision of this title, a licensed dental hygienist, without the supervision of a dentist, may provide without compensation the following services at a community–based health fair:</text> <level label="1"> <text>A preliminary dental examination, including charting any cavities, restorations, or missing teeth;</text> </level> <level label="2"> <text>Oral health education;</text> </level> <level label="3"> <text>Taking blood pressure, pulse rate, respiration rate, height, and weight; and</text> </level> <level label="4"> <text>Referrals to a dental home, including providing a patient with a list of clinical public health facilities.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board, in consultation with the Department’s Office of Oral Health, shall develop a standard form to be used by a dental hygienist who performs the services authorized under this section at a community–based health fair.</text> </level> <level label="2"> <text>A dental hygienist who performs services in accordance with this section shall:</text> <level label="i"> <text>Fill out the form required under paragraph (1) of this subsection for each patient who received services from the dental hygienist; and</text> </level> <level label="ii"> <text>Submit the completed form to the Office of Oral Health.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-309" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>Except as otherwise provided in this subsection, a license expires on the date set by the Board, unless the license is renewed for an additional term as provided in this section. A license may not be renewed for a term longer than 2 years.</text> </level> <level label="2"> <text>Except as provided in § 4–303.1 of this subtitle, a limited license to practice dentistry expires on the first anniversary of its effective date.</text> </level> <level label="3"> <text>A teacher’s license to practice dentistry or a teacher’s license to practice dental hygiene expires on the earlier of:</text> <level label="i"> <text>The date set by the Board, unless the license is renewed for an additional term as provided in this section; or</text> </level> <level label="ii"> <text>The date when the licensee ceases to be a full–time or part–time faculty member at the institution named on the license.</text> </level> </level> </level> <level label="b"> <text>If a teacher’s license to practice dentistry expires because the licensee no longer is a full–time or part–time faculty member at the institution named on the license, the licensee shall surrender the license to the Board secretary within 30 days.</text> </level> <level label="c"> <text>At least 1 month before a license expires, the Board shall send to the licensee, by electronic means or first–class mail to the last known electronic or physical address of the licensee, a renewal notice that states:</text> <level label="1"> <text>The date on which the current license expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the license expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-309.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>A certificate expires on the date set by the Board, unless the certificate is renewed for an additional term as provided for by the Board.</text> </level> <level label="b"> <text>At least 1 month before a certificate expires, the Board shall send to the expanded function dental assistant, by electronic means and first–class mail to the last known electronic or physical address of the dental assistant, a renewal notice that states the:</text> <level label="1"> <text>Date on which the current certificate expires;</text> </level> <level label="2"> <text>Date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the certificate expires; and</text> </level> <level label="3"> <text>Amount of the renewal fee.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-310" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <level label="1"> <text>The Board shall place the holder of a general license to practice dentistry or a general license to practice dental hygiene on inactive status and issue an inactive status registration certificate to the licensee, if the licensee:</text> <level label="i"> <text>Submits to the Board an application for inactive status on the form required by the Board; and</text> </level> <level label="ii"> <text>Pays to the Board the inactive status application fee set by the Board.</text> </level> </level> <level label="2"> <text>A licensee on inactive status may not practice dentistry or dental hygiene in this State.</text> </level> </level> <level label="b"> <text>The form provided by the Board for inactive status application or renewal shall require the individual to state:</text> <level label="1"> <text>Name;</text> </level> <level label="2"> <text>Inactive status registration number, if any;</text> </level> <level label="3"> <text>Degree;</text> </level> <level label="4"> <text>School that awarded the degree;</text> </level> <level label="5"> <text>Year of graduation;</text> </level> <level label="6"> <text>Home address;</text> </level> <level label="7"> <text>Principal office address;</text> </level> <level label="8"> <text>Principal office telephone number; and</text> </level> <level label="9"> <text>Whether or not the individual is in regular practice outside this State.</text> </level> </level> <level label="c"> <text>The Board shall waive the examination requirements of §§ 4-302 and 4-305 of this subtitle for:</text> <level label="1"> <text>A dentist on inactive status who applies for a general license to practice dentistry, if the dentist has practiced dentistry regularly in any other state within 3 years of applying for the license; or</text> </level> <level label="2"> <text>A dental hygienist on inactive status who applies for a general license to practice dental hygiene, if the dental hygienist has practiced dental hygiene regularly in any other state within 3 years of applying for the license.</text> </level> </level> <level label="d"> <text>The Board may not issue a license if the criminal history record information required under § 4–302.2 of this subtitle has not been received.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-311" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board shall reinstate a general license to practice dentistry, a teacher’s license to practice dentistry, a general license to practice dental hygiene, or a teacher’s license to practice dental hygiene that is expired only if the licensee:</text> <level label="1"> <text>Meets the renewal and reinstatement requirements set by rule and regulation of the Board; and</text> </level> <level label="2"> <text>Pays to the Board a reinstatement fee set by the Board.</text> </level> </level> <level label="b"> <level label="1"> <text>Beginning October 1, 2027, the Board shall require a criminal history records check in accordance with § 4–302.2 of this subtitle for:</text> <level label="i"> <text>License renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former licensee who files for reinstatement after failing to renew a license.</text> </level> </level> <level label="2"> <text>The Board may not renew or reinstate a license if the criminal history record information required under § 4–302.2 of this subtitle has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-311.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board shall reinstate an expanded function dental assistant certificate that is expired only if the holder:</text> <level label="1"> <text>Subject to subsection (b) of this section, has completed the continuing education requirements set by rule and regulation of the Board;</text> </level> <level label="2"> <text>Has submitted a renewal application to the Board before the deadline set by the Board; and</text> </level> <level label="3"> <text>Pays to the Board a renewal fee set by the Board.</text> </level> </level> <level label="b"> <text>The Board shall adopt regulations requiring continuing education, including clinical hands–on training, for expanded function dental assistants to be offered by:</text> <level label="1"> <text>State–based dental professional societies affiliated with national dental organizations; and</text> </level> <level label="2"> <text>Entities listed in § 4–302.1(e) of this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-312" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to the provisions of this section, the Board may issue a temporary license to practice dental hygiene to an applicant who:</text> <level label="1"> <text>Is licensed to practice dental hygiene in any other state or any province of Canada;</text> </level> <level label="2"> <text>Meets any other qualifications that the Board establishes;</text> </level> <level label="3"> <text>Submits to the Board an application on the form that the Board requires;</text> </level> <level label="4"> <text>Has graduated from a dental hygiene program accredited by the American Dental Association Commission on Dental Accreditation; and</text> </level> <level label="5"> <text>Pays to the Board an application fee set by the Board.</text> </level> </level> <level label="b"> <text>While it is effective, a temporary license to practice dental hygiene authorizes the holder to practice dental hygiene subject to the same restrictions imposed on a holder of a general license to practice dental hygiene.</text> </level> <level label="c"> <text>A temporary license to practice dental hygiene expires when licenses are issued to those who pass the first examination for a general license to practice dental hygiene given over 30 days after the effective date of the temporary license.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-313" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Each holder of a general license to practice dental hygiene, a teacher’s license to practice dental hygiene, or a temporary license to practice dental hygiene shall display the license and any current renewal certificate conspicuously in the office where the holder is engaged in practice.</text> </level> <level label="b"> <text>Each holder of a general license to practice dentistry, a limited license to practice dentistry, or a teacher’s license to practice dentistry shall keep the license and any current renewal certificate in the office where the holder is engaged in practice.</text> </level> <level label="c"> <level label="1"> <text>Each holder of a general license to practice dentistry, a limited license to practice dentistry, or a teacher’s license to practice dentistry shall notify the secretary of the Board in writing within 60 days of any change of office address.</text> </level> <level label="2"> <text>A licensee who fails to notify the secretary of the Board of any change of office address as provided in this subsection shall pay to the Board a late fee of $10.</text> </level> </level> <level label="d"> <text>If a dentist is engaged in the private practice of dentistry in this State, the dentist shall display the notice developed under § 1-207 of this article conspicuously in the office where the dentist is engaged in practice.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-313.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <text>Each holder of a certificate to be an expanded function dental assistant shall keep the certificate, and any current renewal, in the office where the dental assistant is employed.</text> </section> <section article="gho" article_name="Health Occupations" number="4-314" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Unless the Board agrees to accept the surrender of a license, a holder of a general license, limited license, teacher’s license, or a temporary license may not surrender the license nor may the license lapse by operation of law while the licensee is under investigation or while charges are pending against the licensee.</text> </level> <level label="b"> <text>The Board may set conditions on its agreement with the licensee under investigation or against whom charges are pending to accept surrender of the license.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-315" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Subject to the hearing provisions of § 4–318 of this subtitle, the Board may deny a general license to practice dentistry, a limited license to practice dentistry, or a teacher’s license to practice dentistry to any applicant, reprimand any licensed dentist, place any licensed dentist on probation, or suspend or revoke the license of any licensed dentist, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Obtains a fee by fraud or attempts to obtain a fee by fraud;</text> </level> <level label="4"> <text>Is convicted of or pleads guilty or nolo contendere to a felony or to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside;</text> </level> <level label="5"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article, or other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="6"> <text>Practices dentistry in a professionally incompetent manner or in a grossly incompetent manner;</text> </level> <level label="7"> <text>Has had a license to practice dentistry revoked or suspended in any other state;</text> </level> <level label="8"> <text>Uses another person as an in–person solicitor of business;</text> </level> <level label="9"> <text>Practices or offers to practice dentistry under a name other than that on the license;</text> </level> <level label="10"> <text>Uses in connection with the practice of dentistry a business entity name or a trade name that is not authorized by law;</text> </level> <level label="11"> <text>Permits an unauthorized individual to practice dentistry under the supervision of the applicant or licensee;</text> </level> <level label="12"> <text>Permits a dental hygienist to practice dental hygiene:</text> <level label="i"> <text>In an unauthorized place; or</text> </level> <level label="ii"> <text>Without being supervised by a licensed dentist as required by § 4–308 of this subtitle;</text> </level> </level> <level label="13"> <text>Violates any restriction on advertising in § 4–503 of this title;</text> </level> <level label="14"> <text>Suggests, requests, or in any way directs that a patient appear at a dental laboratory;</text> </level> <level label="15"> <text>Violates any provision in Subtitle 4 of this title, which relates to work authorizations for dental laboratory work;</text> </level> <level label="16"> <text>Behaves dishonorably or unprofessionally, or violates a professional code of ethics pertaining to the dentistry profession;</text> </level> <level label="17"> <text>Is mentally or physically incompetent to practice dentistry;</text> </level> <level label="18"> <text>Demonstrates a course of conduct of providing dental care that is inconsistent with generally accepted professional standards of care in the practice of dentistry, regardless of whether actual injury to the patient occurs;</text> </level> <level label="19"> <text>Provides a dental service in a manner that is significantly inconsistent with generally accepted professional standards of care in the practice of dentistry, regardless of whether actual injury to the patient occurs;</text> </level> <level label="20"> <text>Violates any rule or regulation adopted by the Board;</text> </level> <level label="21"> <text>Is disciplined by a licensing or disciplinary authority of any other state or country or convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="22"> <text>Willfully makes or files a false report or record in the practice of dentistry;</text> </level> <level label="23"> <text>Willfully fails to file or record any report as required by law, willfully impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;</text> </level> <level label="24"> <text>Knowingly submits to a third party any claim form, bill, or statement which contains any misleading, deceptive, false, incomplete, or fraudulent representation asserting a fee which is greater than the fee that the dentist usually accepts as payment in full for any given dental appliance, procedure, or service;</text> </level> <level label="25"> <text>Abrogates or forgives the copayment provisions of any insurance policy, insurance contract, health prepayment contract, health care plan, or nonprofit health service plan contract by accepting the payment received from a third party as full payment, unless the dentist discloses to the third party that the patient’s payment portion will not be collected;</text> </level> <level label="26"> <text>Uses or promotes or causes the use of any misleading, deceiving, or untruthful advertising matter, promotional literature, or testimonial;</text> </level> <level label="27"> <text>Except as provided in subsection (b) of this section, divides a fee with another dentist if the division is not in proportion to the services performed and the responsibility assumed by each dentist;</text> </level> <level label="28"> <text>Fails to comply with the provisions of § 12–102 of this article;</text> </level> <level label="29"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="30"> <text>Except in an emergency life–threatening situation where it is not feasible or practicable, fails to comply with the Centers for Disease Control and Prevention’s guidelines on universal precautions;</text> </level> <level label="31"> <text>Fails to display the notice required under § 4–313(d) of this subtitle;</text> </level> <level label="32"> <text>Fails to begin to fulfill a public service requirement within 1 year of when the assignment is to begin that was a condition of the applicant or licensee receiving State or federal loans or scholarships for the applicant’s or licensee’s dental education;</text> </level> <level label="33"> <text>Fails to comply with any Board order;</text> </level> <level label="34"> <text>Willfully and without legal justification, fails to cooperate with a lawful investigation conducted by the Board;</text> </level> <level label="35"> <text>Fails to comply with § 1–223 of this article;</text> </level> <level label="36"> <text>Fails to comply with the requirements of the Prescription Drug Monitoring Program in Title 21, Subtitle 2A of the Health – General Article;</text> </level> <level label="37"> <text>Accepts or tenders rebates or splits fees in violation of § 4–103(c) of this title;</text> </level> <level label="38"> <text>Allows a dental assistant to assist in the practice of dentistry:</text> <level label="i"> <text>In an unauthorized manner in violation of this title or regulations adopted by the Board;</text> </level> <level label="ii"> <text>Without specifically instructing the certified dental assistant to perform an intraoral procedure that the certified dental assistant is authorized to perform; or</text> </level> <level label="iii"> <text>Failing to provide direct supervision of a dental assistant; or</text> </level> </level> <level label="39"> <text>Fails to submit to a criminal history records check in accordance with § 4–302.2 of this subtitle.</text> </level> </level> <level label="b"> <text>A dentist may divide a fee with another dentist who is a partner or an associate in the same dental practice if dividing the fee does not increase the fee for the service charged to the patient.</text> </level> <level label="c"> <text>Subject to the hearing provisions of § 4–318 of this subtitle, the Board may deny a general license to practice dental hygiene, a teacher’s license to practice dental hygiene, or a temporary license to practice dental hygiene to any applicant, reprimand any licensed dental hygienist, place any licensed dental hygienist on probation, or suspend or revoke the license of any licensed dental hygienist, if the applicant or licensee:</text> <level label="1"> <text>Fraudulently or deceptively obtains or attempts to obtain a license for the applicant or licensee or for another;</text> </level> <level label="2"> <text>Fraudulently or deceptively uses a license;</text> </level> <level label="3"> <text>Behaves unprofessionally or in a grossly immoral way, or violates a professional code of ethics pertaining to the dental hygiene profession;</text> </level> <level label="4"> <text>Practices dental hygiene in an unauthorized place;</text> </level> <level label="5"> <text>Practices dental hygiene in a professionally incompetent manner or in a grossly incompetent manner;</text> </level> <level label="6"> <text>Is disciplined by a licensing or disciplinary authority of any other state or country or convicted or disciplined by a court of any state or country, or disciplined by any branch of the uniformed services or the U.S. Department of Veterans Affairs, for an act that would be grounds for disciplinary action under the Board’s disciplinary statutes;</text> </level> <level label="7"> <text>Performs intraoral functions not authorized by statute or the rules and regulations of the Board;</text> </level> <level label="8"> <text>Violates the requirements of § 4–313 of this subtitle that relate to display of licenses and renewal certificates;</text> </level> <level label="9"> <text>Violates any rule or regulation adopted by the Board;</text> </level> <level label="10"> <text>Is mentally or physically incompetent to practice dental hygiene;</text> </level> <level label="11"> <text>Demonstrates a course of conduct of providing dental hygiene care that is inconsistent with generally accepted professional standards of care in the practice of dental hygiene, regardless of whether actual injury to the patient occurs;</text> </level> <level label="12"> <text>Provides a dental hygiene service in a manner that is significantly inconsistent with generally accepted professional standards of care in the practice of dental hygiene, regardless of whether actual injury to the patient occurs;</text> </level> <level label="13"> <text>Is convicted of or pleads guilty or nolo contendere to a felony or to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside;</text> </level> <level label="14"> <text>Provides professional services while:</text> <level label="i"> <text>Under the influence of alcohol; or</text> </level> <level label="ii"> <text>Using any narcotic or controlled dangerous substance, as defined in § 5–101 of the Criminal Law Article, or other drug that is in excess of therapeutic amounts or without valid medical indication;</text> </level> </level> <level label="15"> <text>Willfully makes or files a false report or record in the practice of dental hygiene;</text> </level> <level label="16"> <text>Willfully fails to file or record any report as required by law, willfully impedes or obstructs the filing or recording of the report, or induces another to fail to file or record the report;</text> </level> <level label="17"> <text>Refuses, withholds from, denies, or discriminates against an individual with regard to the provision of professional services for which the licensee is licensed and qualified to render because the individual is HIV positive;</text> </level> <level label="18"> <text>Except in an emergency life–threatening situation where it is not feasible or practicable, fails to comply with the Centers for Disease Control and Prevention’s guidelines on universal precautions;</text> </level> <level label="19"> <text>Fails to comply with any Board order;</text> </level> <level label="20"> <text>Willfully and without legal justification, fails to cooperate with a lawful investigation conducted by the Board; or</text> </level> <level label="21"> <text>Fails to submit to a criminal history records check in accordance with § 4–302.2 of this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-316" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>On its own initiative or on a written complaint filed with the Board by any person, the Board may commence proceedings under § 4-315 of this subtitle.</text> </level> <level label="b"> <text>If a person who is not a member of the Board files a complaint, the complaint shall:</text> <level label="1"> <text>Be in writing;</text> </level> <level label="2"> <text>Be verified by a person who is familiar with the alleged facts;</text> </level> <level label="3"> <text>Request Board action; and</text> </level> <level label="4"> <text>Be filed with the secretary of the Board.</text> </level> </level> <level label="c"> <level label="1"> <text>The Board shall investigate each complaint filed with the Board if the complaint:</text> <level label="i"> <text>Alleges facts that are grounds for action under § 4-315 of this subtitle; and</text> </level> <level label="ii"> <text>Meets the requirements of this section.</text> </level> </level> <level label="2"> <text>If the Board begins action on its own initiative or if after investigation it elects to substitute its own complaint for one filed by a person who is not a member of the Board, the Board shall prepare a written complaint.</text> </level> </level> <level label="d"> <text>If, after performing any preliminary investigation, the Board determines that an allegation involving fees for professional or ancillary services does not constitute grounds for discipline or other action, the Board may refer the allegation concerning a member of a professional society or association composed of providers of dental care to a committee of the Society for Mediation.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-317" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>If after a hearing under § 4-318 of this subtitle the Board finds that there are grounds under § 4-315 of this subtitle to suspend or revoke a general license to practice dentistry, a limited license to practice dentistry, or a teacher’s license to practice dentistry, or to reprimand a licensed dentist, the Board may impose a penalty not exceeding $5,000:</text> <level label="1"> <text>Instead of suspending the license; or</text> </level> <level label="2"> <text>In addition to suspending or revoking the license or reprimanding the licensee.</text> </level> </level> <level label="b"> <text>The Board shall pay any penalty collected under this section into the General Fund of this State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-318" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as otherwise provided in the Administrative Procedure Act, before the Board takes any action under § 4–315 of this subtitle, it shall give the individual against whom the action is contemplated an opportunity for a hearing before the Board.</text> </level> <level label="b"> <text>The Board shall give notice and hold the hearing in accordance with the Administrative Procedure Act.</text> </level> <level label="c"> <text>In accordance with the State budget, the Board may authorize payment of fees and travel expenses of witnesses who testify in a proceeding under this section.</text> </level> <level label="d"> <text>The individual may be represented at the hearing by counsel.</text> </level> <level label="e"> <text>The Board may administer oaths and take depositions of witnesses in any proceeding under this section.</text> </level> <level label="f"> <level label="1"> <text>Over the signature of an officer or the administrator of the Board, the Board may issue subpoenas and administer oaths to witnesses in connection with any investigation under this title and any hearings or proceedings before it.</text> </level> <level label="2"> <text>The Board shall issue subpoenas on behalf of the individual if the individual requests in writing that the Board do so.</text> </level> <level label="3"> <text>If, without lawful excuse, a person disobeys a subpoena from the Board or an order by the Board to take an oath or to testify or answer a question, then, on petition of the Board, a court of competent jurisdiction may punish the person as for contempt of court.</text> </level> <level label="4"> <text>If, without lawful excuse, an individual disobeys a subpoena from the Board or an order by the Board to take an oath, testify, or answer a question, on petition of the Board, a court of competent jurisdiction may compel compliance with the subpoena.</text> </level> </level> <level label="g"> <text>If after due notice the individual against whom the action is contemplated fails or refuses to appear, nevertheless the Board may hear and determine the matter.</text> </level> <level label="h"> <level label="1"> <text>Except as provided in § 4–318.1 of this subtitle, the Board shall issue a final decision on an action within 120 days after the final day of a hearing.</text> </level> <level label="2"> <text>If the Board does not issue a final decision within 120 days under paragraph (1) of this subsection, the individual who is the subject of the action may provide written notice to the Board that the individual has not received a final decision in accordance with paragraph (1) of this subsection.</text> </level> <level label="3"> <text>If the Board does not issue a final decision on an action within 30 days after receiving a written notice under paragraph (2) of this subsection, the final decision shall be in favor of the individual who is the subject of the action.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-318.1" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>The Board may order the summary suspension of a license if the Board determines there is a substantial likelihood that a licensee poses a risk of harm to the public health, safety, or welfare.</text> </level> <level label="b"> <level label="1"> <text>Except as provided in paragraph (3) of this subsection, based on information gathered during an investigation or otherwise provided to the Board, the Board shall issue a notice of intent to summarily suspend a license before executing an order of summary suspension that includes:</text> <level label="i"> <text>A proposed order of summary suspension, that is unexecuted and includes:</text> <level label="1"> <text>The statutory authority for the proposed action;</text> </level> <level label="2"> <text>The factual allegations on which the Board has based its determination that there is a substantial likelihood that the licensee poses a risk of harm to the public health, safety, or welfare; and</text> </level> <level label="3"> <text>Notice to the licensee of the right to request a full hearing on the merits of the summary suspension if the Board executes the proposed order of summary suspension; and</text> </level> </level> <level label="ii"> <text>An order or a summons to appear before the Board to show cause why the Board should not execute the order of summary suspension that provides notice to the licensee of the consequences of failing to appear.</text> </level> </level> <level label="2"> <text>If the Board issues a notice of intent to summarily suspend a license, the Board shall offer the respondent the opportunity to appear before the Board to show cause as to why the respondent’s license should not be suspended before the Board executes the order of summary suspension.</text> </level> <level label="3"> <text>The Board may order the summary suspension of a license without first issuing a notice of intent to summarily suspend a license or providing a licensee with an opportunity for a pre–deprivation hearing if:</text> <level label="i"> <text>The Board determines that the public health, safety, and welfare require the immediate suspension of the license without prior notice and an opportunity to be heard; and</text> </level> <level label="ii"> <text>The licensee is provided with an opportunity for a hearing before the Board at the Board’s next regularly scheduled meeting but not to exceed 30 days from the date of the licensee’s request.</text> </level> </level> </level> <level label="c"> <text>The Board shall issue a final decision on a summary suspension within 60 days after the final day of an evidentiary hearing held under § 4–318 of this subtitle, if applicable.</text> </level> <level label="d"> <level label="1"> <text>If the Board issues a notice of intent to summarily suspend a license before summarily suspending a license, after the show cause hearing under subsection (b)(2) of this section, the Board may vote to:</text> <level label="i"> <text>Order a summary suspension;</text> </level> <level label="ii"> <text>Deny the summary suspension;</text> </level> <level label="iii"> <text>Enter into an order agreed on by the parties; or</text> </level> <level label="iv"> <text>Enter into any interim order warranted by the circumstances of the case, including an order to stay the summary suspension subject to specified conditions.</text> </level> </level> <level label="2"> <text>If the Board orders a summary suspension before a show cause hearing under subsection (b)(2) of this section, at the conclusion of a subsequent hearing, the Board may vote to:</text> <level label="i"> <text>Affirm its order of summary suspension;</text> </level> <level label="ii"> <text>Rescind the order for summary suspension;</text> </level> <level label="iii"> <text>Enter into an order agreed on by the parties; or</text> </level> <level label="iv"> <text>Enter into any interim order warranted by the circumstances of the case, including an order to stay the summary suspension subject to specified conditions.</text> </level> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-319" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>Except as provided in this section for an action under § 4–315 of this subtitle, a person aggrieved by a final decision of the Board in a contested case, as defined in the Administrative Procedure Act, may petition for judicial review as allowed by the Administrative Procedure Act.</text> </level> <level label="b"> <text>Any person aggrieved by a final decision of the Board under § 4–315 of this subtitle may not appeal to the Secretary but may take a direct judicial appeal as provided in the Administrative Procedure Act.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-320" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <level label="a"> <text>An action may be maintained in the name of this State or the Board to enjoin:</text> <level label="1"> <text>Unauthorized practice of dentistry or dental hygiene;</text> </level> <level label="2"> <text>Conduct that is a ground for disciplinary action under § 4-315(a) of this subtitle;</text> </level> <level label="3"> <text>Conduct that violates any prohibition in Subtitle 4 of this title, which relates to dental laboratory work; or</text> </level> <level label="4"> <text>Conduct that violates the practice limitations of § 4-603 of this title.</text> </level> </level> <level label="b"> <text>An action under this section may be brought by:</text> <level label="1"> <text>The Board, in its own name;</text> </level> <level label="2"> <text>The Attorney General, in the name of this State; or</text> </level> <level label="3"> <text>A State’s Attorney, in the name of this State.</text> </level> </level> <level label="c"> <text>An action under this section shall be brought in the county where the defendant:</text> <level label="1"> <text>Resides; or</text> </level> <level label="2"> <text>Engages in the acts sought to be enjoined.</text> </level> </level> <level label="d"> <text>Proof of actual damage or that any person will sustain any damage if an injunction is not granted is not required for an action under this section.</text> </level> <level label="e"> <text>An action under this section is in addition to and not instead of criminal prosecution for unauthorized practice of dentistry under § 4-601 of this title or disciplinary action under § 4-315 of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-321" title_number="4" title_name="Dentistry" subtitle_number="3" subtitle_name="Licensing"> <text>In addition to any other penalties or disciplinary actions authorized under this title, the Board may issue a cease and desist order for conduct that:</text> <level label="1"> <text>Is in violation of § 4–601 or § 4–602 of this title; or</text> </level> <level label="2"> <text>Violates any prohibition in Subtitle 4 of this title that relates to dental laboratory work.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-401" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <level label="a"> <text>In this subtitle the following words have the meanings indicated.</text> </level> <level label="b"> <text>“Dental technician” means an individual who does dental laboratory work.</text> </level> <level label="c"> <text>“Subcontracted work authorization” means a written request for subcontracted dental laboratory work.</text> </level> <level label="d"> <text>“Work authorization” means a written request for dental laboratory work.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-402" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <level label="a"> <text>Except as otherwise provided in this subtitle, a person other than a licensed dentist may not do dental laboratory work unless the person:</text> <level label="1"> <text>Works under a work authorization that meets the requirements of § 4-403 of this subtitle; and</text> </level> <level label="2"> <text>Uses casts or models made from impressions taken by a licensed dentist.</text> </level> </level> <level label="b"> <text>The requirements of this subtitle that relate to work authorizations do not apply to:</text> <level label="1"> <text>A dental laboratory on the premises of a dental office that is used only by the licensed dentists practicing in the office; or</text> </level> <level label="2"> <text>A dental student, dental technician, or student dental technician while doing dental laboratory work at the educational institution, hospital, or clinic with which the individual is associated.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-403" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <level label="a"> <text>The work authorization required by § 4-402 of this subtitle for dental laboratory work shall:</text> <level label="1"> <text>Be on the form that the Board requires;</text> </level> <level label="2"> <text>Be signed by a licensed dentist who requests the work; and</text> </level> <level label="3"> <text>Contain the information required by this section.</text> </level> </level> <level label="b"> <text>The work authorization shall be prepared in duplicate and contain:</text> <level label="1"> <text>The name and address of the dental laboratory to do the work;</text> </level> <level label="2"> <text>Identification of the patient by name or number;</text> </level> <level label="3"> <text>The date on which the work authorization form was completed;</text> </level> <level label="4"> <text>A description of the work to be done, including diagrams if necessary;</text> </level> <level label="5"> <text>A specification of the type of dental materials to be used; and</text> </level> <level label="6"> <text>The name and license number of the dentist who requests the work.</text> </level> </level> <level label="c"> <text>A dental laboratory named in a work authorization may subcontract dental laboratory work, if that dental laboratory:</text> <level label="1"> <text>Completes in duplicate the subcontracted work authorization form that the Board requires; and</text> </level> <level label="2"> <text>Complies with the record keeping requirements of § 4-404 of this subtitle.</text> </level> </level> <level label="d"> <text>The Board shall publish:</text> <level label="1"> <text>An approved standard work authorization form; and</text> </level> <level label="2"> <text>An approved standard subcontracted work authorization form that is of a color different from the standard work authorization form.</text> </level> </level> <level label="e"> <text>A dental laboratory in this State may do dental laboratory work on the request of a dentist licensed and practicing in any other state or a foreign country if the request:</text> <level label="1"> <text>Is on the form that the Board requires or a reasonably equivalent form; and</text> </level> <level label="2"> <text>Otherwise meets the requirements of this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-404" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <level label="a"> <level label="1"> <text>The dentist who signs a work authorization shall:</text> <level label="i"> <text>Send the original to the dental laboratory named on the work authorization; and</text> </level> <level label="ii"> <text>Keep the copy.</text> </level> </level> <level label="2"> <text>The dental laboratory named in the original work authorization shall:</text> <level label="i"> <text>Send the original of a subcontracted work authorization to the dental laboratory that is to do the subcontracted work; and</text> </level> <level label="ii"> <text>Keep the copy.</text> </level> </level> </level> <level label="b"> <level label="1"> <text>The person who keeps or receives the original or copy of a work authorization or subcontracted work authorization shall keep it for at least 1 year.</text> </level> <level label="2"> <text>If a subcontracted work authorization is issued, the dental laboratory named in the original work authorization shall attach the original work authorization form to the copy of the subcontracted work authorization form and keep the two together in the files of the dental laboratory for at least 1 year.</text> </level> </level> <level label="c"> <text>If a dentist uses a patient identification number instead of a name on a work authorization, the dentist shall keep in the dentist’s office a cross reference that translates the number to the name of the specific patient.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-405" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <text>A dental laboratory may make dental appliances for research, technique samples, or training purposes:</text> <level label="1"> <text>Without a work authorization if the dental laboratory annually secures permission from the Board to use plastic typdont or dentoform type models for this fabrication; or</text> </level> <level label="2"> <text>Under a work authorization signed by a licensed dentist that gives the dental laboratory permission to use the dentist’s cast of a particular patient and that contains:</text> <level label="i"> <text>The name and address of the dental laboratory;</text> </level> <level label="ii"> <text>Patient identification by name or number;</text> </level> <level label="iii"> <text>The date on which the written work authorization form was completed; and</text> </level> <level label="iv"> <text>The name and license number of the dentist who signs the form.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-406" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <level label="a"> <text>A dental laboratory may not accept a request for dental laboratory work unless the request meets the requirements of this subtitle.</text> </level> <level label="b"> <text>A licensed dentist may not:</text> <level label="1"> <text>Suggest, request, or in any way direct that a patient appear at a dental laboratory; or</text> </level> <level label="2"> <text>Sign a work request that does not contain all the information required by this subtitle.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-407" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work"> <level label="a"> <level label="1"> <text>To determine compliance with this subtitle, the Board may inspect, at random, the work authorization forms and files kept by a licensed dentist or dental laboratory.</text> </level> <level label="2"> <text>The Board may appoint any person, including a dental technician, to conduct the inspection permitted by this subsection.</text> </level> </level> <level label="b"> <text>Doing dental laboratory work while not in possession of a work authorization or a subcontracted work authorization that meets the requirements of this subtitle is prima facie evidence of a violation of this subtitle.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-501" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <level label="1"> <text>In this section the following words have the meanings indicated.</text> </level> <level label="2"> <text>“Dental review committee” means a committee or board that:</text> <level label="i"> <text>Is within one of the categories described in subsection (b) of this section; and</text> </level> <level label="ii"> <text>Performs any of the functions listed in subsection (c) of this section.</text> </level> </level> <level label="3"> <text>“Provider of dental care” means any person who is licensed by law to provide dental care to individuals.</text> </level> </level> <level label="b"> <text>For purposes of this section, a dental review committee is:</text> <level label="1"> <text>A regulatory board or agency established by State or federal law to license, certify, or discipline any provider of dental care;</text> </level> <level label="2"> <text>A committee of the Maryland State Dental Association or any of its component societies, including a dentist rehabilitation committee as defined in § 4–501.1 of this subtitle;</text> </level> <level label="3"> <text>A committee of the Maryland Dental Society or any of its component societies;</text> </level> <level label="4"> <text>A committee of the Maryland Dental Hygienists’ Association, or any of its component societies, including a dental hygienist rehabilitation committee as defined in § 4–508 of this subtitle;</text> </level> <level label="5"> <text>A committee of any professional society or association composed of providers of dental care;</text> </level> <level label="6"> <text>A committee of the medical staff or other committee of a hospital or related institution, if the governing board of the hospital or related institution forms and approves the committee or approves the written bylaws under which the committee operates;</text> </level> <level label="7"> <text>Any person, including a professional standard review organization, that contracts with an agency of this State or of the federal government to perform any of the functions listed in subsection (c) of this section; or</text> </level> <level label="8"> <text>Any person that contracts with a provider of dental care to perform any of those functions listed in subsection (c) of this section that are limited to the review of services provided by the provider of dental care.</text> </level> </level> <level label="c"> <text>For purposes of this section, a dental review committee:</text> <level label="1"> <text>Evaluates and seeks to improve the quality of dental care provided by providers of dental care;</text> </level> <level label="2"> <text>Evaluates the need for and the level of performance of dental care provided by providers of dental care;</text> </level> <level label="3"> <text>Evaluates the qualifications, competence, and performance of providers of dental care;</text> </level> <level label="4"> <text>Evaluates and acts on matters that relate to the discipline of any provider of dental care; or</text> </level> <level label="5"> <text>Evaluates and provides assistance to any provider of dental care in need of treatment and rehabilitation for alcoholism, drug abuse, chemical dependency, or other physical, emotional, or mental condition.</text> </level> </level> <level label="d"> <text>Except as otherwise provided in this section, the proceedings, records, and files of a dental review committee are not discoverable and are not admissible in evidence in any civil action arising out of matters that are being reviewed and evaluated by the dental review committee.</text> </level> <level label="e"> <text>Subsection (d) of this section does not apply to:</text> <level label="1"> <text>A civil action brought by a party to the proceedings of the dental review committee who claims to be aggrieved by the decision of the dental review committee; or</text> </level> <level label="2"> <text>Any record or document that is considered by the dental review committee and that otherwise would be subject to discovery and introduction into evidence in a civil trial.</text> </level> </level> <level label="f"> <text>A person who acts in good faith and within the scope of jurisdiction of a dental review committee is not civilly liable for any action as a member of the dental review committee or for giving information to, participating in, or contributing to the function of the dental review committee.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-501.1" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>In this section, “Dental Well–Being Committee” means the committee of the Maryland State Dental Association that evaluates and provides assistance to any provider of dental care in need of treatment and rehabilitation for alcoholism, drug abuse, chemical dependency, or other physical, emotional, or mental condition.</text> </level> <level label="b"> <level label="1"> <text>Subject to the provisions of paragraph (2) of this subsection, the Maryland State Dental Association shall appoint the members of the Dental Well–Being Committee.</text> </level> <level label="2"> <text>At least one member of the Dental Well–Being Committee shall be a member of the Maryland Dental Society.</text> </level> </level> <level label="c"> <text>The Board shall fund the budget of the Dental Well–Being Committee as provided in § 4–207 of this title.</text> </level> <level label="d"> <text>The Legislative Auditor shall audit the accounts and transactions of the Dental Well–Being Committee as provided in § 2–1220 of the State Government Article.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-502" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>In accordance with the federal Health Care Quality Improvement Act of 1986, the State elects not to be governed by the provisions of the Act that provide limitations on damages for suits brought under State law against dental review bodies and to individuals participating in professional peer review activities.</text> </level> <level label="b"> <text>For suits brought under State law, the State shall be governed by this title.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-503" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>A licensed dentist may not advertise:</text> <level label="1"> <text>To guarantee any dental work;</text> </level> <level label="2"> <text>Making an undifferentiated claim to do dental work painlessly;</text> </level> <level label="3"> <text>To do dental work in a superior manner; or</text> </level> <level label="4"> <text>Falsely or in a manner that tends to deceive or mislead the public.</text> </level> </level> <level label="b"> <level label="1"> <text>A licensed dentist may not:</text> <level label="i"> <text>Use the designation “Dental Surgeon” on a sign that bears the name of the licensee; or</text> </level> <level label="ii"> <text>Include a specialty designation in a card, letterhead, sign, telephone directory listing, or other printed matter that bears the name of the licensee, unless:</text> <level label="1"> <text>The licensee is identified by the Board as a specialist in the designated field under § 4-504 of this subtitle; and</text> </level> <level label="2"> <text>The language used to refer to the specialty is approved by the Board.</text> </level> </level> </level> <level label="2"> <text>A licensed dentist may use the designations “Dr.”, “dentist”, “D.D.S.”, or “D.M.D.” on a sign that bears the licensee’s name.</text> </level> </level> <level label="c"> <text>A person who is not a licensed dentist may not solicit or advertise to the general public in any manner that the person alters, constructs, duplicates, repairs, or supplies a dental appliance.</text> </level> <level label="d"> <text>A licensed dentist may use a trade name in connection with the practice of dentistry provided that:</text> <level label="1"> <text>The use of the trade name is not deceptive or misleading;</text> </level> <level label="2"> <text>The advertisement in which the trade name appears includes the name of the licensed dentist or the name of the business entity providing the dental services being advertised as long as the advertisement includes the name of a licensed dentist;</text> </level> <level label="3"> <text>The name of the licensed dentist providing dental services shall appear on the billing invoices, and on the receipts if any are given to patients; and</text> </level> <level label="4"> <text>Treatment records are maintained that clearly identify the licensed dentist who has performed the dental service for any patient.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-504" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>A licensed dentist may not represent to the public that the licensee is a specialist in any field of specialized dental practice unless identified as a specialist in that field by the Board.</text> </level> <level label="b"> <text>If a licensed dentist requests, the Board shall determine whether the licensee qualifies for Board identification as a specialist.</text> </level> <level label="c"> <text>The Board may approve any area of specialty recognized by the National Commission on Recognition of Dental Specialties and Certifying Boards or its successor organization.</text> </level> <level label="d"> <level label="1"> <text>The Board shall adopt rules and regulations concerning application procedures, fees, and required qualifications for identification as a specialist.</text> </level> <level label="2"> <text>The qualifications required of applicants for Board identification as a specialist may include:</text> <level label="i"> <text>The requirements established by various specialty certifying boards of the American Dental Association or specialty certifying boards recognized by the National Commission on Recognition of Dental Specialties and Certifying Boards;</text> </level> <level label="ii"> <text>Education;</text> </level> <level label="iii"> <text>Professional experience; and</text> </level> <level label="iv"> <text>Whether, before July 1, 1979, the applicant represented to the public, in an ethical manner, that the applicant was a specialist.</text> </level> </level> </level> <level label="e"> <text>In approving additional specialties, the Board may consider those fields recognized and approved by the National Commission on Recognition of Dental Specialties and Certifying Boards.</text> </level> <level label="f"> <text>The Board is a depository for and the arbitrator of the specialty qualification standards of the National Commission on Recognition of Dental Specialties and Certifying Boards.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-505" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>The Board of Dental Examiners shall:</text> <level label="1"> <text>Define, for the purpose of this section, the terms “dental radiation technologist” and “practice dental radiation technology”;</text> </level> <level label="2"> <text>Adopt rules and regulations concerning qualifications, training, certification, monitoring of, and enforcement requirements for a dental radiation technologist; and</text> </level> <level label="3"> <text>Provide for a requirement to ensure competency in new safety and technological advances.</text> </level> </level> <level label="b"> <text>The qualifications required of applicants for Board certification as a dental radiation technologist shall include requirements established by:</text> <level label="1"> <text>The American Dental Association; or</text> </level> <level label="2"> <text>Any applicable federal standards for training and certification.</text> </level> </level> <level label="c"> <text>Except as provided in §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual must be certified by the Board as a dental radiation technologist before a licensed dentist may employ the individual to practice dental radiation technology.</text> </level> <level label="d"> <text>Except as provided in §§ 10–14A–03 and 10–14B–03 of the State Government Article, an individual may not practice dental radiation technology unless certified by the Board.</text> </level> <level label="e"> <text>An applicant for a certificate to practice as a dental radiation technologist shall submit to a criminal history records check in accordance with § 4–302.2 of this subtitle.</text> </level> <level label="f"> <text>At least 1 month before a certificate expires, the Board shall send to each certificate holder, by electronic means or first–class mail to the last known electronic or physical address of the certificate holder, a renewal notice that states:</text> <level label="1"> <text>The date on which the current certificate expires;</text> </level> <level label="2"> <text>The date by which the renewal application must be received by the Board for the renewal to be issued and mailed before the certificate expires; and</text> </level> <level label="3"> <text>The amount of the renewal fee.</text> </level> </level> <level label="g"> <text>An individual may be simultaneously certified as a dental radiation technologist under this section and as an expanded function dental assistant.</text> </level> <level label="h"> <level label="1"> <text>Beginning October 1, 2027, the Board shall require a criminal history records check in accordance with § 4–302.2 of this subtitle for:</text> <level label="i"> <text>Certificate renewal applicants as determined by regulations adopted by the Board; and</text> </level> <level label="ii"> <text>Each former certificate holder who files for reinstatement after failing to renew a certificate.</text> </level> </level> <level label="2"> <text>The Board may not renew or reinstate a certificate if the criminal history record information required under § 4–302.2 of this subtitle has not been received.</text> </level> </level> </section> <section article="gho" article_name="Health Occupations" number="4-505.1" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>A dental radiation technologist authorized to practice in another state shall be issued a certificate in this State if the applicant:</text> <level label="1"> <text>Pays the application fee required by the Board; and</text> </level> <level label="2"> <text>Provides adequate evidence that the applicant:</text> <level label="i"> <text>Meets the qualifications otherwise required under this title for a certification to practice dental radiation technology;</text> </level> <level label="ii"> <text>Has satisfied the examination requirement for certification of another state that the Board determines is comparable to the examination requirement in this State;</text> </level> <level label="iii"> <text>Is not being investigated by a disciplinary authority of another state, does not have charges pending against the applicant’s certification, and has not been disciplined by a disciplinary or certifying authority of another state or country, or been convicted or disciplined by a court of any state or country for an act that would be grounds for disciplinary action under § 4–315 of this title; and</text> </level> <level label="iv"> <text>Has not previously failed an examination for certification as a dental radiation technologist in this State.</text> </level> </level> </level> <level label="b"> <text>If an applicant meets the requirements for certification under this section, the Board shall issue the certificate within 15 business days after receiving the completed application.</text> </level> <level label="c"> <text>The Board may adopt any regulations necessary to provide for the certification of individuals who apply for a certification to practice dental radiation therapy under this section.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-506" title_number="4" title_name="Dentistry" subtitle_number="5"> <text>When using radiation for the purposes of dental diagnosis a patient’s body shall be protected under the supervision of a licensed dentist. The State Board of Dental Examiners shall adopt rules and regulations of patient protection to be applied during the use of radiation.</text> </section> <section article="gho" article_name="Health Occupations" number="4-507" title_number="4" title_name="Dentistry" subtitle_number="5"> <text>A dentist who has successfully completed a physical evaluation program or course at an accredited hospital or teaching institution, who is qualified and identified by the Board as a specialist in oral surgery, and who admits to a hospital any patient without known medical problems, if the dentist is deemed by the hospital to be qualified to do so:</text> <level label="1"> <text>May complete a hospital admission history and a physical examination of that patient; and</text> </level> <level label="2"> <text>Shall assess the medical risks of the proposed procedures to that patient.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-508" title_number="4" title_name="Dentistry" subtitle_number="5"> <level label="a"> <text>In this section, “Dental Hygiene Well–Being Committee” means the committee of the Maryland Dental Hygienists’ Association that evaluates and provides assistance to any dental hygienist, dental radiation technologist, or dental assistant in need of treatment and rehabilitation for alcoholism, drug abuse, chemical dependency, or other physical, emotional, or mental condition.</text> </level> <level label="b"> <text>The Maryland Dental Hygienists’ Association shall appoint the members of the Dental Hygiene Well–Being Committee.</text> </level> <level label="c"> <text>The Board shall fund the budget of the Dental Hygiene Well–Being Committee as provided in § 4–207 of this title.</text> </level> <level label="d"> <text>The Legislative Auditor shall audit the accounts and transactions of the Dental Hygiene Well–Being Committee as provided in § 2–1220 of the State Government Article.</text> </level> <level label="e"> <level label="1"> <text>Except as otherwise provided in this subsection, the proceedings, records, and files of the Dental Hygiene Well–Being Committee are not discoverable and are not admissible in evidence in any civil action arising out of matters that are being or have been reviewed and evaluated by the Dental Hygiene Well–Being Committee.</text> </level> <level label="2"> <text>Paragraph (1) of this subsection does not apply to any record or document that is considered by the Dental Hygiene Well–Being Committee and that otherwise would be subject to discovery or introduction into evidence in a civil action.</text> </level> <level label="3"> <text>For purposes of this subsection, civil action does not include a proceeding before the Board or judicial review of a proceeding before the Board.</text> </level> </level> <level label="f"> <text>A person who acts in good faith and within the scope of jurisdiction of a Dental Hygiene Well–Being Committee is not civilly liable for any action as a member of the Dental Hygiene Well–Being Committee or for giving information to, participating in, or contributing to the function of the Well–Being Committee.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-509" title_number="4" title_name="Dentistry" subtitle_number="5"> <text>Any contractual provision that could be interpreted to limit, restrict, or prevent a dentist, dental hygienist, dental assistant, or other person from testifying or providing information to the Board, the General Assembly, or a court of competent jurisdiction concerning a potential violation of this title shall be void and unenforceable as contrary to the public policy of the State.</text> </section> <section article="gho" article_name="Health Occupations" number="4-601" title_number="4" title_name="Dentistry" subtitle_number="6"> <level label="a"> <text>Except as otherwise provided in this title, a person may not practice, attempt to practice, or offer to practice dentistry or dental hygiene on a human being in this State unless licensed by the Board.</text> </level> <level label="b"> <text>A person may not aid or abet unauthorized practice of dental hygiene in this State.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-602" title_number="4" title_name="Dentistry" subtitle_number="6"> <level label="a"> <level label="1"> <text>Except as otherwise provided in this section, unless authorized to practice dentistry under this title, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice dentistry in this State.</text> </level> <level label="2"> <text>Unless authorized to practice dental hygiene under this title, a person may not represent to the public by title, by description of services, methods, or procedures, or otherwise, that the person is authorized to practice dental hygiene in this State.</text> </level> </level> <level label="b"> <text>This title does not affect the right of a holder of a dental degree who does not directly or indirectly practice or attempt to practice dentistry in this State to use the degree or an abbreviation for the degree in connection with the name of the holder.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-603" title_number="4" title_name="Dentistry" subtitle_number="6"> <level label="a"> <text>Except as otherwise provided by law, a licensed dentist may not practice dentistry:</text> <level label="1"> <text>Under a name other than the name of the licensee;</text> </level> <level label="2"> <text>As a business entity; or</text> </level> <level label="3"> <text>Under the name of a business entity.</text> </level> </level> <level label="b"> <text>A licensed dentist may practice, under the name of the licensee, as an employee of a health maintenance organization that is certified by the State Insurance Commissioner.</text> </level> <level label="c"> <text>A licensed dentist may practice, under the name of the licensee, as a member of a limited liability company.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-604" title_number="4" title_name="Dentistry" subtitle_number="6"> <text>The clerk of each district and circuit court shall:</text> <level label="1"> <text>Report to the Board each conviction of or entry of a plea of guilty or nolo contendere by a dentist or a dental hygienist for any felony or crime involving moral turpitude; and</text> </level> <level label="2"> <text>Submit the report within 10 working days of the conviction or entry of the plea.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-605" title_number="4" title_name="Dentistry" subtitle_number="6"> <text>A dental hygienist may not own or operate a dental practice or a dental hygiene practice.</text> </section> <section article="gho" article_name="Health Occupations" number="4-606" title_number="4" title_name="Dentistry" subtitle_number="6"> <level label="a"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, a person who practices or attempts to practice dentistry without a license in violation of § 4–601(a) of this subtitle or represents to the public in violation of § 4–602 of this subtitle that the person is authorized to practice dentistry is guilty of a felony and on conviction is subject to:</text> <level label="i"> <text>For a first offense, a fine not exceeding $5,000 or imprisonment not exceeding 1 year; or</text> </level> <level label="ii"> <text>For a subsequent offense, a fine not exceeding $20,000 per day or imprisonment not exceeding 5 years.</text> </level> </level> <level label="2"> <text>This subsection does not apply to a person who practices or attempts to practice dentistry without a license if the person’s license has been expired for a period of not more than 6 months.</text> </level> </level> <level label="b"> <level label="1"> <text>Except as provided in paragraph (2) of this subsection, a person who practices or attempts to practice dental hygiene without a license in violation of § 4–601(a) of this subtitle, aids or abets unauthorized practice of dental hygiene in violation of § 4–601(b) of this subtitle, or represents to the public in violation of § 4–602 of this subtitle that the person is authorized to practice dental hygiene is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $1,000.</text> </level> <level label="2"> <text>This subsection does not apply to a person who practices or attempts to practice dental hygiene without a license if the person’s license has been expired for a period of not more than 6 months.</text> </level> </level> <level label="c"> <text>A person who violates any provision of Subtitle 4 of this title, which relates to dental laboratory work, or who advertises a dental appliance in violation of § 4–503(c) of this title is guilty of a felony and on conviction is subject to a fine not exceeding $2,000 per day or imprisonment not exceeding 2 years.</text> </level> </section> <section article="gho" article_name="Health Occupations" number="4-701" title_number="4" title_name="Dentistry" subtitle_number="7"> <text>This title may be cited as the “Maryland Dentistry Act”.</text> </section> <section article="gho" article_name="Health Occupations" number="4-702" title_number="4" title_name="Dentistry" subtitle_number="7"> <text>Subject to the evaluation and reestablishment provisions of the Program Evaluation Act, this title and all rules and regulations adopted under this title shall terminate and be of no effect after July 1, 2031.</text> </section>