<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".09" citation="COMAR 10.44.21.09" title_num="10" subtitle_num="44" chapter_num="21" heading="Exceptions.">
  <paragraph num="A.">
    <text>This regulation applies to the following facilities:</text>
    <paragraph num="(1)">
      <text>A dental facility owned and operated by:</text>
      <paragraph num="(a)">
        <text>The federal government;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The State government; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A county or local government;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A public health department of:</text>
      <paragraph num="(a)">
        <text>The State; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A county or local government;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>A public school of:</text>
      <paragraph num="(a)">
        <text>The State; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A county or local government;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A facility in which a program licensed by the Maryland Department of Health is operating;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A facility owned and operated by the Department of Juvenile Services;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A facility owned and operated by the State, county, or local government that provides medical care to the poor, elderly, or handicapped;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A facility in which a federally qualified health center or a federally qualified health center look-alike is located; or</text>
    </paragraph>
    <paragraph num="(8)">
      <text>A facility in which a State-licensed Head Start Program or Early Head Start Program operates.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A general license to practice dental hygiene authorizes the licensee to practice dental hygiene under general supervision in a facility identified in §A of this regulation and apply:</text>
    <paragraph num="(1)">
      <text>Sealants;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Fluoride agents, such as professional topical fluoride agents;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Mouth wash; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Varnish.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Board may not require a facility identified in §A of this regulation to obtain a waiver in order to practice in accordance with §B of this regulation.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Before a facility may allow a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation, the facility shall report to the Board:</text>
    <paragraph num="(1)">
      <text>That the facility is operating under general supervision;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The identity of each hygienist employed by the facility; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The identity of each supervising dentist.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>A facility that authorizes a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation shall insure that the supervising dentist for the facility:</text>
    <paragraph num="(1)">
      <text>Holds an active general license to practice dentistry in the State;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Holds a current certificate evidencing Health Care Provider Level C Proficiency, or its equivalent, in Cardiopulmonary Resuscitation; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has at least 2 years of active clinical practice in direct patient care.</text>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>A facility that authorizes a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation shall insure that the dental hygienist:</text>
    <paragraph num="(1)">
      <text>Holds an active general license to practice dental hygiene in the State;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Holds a current certificate evidencing Health Care Provider Level C Proficiency, or its equivalent, in Cardiopulmonary Resuscitation;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Has at least 2 years of active clinical practice in direct patient care; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Is a permanent or contractual employee of:</text>
      <paragraph num="(a)">
        <text>The federal government;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A state government;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>A county or local government; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>A federally qualified health center.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>A facility that authorizes a dental hygienist to practice dental hygiene in a facility identified in §A of this regulation shall insure that:</text>
    <paragraph num="(1)">
      <text>The facility has a medical emergency plan;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Adequate equipment, including portable equipment where appropriate and appropriate armamentarium, is available for the appropriate delivery of dental hygiene services; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Adequate safeguards are present to protect the patient's health and safety.</text>
    </paragraph>
  </paragraph>
</regulation>