<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.44.33.04" title_num="10" subtitle_num="44" chapter_num="33" heading="Temporary Volunteer Dental Hygienist's License.">
  <paragraph num="A.">
    <text>License Required. A dental hygienist who holds a general license to practice dental hygiene in another state may practice dental hygiene at a temporary dental clinic or for a government entity only after receiving a temporary volunteer dental hygienist’s license to practice dental hygiene as provided in this chapter.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Qualifications for Out-of-State Dental Hygienists.</text>
    <paragraph num="(1)">
      <text>The Board shall issue a temporary volunteer dental hygienist’s license to a dental hygienist who satisfies the requirements of this chapter.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>To qualify for a temporary volunteer dental hygienist’s license, an applicant shall:</text>
      <paragraph num="(a)">
        <text>Comply with the following:</text>
        <paragraph num="(i)">
          <text>Submit a completed Board-approved application with the Board at least 60 days before the date the temporary dental clinic is scheduled to open;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Hold an active general license to practice clinical dental hygiene in another state that is not subject to clinical restrictions; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Have passed the North East Regional Board Clinical Examination or submit to the Board a notarized affidavit or other evidence satisfactory to the Board that for the 3 years preceding application the applicant has actively engaged in the practice of dental hygiene for at least 150 hours on average per year;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Provide a notarized affidavit to the Board:</text>
        <paragraph num="(i)">
          <text>Agreeing to donate dental hygiene services without compensation for a temporary dental clinic operated by a bona fide charitable organization or government entity; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Indicating that the applicant does not practice dental hygiene for profit in the State;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Provide documentation to the Board that evidences that the dental hygienist is covered by malpractice insurance; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Provide current verification of cardiopulmonary resuscitation certification.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The Board may require a dental hygienist seeking a temporary volunteer dental hygienist’s license to:</text>
      <paragraph num="(a)">
        <text>Pass the Maryland Jurisprudence Examination; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Fulfill any other requirements relating to knowledge of the laws and regulations concerning the practice of dental hygiene in the State.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>An applicant for a temporary volunteer dental hygienist’s license may not be required to pay an application fee.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The Board may deny a temporary volunteer dental hygienist’s license on the grounds provided under Health Occupations Article, §4-315, Annotated Code of Maryland.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Practice Locations. A temporary volunteer dental hygienist's license authorizes the licensee to practice dental hygiene only in a temporary dental clinic providing medical care to the poor, elderly, or disabled that is operated by:</text>
    <paragraph num="(1)">
      <text>A bona fide charitable organization;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The State or a local government; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A local health department.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Practice Restrictions.</text>
    <paragraph num="(1)">
      <text>A dental hygienist who holds a temporary volunteer dental hygienist’s license may not:</text>
      <paragraph num="(a)">
        <text>Administer, monitor, or maintain general anesthesia or sedation;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Administer local anesthesia by infiltration;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Administer block anesthesia; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Administer, monitor, or maintain nitrous oxide oxygen.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A dental hygienist who holds a temporary volunteer dental hygienist’s license may only provide services authorized under the:</text>
      <paragraph num="(a)">
        <text>Maryland Dentistry Act; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Regulations adopted by the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Dental Hygienists Licensed in Maryland. A dental hygienist who holds an active general license to practice dental hygiene in Maryland may:</text>
    <paragraph num="(1)">
      <text>Practice at a temporary dental clinic without obtaining a temporary volunteer dental hygienist's license; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Only provide services authorized under the:</text>
      <paragraph num="(a)">
        <text>Maryland Dentistry Act; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Regulations adopted by the Board.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>General Supervision.</text>
    <paragraph num="(1)">
      <text>A temporary volunteer dental hygienist’s license authorizes the dental hygienist to practice dental hygiene at a temporary dental clinic under the general supervision of a dentist who:</text>
      <paragraph num="(a)">
        <text>Is on the premises;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Examines the patient at any time during the treatment; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Is available for personal consultation while the services are being performed.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A dental hygienist may:</text>
      <paragraph num="(a)">
        <text>Perform an assessment of dental needs; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Provide dental hygiene services before an examination by a supervising dentist.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>This section may not be construed to:</text>
      <paragraph num="(a)">
        <text>Require a preliminary dental examination or treatment by a dental hygienist; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Prohibit a supervising dentist from either examining a patient or providing treatment to a patient before treatment by a dental hygienist.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Expiration and Renewal.</text>
    <paragraph num="(1)">
      <text>A temporary volunteer dental hygienist's license issued under this chapter shall be issued for the duration of the temporary dental clinic only and may not be renewed.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Board may issue a temporary volunteer dental hygienist license to a dental hygienist who previously held a temporary volunteer dental hygienist license if the dental hygienist:</text>
      <paragraph num="(a)">
        <text>Applies for a new license; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Satisfies the requirements of this chapter.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Continuing Education. The Board may not require continuing education as a condition for the issuance of a temporary volunteer dental hygienist’s license.</text>
  </paragraph>
  <paragraph num="I.">
    <text>Display of License. The holder of a temporary volunteer dental hygienist's license shall maintain the holder’s wallet license on the premises of the temporary dental clinic while practicing dental hygiene at the temporary dental clinic.</text>
  </paragraph>
</regulation>