HB0363 • 2026

Dental Therapy

Education Labor

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Health & Human Services Committee ; Chaney ; (CO-INTRODUCERS) Salzman
Last action: 2026-03-13
Official status: Senate - Died in Rules
Effective date: 2026-07-01

Plain English Breakdown

The bill status shows it passed the Legislature but died in Rules; however, the effective date is listed as July 1, 2026. The explanation reflects the content of the bill itself rather than its final enactment status.

Dental Therapy Services and Licensing

This bill creates rules for new dental therapists in Florida, allows Medicaid to pay for their services in specific mobile units under certain conditions, and establishes a council to oversee the profession.

What This Bill Does

Creates a Council on Dental Therapy appointed by the chair of the Board of Dentistry.
Allows Medicaid reimbursement for dental care provided in mobile units owned or operated by health access settings, schools, federally qualified health centers, county health departments, or nursing facilities serving adults over 21.
Defines who can be called a 'dental therapist' and lists specific services they may perform under the general supervision of a dentist.
Sets requirements for licensure, including passing exams with options to retake only failed parts, completing continuing education hours, and displaying licenses at work sites.
Requires the Department of Health, in consultation with the Board of Dentistry and AHCA, to submit reports on dental therapy programs to the Legislature.

Who It Names or Affects

People seeking licensure as dental therapists
Dentists who supervise or collaborate with dental therapists
Medicaid recipients receiving care from approved mobile units
The Department of Health, Board of Dentistry, and Agency for Health Care Administration

Terms To Know

Mobile Dental Unit: A vehicle or portable facility providing dental services that must be owned by, operated by, or contracted with specific health organizations to receive Medicaid payment.
General Supervision: A level of oversight where a dentist is responsible for the treatment but does not need to be physically present while the therapist performs certain duties.
Collaborative Management Agreement: A written contract between a supervising dentist and a dental therapist that outlines their working relationship, required practice hours, and limits on services.

Limits and Unknowns

Medicaid reimbursement for mobile units is limited to those owned or contracted with specific health organizations, schools, county clinics, federally qualified health centers, or nursing facilities serving adults over 21.
The bill states that a supervising dentist remains primarily responsible for patient treatment even when a therapist performs the work.
Specific details on fees and exact service limits may depend on future rules adopted by the Board of Dentistry.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

488121

Committee amendment H 363 Filed • Chaney

Adopted without Objection 1/27/2026

Plain English: This amendment updates the bill to clarify that it allows for both dental hygienists working directly with dentists and new dental therapists.

The text now specifically mentions a 'dental hygienist under the direct' supervision or care of another professional.
The official title of the bill is changed to include authorization for 'a dental therapist'.
These changes ensure both types of oral health workers are clearly named in the law.

The provided text only shows small fragments of sentences, so it does not explain exactly what duties these new therapists can perform.
Because lines were removed and replaced without showing the full original context, some details about how this supervision works are missing.

Bill History

2026-03-13 Senate
• Died in Rules
2026-02-26 Senate
• Referred to Rules • On Committee agenda-- Rules, 03/03/26, 9:00 am, 412 Knott Building --Temporarily Postponed • Received
2026-02-04 House
• Read 2nd time • Added to Third Reading Calendar • Read 3rd time • CS passed; YEAS 80, NAYS 29
2026-02-04 Senate
• In Messages
2026-01-29 House
• Bill referred to House Calendar • Added to Second Reading Calendar • Bill added to Special Order Calendar (2/4/2026)
2026-01-28 House
• Laid on Table under Rule 7.18(a) • CS Filed • 1st Reading (Committee Substitute 1)
2026-01-27 House
• Favorable with CS by Health & Human Services Committee • Reported out of Health & Human Services Committee
2026-01-23 House
• Added to Health & Human Services Committee agenda
2026-01-13 House
• 1st Reading (Original Filed Version)
2025-12-10 House
• Reported out of Health Professions & Programs Subcommittee • Now in Health & Human Services Committee
2025-12-09 House
• Favorable by Health Professions & Programs Subcommittee
2025-12-02 House
• Added to Health Professions & Programs Subcommittee agenda
2025-11-18 House
• Referred to Health Professions & Programs Subcommittee • Referred to Health & Human Services Committee • Now in Health Professions & Programs Subcommittee
2025-11-05 House
• Filed

Official Summary Text

Dental Therapy ; Authorizes Medicaid to reimburse for dental services provided by certain mobile dental units; creates Council on Dental Therapy; specifies licensure requirements, services, limitations, & prohibitions relating to practice of dental therapy; requires DOH, in consultation with Board of Dentistry & AHCA, to submit reports to Legislature.

Current Bill Text

Read the full stored bill text

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A bill to be entitled 1
An act relating to dental therapy; amending s. 2
409.906, F.S.; authorizing Medicaid to reimburse for 3
dental services provided in a mobile dental unit that 4
is owned by, operated by, or contracted with a health 5
access setting or another similar setting or program; 6
amending s. 466.001, F.S.; revising legislative 7
purpose and intent; amending s. 466.002, F.S.; 8
providing applicability; amending s. 466.003, F.S.; 9
defining the terms "dental therapist" and "dental 10
therapy"; amending s. 466.004, F.S.; requiring the 11
chair of the Board of Dentistry to appoint a Council 12
on Dental Therapy, effective after a specified 13
timeframe; providing for membership, meetings, and the 14
purpose of the council; amending s. 466.006, F.S.; 15
revising the definitions of the terms "full-time 16
practice" to include full-time faculty members of 17
certain dental therapy schools; amending s. 466.009, 18
F.S.; requiring the Department of Health to allow any 19
person who fails the dental therapy examination to 20
retake the examination; providing that a person who 21
fails a practical or clinical examination to practice 22
dental therapy and who has failed one part or 23
procedure of the examination may be required to retake 24
only that part or procedure to pass the examination; 25

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amending s. 466.011, F.S.; requiring the board to 26
certify an applicant for licensure as a dental 27
therapist; creating s. 466.0136, F.S.; requiring the 28
board to require each licensed dental therapist to 29
complete a specified number of hours of continuing 30
education; requiring the board to adopt rules and 31
guidelines; authorizing the board to excuse licensees 32
from continuing education requirements in certain 33
circumstances; amending s. 466.016, F.S.; requiring a 34
practitioner of dental therapy to post and display her 35
or his license in each office where she or he 36
practices; amending s. 466.017, F.S.; requiring the 37
board to adopt certain rules relating to dental 38
therapists; authorizing a dental therapist under the 39
general supervision of a dentist to perform certain 40
duties if specified requirements are met; authorizing 41
a dental therapist providing services in a mobile 42
dental unit under the general supervision of a dentist 43
to perform certain duties if specified requirements 44
are met; requiring a dental therapist to notify the 45
board in writing within a specified timeframe after 46
specified adverse incidents; requiring a complete 47
written report to be filed with the board within a 48
specified timeframe; providing for disciplinary action 49
of a dental therapist; amending s. 466.018, F.S.; 50

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providing that a dentist of record remains primarily 51
responsible for the dental treatment of a patient 52
regardless of whether the treatment is provided by a 53
dental therapist; requiring that the initials of a 54
dental therapist who renders treatment to a patient be 55
placed in the record of the patient; creating s. 56
466.0225, F.S.; providing application requirements and 57
examination and licensure qualifications for dental 58
therapists; creating s. 466.0227, F.S.; authorizing a 59
dental therapist to perform specified services under 60
the general supervision of a dentist under certain 61
conditions; requiring that a collaborative management 62
agreement be signed by a supervising dentist and a 63
dental therapist and to include certain information; 64
requiring the supervising dentist to determine the 65
number of hours of practice that a dental therapist 66
must complete before performing certain authorized 67
services; authorizing a supervising dentist to 68
restrict or limit the dental therapist's practice in a 69
collaborative management agreement; providing that a 70
supervising dentist may authorize a dental therapist 71
to provide dental therapy services to a patient before 72
the dentist examines or diagnoses the patient under 73
certain conditions; requiring a supervising dentist to 74
be licensed and practicing in this state; specifying 75

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that the supervising dentist is responsible for 76
certain services; amending s. 466.026, F.S.; providing 77
criminal penalties; amending s. 466.028, F.S.; 78
revising grounds for denial of a license or 79
disciplinary action to include the practice of dental 80
therapy; amending s. 466.0285, F.S.; prohibiting 81
persons other than licensed dentists from employing a 82
dental therapist in the operation of a dental office 83
and from controlling the use of any dental equipment 84
or material in certain circumstances; amending s. 85
921.0022, F.S.; conforming a provision to changes made 86
by the act; requiring the department, in consultation 87
with the board and the Agency for Health Care 88
Administration, to provide reports to the Legislature 89
by specified dates; requiring that certain information 90
and recommendations be included in the reports; 91
providing an effective date. 92
93
Be It Enacted by the Legislature of the State of Florida: 94
95
Section 1. Paragraph (c) of subsection (1) of section 96
409.906, Florida Statutes, is amended, and paragraph (e) is 97
added to subsection (6) of that section, to read: 98
409.906 Optional Medicaid services.—Subject to specific 99
appropriations, the agency may make payments for services which 100

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are optional to the state under Title XIX of the Social Security 101
Act and are furnished by Medicaid providers to recipients who 102
are determined to be eligible on the dates on which the services 103
were provided. Any optional service that is provided shall be 104
provided only when medically necessary and in accordance with 105
state and federal law. Optional services rendered by providers 106
in mobile units to Medicaid recipients may be restricted or 107
prohibited by the agency. Nothing in this section shall be 108
construed to prevent or limit the agency from adjusting fees, 109
reimbursement rates, lengths of stay, number of visits, or 110
number of services, or making any other adjustments necessary to 111
comply with the availability of moneys and any limitations or 112
directions provided for in the General Appropriations Act or 113
chapter 216. If necessary to safeguard the state's systems of 114
providing services to elderly and disabled persons and subject 115
to the notice and review provisions of s. 216.177, the Governor 116
may direct the Agency for Health Care Administration to amend 117
the Medicaid state plan to delete the optional Medicaid service 118
known as "Intermediate Care Facilities for the Developmentally 119
Disabled." Optional services may include: 120
(1) ADULT DENTAL SERVICES.— 121
(c) However, Medicaid will not provide reimbursement for 122
dental services provided in a mobile dental unit, except for a 123
mobile dental unit: 124
1. Owned by, operated by, or having a contractual 125

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agreement with the Department of Health and complying with 126
Medicaid's county health department clinic services program 127
specifications as a county health department clinic services 128
provider. 129
2. Owned by, operated by, or having a contractual 130
arrangement with a federally qualified health center and 131
complying with Medicaid's federally qualified health center 132
specifications as a federally qualified health center provider. 133
3. Rendering dental services to Medicaid recipients, 21 134
years of age and older, at nursing facilities. 135
4. Owned by, operated by, or having a contractual 136
agreement with a state-approved dental educational institution. 137
5. Owned by, operated by, or having a contractual 138
agreement with a health access setting as defined in s. 139
466.003(13) or a similar setting or program. 140
(6) CHILDREN'S DENTAL SERVICES.—The agency may pay for 141
diagnostic, preventive, or corrective procedures, including 142
orthodontia in severe cases, provided to a recipient under age 143
21, by or under the supervision of a licensed dentist. The 144
agency may also reimburse a health access setting as defined in 145
s. 466.003 for the remediable tasks that a licensed dental 146
hygienist is authorized to perform under s. 466.024(2). Services 147
provided under this program include treatment of the teeth and 148
associated structures of the oral cavity, as well as treatment 149
of disease, injury, or impairment that may affect the oral or 150

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general health of the individual. However, Medicaid will not 151
provide reimbursement for dental services provided in a mobile 152
dental unit, except for a mobile dental unit: 153
(e) Owned by, operated by, or having a contractual 154
agreement with a health access setting as defined in s. 155
466.003(13) or a similar setting or program. 156
Section 2. Section 466.001, Florida Statutes, is amended 157
to read: 158
466.001 Legislative purpose and intent.—The legislative 159
purpose for enacting this chapter is to ensure that every 160
dentist, dental therapist, or dental hygienist practicing in 161
this state meets minimum requirements for safe practice without 162
undue clinical interference by persons not licensed under this 163
chapter. It is the legislative intent that dental services be 164
provided only in accordance with the provisions of this chapter 165
and not be delegated to unauthorized individuals. It is the 166
further legislative intent that dentists, dental therapists, and 167
dental hygienists who fall below minimum competency or who 168
otherwise present a danger to the public shall be prohibited 169
from practicing in this state. All provisions of this chapter 170
relating to the practice of dentistry, dental therapy, and 171
dental hygiene shall be liberally construed to carry out such 172
purpose and intent. 173
Section 3. Subsections (5) and (6) of section 466.002, 174
Florida Statutes, are amended to read: 175

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466.002 Persons exempt from operation of chapter.—Nothing 176
in this chapter shall apply to the following practices, acts, 177
and operations: 178
(5) Students in Florida schools of dentistry, dental 179
therapy, and dental hygiene or dental assistant educational 180
programs, while performing regularly assigned work under the 181
curriculum of such schools or programs. 182
(6) Instructors in Florida schools of dentistry, 183
instructors in dental programs that prepare persons holding 184
D.D.S. or D.M.D. degrees for certification by a specialty board 185
and that are accredited in the United States by January 1, 2005, 186
in the same manner as the board recognizes accreditation for 187
Florida schools of dentistry that are not otherwise affiliated 188
with a Florida school of dentistry, or instructors in Florida 189
schools of dental hygiene, dental therapy, or dental assistant 190
educational programs, while performing regularly assigned 191
instructional duties under the curriculum of such schools or 192
programs. A full-time dental instructor at a dental school or 193
dental program approved by the board may be allowed to practice 194
dentistry at the teaching facilities of such school or program, 195
upon receiving a teaching permit issued by the board, in strict 196
compliance with such rules as are adopted by the board 197
pertaining to the teaching permit and with the established rules 198
and procedures of the dental school or program as recognized in 199
this section. 200

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Section 4. Section 466.003, Florida Statutes, is reordered 201
and amended to read: 202
466.003 Definitions.—As used in this chapter, the term: 203
(1) "Board" means the Board of Dentistry. 204
(2)(6) "Dental assistant" means a person, other than a 205
dental hygienist, who, under the supervision and authorization 206
of a dentist, provides dental care services directly to a 207
patient. This term does shall not include a certified registered 208
nurse anesthetist licensed under part I of chapter 464. 209
(3)(4) "Dental hygiene" means the rendering of 210
educational, preventive, and therapeutic dental services 211
pursuant to ss. 466.023 and 466.024 and any related extra-oral 212
procedure required in the performance of such services. 213
(4)(5) "Dental hygienist" means a person licensed to 214
practice dental hygiene pursuant to this chapter. 215
(5) "Dental therapist" means a person licensed to practice 216
dental therapy pursuant to s. 466.0225. 217
(6) "Dental therapy" means the rendering of services 218
pursuant to s. 466.0227 and any related extraoral services or 219
procedures required in the performance of such services. 220
(7)(2) "Dentist" means a person licensed to practice 221
dentistry pursuant to this chapter. 222
(8)(3) "Dentistry" means the healing art which is 223
concerned with the examination, diagnosis, treatment planning, 224
and care of conditions within the human oral cavity and its 225

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adjacent tissues and structures. It includes the performance or 226
attempted performance of any dental operation, or oral or oral-227
maxillofacial surgery and any procedures adjunct thereto, 228
including physical evaluation directly related to such operation 229
or surgery pursuant to hospital rules and regulations. It also 230
includes dental service of any kind gratuitously or for any 231
remuneration paid, or to be paid, directly or indirectly, to any 232
person or agency. The term "dentistry" shall also includes 233
include the following: 234
(a) The Taking of an impression of the human tooth, teeth, 235
or jaws directly or indirectly and by any means or method. 236
(b) Supplying artificial substitutes for the natural teeth 237
or furnishing, supplying, constructing, reproducing, or 238
repairing any prosthetic denture, bridge, appliance, or any 239
other structure designed to be worn in the human mouth except on 240
the written work order of a duly licensed dentist. 241
(c) The Placing of an appliance or structure in the human 242
mouth or the adjusting or attempting to adjust the same. 243
(d) Delivering the same to any person other than the 244
dentist upon whose work order the work was performed. 245
(e) Professing to the public by any method to furnish, 246
supply, construct, reproduce, or repair any prosthetic denture, 247
bridge, appliance, or other structure designed to be worn in the 248
human mouth. 249
(f) Diagnosing, prescribing, or treating or professing to 250

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diagnose, prescribe, or treat disease, pain, deformity, 251
deficiency, injury, or physical condition of the human teeth or 252
jaws or oral-maxillofacial region. 253
(g) Extracting or attempting to extract human teeth. 254
(h) Correcting or attempting to correct malformations of 255
teeth or of jaws. 256
(i) Repairing or attempting to repair cavities in the 257
human teeth. 258
(9)(7) "Department" means the Department of Health. 259
(10)(8) "Digital scanning" means the use of digital 260
technology that creates a computer-generated replica of the hard 261
and soft tissue of the oral cavity using enhanced digital 262
photography, lasers, or other optical scanning devices. 263
(11)(9) "Direct supervision" means supervision whereby a 264
dentist diagnoses the condition to be treated, a dentist 265
authorizes the procedure to be performed, a dentist remains on 266
the premises while the procedures are performed, and a dentist 267
approves the work performed before dismissal of the patient. 268
(12)(11) "General supervision" means supervision whereby a 269
dentist authorizes the procedures which are being carried out 270
but need not be present when the authorized procedures are being 271
performed. The authorized procedures may also be performed at a 272
place other than the dentist's usual place of practice. The 273
issuance of a written work authorization to a commercial dental 274
laboratory by a dentist does not constitute general supervision. 275

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(13)(15) "Health access setting" means a program or an 276
institution of the Department of Children and Families, the 277
Department of Health, the Department of Juvenile Justice, a 278
nonprofit community health center, a Head Start center, a 279
federally qualified health center or look-alike as defined by 280
federal law, a school-based prevention program, a clinic 281
operated by an accredited college of dentistry, or an accredited 282
dental hygiene program in this state if such community service 283
program or institution immediately reports to the Board of 284
Dentistry all violations of s. 466.027, s. 466.028, or other 285
practice act or standard of care violations related to the 286
actions or inactions of a dentist, dental hygienist, or dental 287
assistant engaged in the delivery of dental care in such 288
setting. 289
(14)(10) "Indirect supervision" means supervision whereby 290
a dentist authorizes the procedure and a dentist is on the 291
premises while the procedures are performed. 292
(15)(12) "Irremediable tasks" are those intraoral 293
treatment tasks which, when performed, are irreversible and 294
create unalterable changes within the oral cavity or the 295
contiguous structures or which cause an increased risk to the 296
patient. The administration of anesthetics other than topical 297
anesthesia is considered to be an "irremediable task" for 298
purposes of this chapter. 299
(16)(14) "Oral and maxillofacial surgery" means the 300

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specialty of dentistry involving diagnosis, surgery, and 301
adjunctive treatment of diseases, injuries, and defects 302
involving the functional and esthetic aspects of the hard and 303
soft tissues of the oral and maxillofacial regions. This term 304
may not be construed to apply to any individual exempt under s. 305
466.002(1). 306
(17)(13) "Remediable tasks" are those intraoral treatment 307
tasks which are reversible and do not create unalterable changes 308
within the oral cavity or the contiguous structures and which do 309
not cause an increased risk to the patient. 310
(18)(16) "School-based prevention program" means 311
preventive oral health services offered at a school by one of 312
the entities described defined in subsection (13) (15) or by a 313
nonprofit organization that is exempt from federal income 314
taxation under s. 501(a) of the Internal Revenue Code, and 315
described in s. 501(c)(3) of the Internal Revenue Code. 316
Section 5. Subsection (2) of section 466.004, Florida 317
Statutes, is amended to read: 318
466.004 Board of Dentistry.— 319
(2) To advise the board, it is the intent of the 320
Legislature that councils be appointed as specified in 321
paragraphs (a)-(d) (a), (b), and (c). The department shall 322
provide administrative support to the councils and shall provide 323
public notice of meetings and agendas agenda of the councils. 324
Councils must shall include at least one board member, who shall 325

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serve as chair, the council and must shall include nonboard 326
members. All council members shall be appointed by the board 327
chair. Council members shall be appointed for 4-year terms, and 328
all members are shall be eligible for reimbursement of expenses 329
in the manner of board members. 330
(a) A Council on Dental Hygiene shall be appointed by the 331
board chair and shall include one dental hygienist member of the 332
board, who shall chair the council, one dental member of the 333
board, and three dental hygienists who are actively engaged in 334
the practice of dental hygiene in this state. In making the 335
appointments, the chair shall consider recommendations from the 336
Florida Dental Hygiene Association. The council shall meet at 337
the request of the board chair, a majority of the members of the 338
board, or the council chair; however, the council must meet at 339
least three times a year. The council is charged with the 340
responsibility of and shall meet for the purpose of developing 341
rules and policies for recommendation to the board, which the 342
board shall consider, on matters pertaining to that part of 343
dentistry consisting of educational, preventive, or therapeutic 344
dental hygiene services; dental hygiene licensure, discipline, 345
or regulation; and dental hygiene education. Rule and policy 346
recommendations of the council must shall be considered by the 347
board at its next regularly scheduled meeting in the same manner 348
in which it considers rule and policy recommendations from 349
designated subcommittees of the board. Any rule or policy 350

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proposed by the board pertaining to the specified part of 351
dentistry identified defined by this subsection must shall be 352
referred to the council for a recommendation before final action 353
by the board. The board may take final action on rules 354
pertaining to the specified part of dentistry identified defined 355
by this subsection without a council recommendation if the 356
council fails to submit a recommendation in a timely fashion as 357
prescribed by the board. 358
(b) A Council on Dental Assisting shall be appointed by 359
the board chair and shall include one board member who shall 360
chair the council and three dental assistants who are actively 361
engaged in dental assisting in this state. The council shall 362
meet at the request of the board chair or a majority of the 363
members of the board. The council shall meet for the purpose of 364
developing recommendations to the board on matters pertaining to 365
that part of dentistry related to dental assisting. 366
(c) Effective 28 months after the first dental therapy 367
license is granted by the board, the board chair shall appoint a 368
Council on Dental Therapy, which must include one board member 369
who shall chair the council and three dental therapists who are 370
actively engaged in the practice of dental therapy in this 371
state. The council shall meet at the request of the board chair, 372
a majority of the members of the board, or the council chair; 373
however, the council shall meet at least three times per year. 374
The council is charged with the responsibility of, and shall 375

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meet for the purpose of, developing rules and policies for 376
recommendation to the board on matters pertaining to that part 377
of dentistry consisting of educational, preventive, or 378
therapeutic dental therapy services; dental therapy licensure, 379
discipline, or regulation; and dental therapy education. Rule 380
and policy recommendations of the council must be considered by 381
the board at its next regularly scheduled meeting in the same 382
manner in which it considers rule and policy recommendations 383
from designated subcommittees of the board. Any rule or policy 384
proposed by the board pertaining to the specified part of 385
dentistry identified by this subsection must be referred to the 386
council for a recommendation before final action by the board. 387
The board may take final action on rules pertaining to the 388
specified part of dentistry identified by this subsection 389
without a council recommendation if the council fails to submit 390
a recommendation in a timely fashion as prescribed by the board. 391
(d)(c) With the concurrence of the State Surgeon General, 392
the board chair may create and abolish other advisory councils 393
relating to dental subjects, including, but not limited to: 394
examinations, access to dental care, indigent care, nursing home 395
and institutional care, public health, disciplinary guidelines, 396
and other subjects as appropriate. Such councils shall be 397
appointed by the board chair and shall include at least one 398
board member who shall serve as chair. 399
Section 6. Paragraph (b) of subsection (4) of section 400

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466.006, Florida Statutes, is amended to read: 401
466.006 Examination of dentists.— 402
(4) Notwithstanding any other provision of law in chapter 403
456 pertaining to the clinical dental licensure examination or 404
national examinations, to be licensed as a dentist in this 405
state, an applicant must successfully complete both of the 406
following: 407
(b) A practical or clinical examination, which must be the 408
American Dental Licensing Examination produced by the American 409
Board of Dental Examiners, Inc., or its successor entity, if 410
any, which is administered in this state, provided that the 411
board has attained, and continues to maintain thereafter, 412
representation on the board of directors of the American Board 413
of Dental Examiners, the examination development committee of 414
the American Board of Dental Examiners, and such other 415
committees of the American Board of Dental Examiners as the 416
board deems appropriate by rule to assure that the standards 417
established herein are maintained organizationally. 418
1. As an alternative to such practical or clinical 419
examination, an applicant may submit scores from an American 420
Dental Licensing Examination previously administered in a 421
jurisdiction other than this state after October 1, 2011, and 422
such examination results are recognized as valid for the purpose 423
of licensure in this state. A passing score on the American 424
Dental Licensing Examination administered out of state is the 425

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same as the passing score for the American Dental Licensing 426
Examination administered in this state. The applicant must have 427
completed the examination after October 1, 2011. This 428
subparagraph may not be given retroactive application. 429
2. If the date of an applicant's passing American Dental 430
Licensing Examination scores from an examination previously 431
administered in a jurisdiction other than this state under 432
subparagraph 1. is older than 365 days, such scores are 433
nevertheless valid for the purpose of licensure in this state, 434
but only if the applicant demonstrates that all of the following 435
additional standards have been met: 436
a. The applicant completed the American Dental Licensing 437
Examination after October 1, 2011. This sub-subparagraph may not 438
be given retroactive application. 439
b. The applicant graduated from a dental school accredited 440
by the American Dental Association Commission on Dental 441
Accreditation or its successor entity, if any, or any other 442
dental accrediting organization recognized by the United States 443
Department of Education. Provided, however, if the applicant did 444
not graduate from such a dental school, the applicant may submit 445
proof of having successfully completed a full-time supplemental 446
general dentistry program accredited by the American Dental 447
Association Commission on Dental Accreditation of at least 2 448
consecutive academic years at such accredited sponsoring 449
institution. Such program must provide didactic and clinical 450

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education at the level of a D.D.S. or D.M.D. program accredited 451
by the American Dental Association Commission on Dental 452
Accreditation. For purposes of this sub-subparagraph, a 453
supplemental general dentistry program does not include an 454
advanced education program in a dental specialty. 455
c. The applicant currently possesses a valid and active 456
dental license in good standing, with no restriction, which has 457
never been revoked, suspended, restricted, or otherwise 458
disciplined, from another state or territory of the United 459
States, the District of Columbia, or the Commonwealth of Puerto 460
Rico. 461
d. The applicant must disclose to the board during the 462
application process if he or she has been reported to the 463
National Practitioner Data Bank, the Healthcare Integrity and 464
Protection Data Bank, or the American Association of Dental 465
Boards Clearinghouse. This sub-subparagraph does not apply if 466
the applicant successfully appealed to have his or her name 467
removed from the data banks of these agencies. 468
e.(I)(A) The applicant submits proof of having been 469
consecutively engaged in the full-time practice of dentistry in 470
another state or territory of the United States, the District of 471
Columbia, or the Commonwealth of Puerto Rico in the 5 years 472
immediately preceding the date of application for licensure in 473
this state; or 474
(B) If the applicant has been licensed in another state or 475

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territory of the United States, the District of Columbia, or the 476
Commonwealth of Puerto Rico for less than 5 years, the applicant 477
submits proof of having been engaged in the full-time practice 478
of dentistry since the date of his or her initial licensure. 479
(II) As used in this section, "full-time practice" is 480
defined as a minimum of 1,200 hours per year for each year in 481
the consecutive 5-year period or, when applicable, the period 482
since initial licensure, and must include any combination of the 483
following: 484
(A) Active clinical practice of dentistry providing direct 485
patient care. 486
(B) Full-time practice as a faculty member employed by a 487
dental, dental therapy, or dental hygiene school approved by the 488
board or accredited by the American Dental Association 489
Commission on Dental Accreditation. 490
(C) Full-time practice as a student at a postgraduate 491
dental education program approved by the board or accredited by 492
the American Dental Association Commission on Dental 493
Accreditation. 494
(III) The board shall develop rules to determine what type 495
of proof of full-time practice is required and to recoup the 496
cost to the board of verifying full-time practice under this 497
section. Such proof must, at a minimum, be: 498
(A) Admissible as evidence in an administrative 499
proceeding; 500

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(B) Submitted in writing; 501
(C) Further documented by an applicant's annual income tax 502
return filed with the Internal Revenue Service for each year in 503
the preceding 5-year period or, if the applicant has been 504
practicing for less than 5 years, the period since initial 505
licensure; and 506
(D) Specifically found by the board to be both credible 507
and admissible. 508
(IV) The board may excuse applicants from the 1,200-hour 509
requirement in the event of hardship, as defined by the board. 510
f. The applicant submits documentation that he or she has 511
completed, or will complete before he or she is licensed in this 512
state, continuing education equivalent to this state's 513
requirements for the last full reporting biennium. 514
g. The applicant proves that he or she has never been 515
convicted of, or pled nolo contendere to, regardless of 516
adjudication, any felony or misdemeanor related to the practice 517
of a health care profession in any jurisdiction. 518
h. The applicant has successfully passed a written 519
examination on the laws and rules of this state regulating the 520
practice of dentistry and the computer-based diagnostic skills 521
examination. 522
i. The applicant submits documentation that he or she has 523
successfully completed the applicable examination administered 524
by the Joint Commission on National Dental Examinations or its 525

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successor organization. 526
Section 7. Subsection (1) of section 466.009, Florida 527
Statutes, is amended, and subsection (4) is added to that 528
section, to read: 529
466.009 Reexamination.— 530
(1) Any person who fails an examination that is required 531
under s. 466.006, or s. 466.007, or s. 466.0225 may retake the 532
examination. 533
(4) If an applicant for a license to practice dental 534
therapy fails the practical or clinical examination and she or 535
he has failed only one part or procedure of such examination, 536
she or he may be required to retake only that part or procedure 537
to pass such examination. However, if any such applicant fails 538
more than one part or procedure of any such examination, she or 539
he must be required to retake the entire examination. 540
Section 8. Section 466.011, Florida Statutes, is amended 541
to read: 542
466.011 Licensure.—The board shall certify for licensure 543
by the department any applicant who satisfies the requirements 544
of s. 466.006, s. 466.0067, or s. 466.007, or s. 466.0225. The 545
board may refuse to certify an applicant who has violated any of 546
the provisions of s. 466.026 or s. 466.028. 547
Section 9. Section 466.0136, Florida Statutes, is created 548
to read: 549
466.0136 Continuing education; dental therapists.—In 550

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addition to any other requirements for relicensure for dental 551
therapists specified in this chapter, the board shall require 552
each licensed dental therapist to complete at least 24 hours, 553
but not more than 36 hours, biennially of continuing education 554
in dental subjects in programs approved by the board or in 555
equivalent programs of continuing education. Programs of 556
continuing education approved by the board must be programs of 557
learning which, in the opinion of the board, contribute directly 558
to the dental education of the dental therapist. An individual 559
who is licensed as both a dental therapist and a dental 560
hygienist may use 2 hours of continuing education that is 561
approved for both dental therapy and dental hygiene education to 562
satisfy both dental therapy and dental hygiene continuing 563
education requirements. The board shall adopt rules and 564
guidelines to administer and enforce this section. The dental 565
therapist shall retain in her or his records any receipts, 566
vouchers, or certificates necessary to document completion of 567
the continuing education. Compliance with the continuing 568
education requirements is mandatory for issuance of the renewal 569
certificate. The board may excuse licensees, as a group or as 570
individuals, from all or part of the continuing education 571
requirements if an unusual circumstance, emergency, or hardship 572
prevents compliance with this section. 573
Section 10. Subsection (1) of section 466.016, Florida 574
Statutes, is amended to read: 575

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466.016 License to be displayed.— 576
(1) Every practitioner of dentistry, dental therapy, or 577
dental hygiene within the meaning of this chapter shall post and 578
keep conspicuously displayed her or his license in the office 579
where wherein she or he practices, in plain sight of the 580
practitioner's patients. Any dentist, dental therapist, or 581
dental hygienist who practices at more than one location must 582
display a copy of her or his license in each office where she or 583
he practices. 584
Section 11. Section 466.017, Florida Statutes, is amended, 585
to read: 586
466.017 Prescription of drugs; anesthesia.— 587
(1) A dentist shall have the right to prescribe drugs or 588
medicine, subject to limitations imposed by law; perform 589
surgical operations within the scope of her or his practice and 590
training; administer general or local anesthesia or sedation, 591
subject to limitations imposed by law; and use such appliances 592
as may be necessary to the proper practice of dentistry. 593
(2) Pharmacists licensed pursuant to chapter 465 may fill 594
prescriptions of legally licensed dentists in this state for any 595
drugs necessary for the practice of dentistry. 596
(3) The board shall adopt rules which: 597
(a) Define general anesthesia. 598
(b) Specify which methods of general or local anesthesia 599
or sedation, if any, are limited or prohibited for use by 600

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dentists. 601
(c) Establish minimal training, education, experience, or 602
certification for a dentist to use general anesthesia or 603
sedation, which rules may exclude, in the board's discretion, 604
those dentists using general anesthesia or sedation in a 605
competent and effective manner as of the effective date of the 606
rules. 607
(d) Establish further requirements relating to the use of 608
general anesthesia or sedation, including, but not limited to, 609
office equipment and the training of dental assistants, dental 610
therapists, or dental hygienists who work with dentists using 611
general anesthesia or sedation. 612
(e) Establish an administrative mechanism enabling the 613
board to verify compliance with training, education, experience, 614
equipment, or certification requirements of dentists, dental 615
therapists, dental hygienists, and dental assistants adopted 616
pursuant to this subsection. The board may charge a fee to 617
defray the cost of verifying compliance with requirements 618
adopted pursuant to this paragraph. 619
(4) A dentist, dental therapist, or dental hygienist who 620
administers or employs the use of any form of anesthesia must 621
possess a certification in either basic cardiopulmonary 622
resuscitation for health professionals or advanced cardiac life 623
support approved by the American Heart Association or the 624
American Red Cross or an equivalent agency-sponsored course with 625

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recertification every 2 years. Each dental office that which 626
uses any form of anesthesia must have immediately available and 627
in good working order such resuscitative equipment, oxygen, and 628
other resuscitative drugs as are specified by rule of the board 629
in order to manage possible adverse reactions. 630
(5) A dental hygienist under the direct supervision of a 631
dentist may administer local anesthesia, including intraoral 632
block anesthesia, soft tissue infiltration anesthesia, or both, 633
to a nonsedated patient who is 18 years of age or older, if the 634
following criteria are met: 635
(a) The dental hygienist has successfully completed a 636
course in the administration of local anesthesia which is 637
offered by a dental or dental hygiene program accredited by the 638
Commission on Dental Accreditation of the American Dental 639
Association or approved by the board. The course must include a 640
minimum of 30 hours of didactic instruction and 30 hours of 641
clinical experience, and instruction in: 642
1. Theory of pain control. 643
2. Selection-of-pain-control modalities. 644
3. Anatomy. 645
4. Neurophysiology. 646
5. Pharmacology of local anesthetics. 647
6. Pharmacology of vasoconstrictors. 648
7. Psychological aspects of pain control. 649
8. Systematic complications. 650

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9. Techniques of maxillary anesthesia. 651
10. Techniques of mandibular anesthesia. 652
11. Infection control. 653
12. Medical emergencies involving local anesthesia. 654
(b) The dental hygienist presents evidence of current 655
certification in basic or advanced cardiac life support. 656
(c) The dental hygienist possesses a valid certificate 657
issued under subsection (7) (6). 658
(6) A dental therapist, under the general supervision of a 659
dentist may administer local anesthesia, including intraoral 660
block anesthesia, soft tissue infiltration anesthesia, or both, 661
if the following criteria are met: 662
(a) The dental therapist has successfully completed a 663
course in the administration of local anesthesia that meets the 664
requirements described in paragraph (5)(a). 665
(b) The dental therapist presents evidence of current 666
certification in basic or advanced cardiac life support. 667
(c) The dental therapist possesses a valid certificate 668
issued under subsection (7). 669
(7)(6) Any dental therapist or dental hygienist seeking a 670
certificate to administer local anesthesia must apply to the 671
department, remit an application fee, and submit proof of 672
successful completion of a course in the administration of local 673
anesthesia pursuant to subsection (5). The board shall certify, 674
and the department shall issue a certificate to, any dental 675

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therapist who fulfills the qualifications of subsection (6) or 676
dental hygienist who fulfills the qualifications of subsection 677
(5). The board shall establish a one-time application fee not to 678
exceed $35. The certificate is not subject to renewal but is 679
part of the dental therapist's or dental hygienist's permanent 680
record and must be prominently displayed at the location where 681
the dental therapist or dental hygienist is authorized to 682
administer local anesthesia. The board shall adopt rules 683
necessary to administer subsections subsection (5) and (6) and 684
this subsection. 685
(8)(7) A licensed dentist, or a dental therapist who is 686
authorized by her or his supervising dentist, may operate 687
utilize an X-ray machine, expose dental X-ray films, and 688
interpret or read such films. Notwithstanding The provisions of 689
part IV of chapter 468 to the contrary notwithstanding, a 690
licensed dentist, or a dental therapist who is authorized by her 691
or his supervising dentist, may authorize or direct a dental 692
assistant to operate such equipment and expose such films under 693
her or his direction and supervision, pursuant to rules adopted 694
by the board in accordance with s. 466.024 which ensure that the 695
said assistant is competent by reason of training and experience 696
to operate the X-ray said equipment in a safe and efficient 697
manner. The board may charge a fee not to exceed $35 to defray 698
the cost of verifying compliance with requirements adopted 699
pursuant to this section. 700

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(9)(8) Notwithstanding The provisions of s. 465.0276 701
notwithstanding, a dentist need not register with the board or 702
comply with the continuing education requirements of that 703
section if the dentist confines her or his dispensing activity 704
to the dispensing of fluorides and chlorhexidine chlorohexidine 705
rinse solutions; provided that the dentist complies with and is 706
subject to all laws and rules applicable to pharmacists and 707
pharmacies, including, but not limited to, chapters 465, 499, 708
and 893, and all applicable federal laws and regulations, when 709
dispensing such products. 710
(10)(9) Any adverse incident that occurs in an office 711
maintained by a dentist must be reported to the department. The 712
required notification to the department must be submitted in 713
writing by certified mail and postmarked within 48 hours after 714
the incident occurs. 715
(11)(10) A dentist practicing in this state must notify 716
the board in writing by certified mail within 48 hours after any 717
adverse incident that occurs in the dentist's outpatient 718
facility. A complete written report must be filed with the board 719
within 30 days after the incident occurs. 720
(12)(11) Any certified registered dental hygienist 721
administering local anesthesia must notify the board in writing 722
by registered mail within 48 hours after any adverse incident 723
that was related to or the result of the administration of local 724
anesthesia. A complete written report must be filed with the 725

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board within 30 days after the mortality or other adverse 726
incident. 727
(13) A dental therapist must notify the board in writing 728
by registered mail within 48 hours after any adverse incident 729
related to or resulting from the administration of local 730
anesthesia. A complete written report must be filed with the 731
board within 30 days after the mortality or other adverse 732
incident. 733
(14)(12) A failure by the dentist, dental therapist, or 734
dental hygienist to timely and completely comply with all the 735
reporting requirements in this section is the basis for 736
disciplinary action by the board pursuant to s. 466.028(1). 737
(15)(13) The department shall review each adverse incident 738
and determine whether it involved conduct by a health care 739
professional subject to disciplinary action, in which case s. 740
456.073 applies. Disciplinary action, if any, shall be taken by 741
the board under which the health care professional is licensed. 742
(16)(14) As used in subsections (10)-(15) (9)-(13), the 743
term "adverse incident" means any mortality that occurs during 744
or as the result of a dental procedure, or an incident that 745
results in a temporary or permanent physical or mental injury 746
that requires hospitalization or emergency room treatment of a 747
dental patient which occurs during or as a direct result of the 748
use of general anesthesia, deep sedation, moderate sedation, 749
pediatric moderate sedation, oral sedation, minimal sedation 750

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(anxiolysis), nitrous oxide, or local anesthesia. 751
(17)(15) The board may adopt rules to administer this 752
section. 753
Section 12. Subsection (1) of section 466.018, Florida 754
Statutes, is amended to read: 755
466.018 Dentist of record; patient records.— 756
(1) Each patient must shall have a dentist of record. The 757
dentist of record shall remain primarily responsible for all 758
dental treatment on such patient regardless of whether the 759
treatment is rendered by that the dentist or by another dentist, 760
a dental therapist, a dental hygienist, or a dental assistant 761
rendering such treatment in conjunction with, at the direction 762
or request of, or under the supervision of such dentist of 763
record. The dentist of record must shall be identified in the 764
record of the patient. If treatment is rendered by a dentist 765
other than the dentist of record or by a dental hygienist, 766
dental therapist, or dental assistant, the name or initials of 767
such person must shall be placed in the record of the patient. 768
In any disciplinary proceeding brought pursuant to this chapter 769
or chapter 456, it must shall be presumed as a matter of law 770
that treatment was rendered by the dentist of record unless 771
otherwise noted on the patient record pursuant to this section. 772
The dentist of record and any other treating dentist are subject 773
to discipline pursuant to this chapter or chapter 456 for 774
treatment rendered to the patient and performed in violation of 775

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such chapter. One of the purposes of this section is to ensure 776
that the responsibility for each patient is assigned to one 777
dentist in a multidentist practice of any nature and to assign 778
primary responsibility to the dentist for treatment rendered by 779
a dental hygienist, dental therapist, or dental assistant under 780
her or his supervision. This section may shall not be construed 781
to assign any responsibility to a dentist of record for 782
treatment rendered pursuant to a proper referral to another 783
dentist who does not in practice with the dentist of record or 784
to prohibit a patient from voluntarily selecting a new dentist 785
without permission of the dentist of record. 786
Section 13. Section 466.0225, Florida Statutes, is created 787
to read: 788
466.0225 Examination of dental therapists; licensing.— 789
(1)(a) Any person desiring to be licensed as a dental 790
therapist must apply to the department. 791
(b) Applicants for licensure must also submit to 792
background screening in accordance with s. 456.0135. 793
(2) The department shall issue a license to an applicant 794
who the board certifies meets all of the following criteria: 795
(a) Is 18 years of age or older. 796
(b) Is a graduate of a dental therapy college or school 797
accredited by the American Dental Association Commission on 798
Dental Accreditation or its successor entity, if any, or any 799
other dental therapy accrediting entity recognized by the United 800

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States Department of Education. For applicants applying for a 801
dental therapy license before January 1, 2030, the board must 802
approve the applicant's dental therapy education program if the 803
program was administered by a college or school that operates an 804
accredited dental or dental hygiene program and the college or 805
school certifies to the board that the applicant's education 806
substantially conformed to the education standards established 807
by the American Dental Association Commission on Dental 808
Accreditation or its successor entity. 809
(c) Has successfully completed a dental therapy practical 810
or clinical examination produced by the American Board of Dental 811
Examiners, Inc., or its successor entity, if any, if the board 812
finds that the successor entity's examination meets or exceeds 813
the requirements of this section. If an applicant fails to pass 814
such an examination in three attempts, the applicant is not 815
eligible to retake the examination unless the applicant 816
completes additional education requirements as specified by the 817
board. 818
(d) Has successfully completed a written examination on 819
the laws and rules of this state regulating the practice of 820
dental therapy. 821
(e) Has not been disciplined by a board, except for 822
citation offenses or minor violations. 823
(f) Has not been convicted of or pled nolo contendere to, 824
regardless of adjudication, any felony or misdemeanor related to 825

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the practice of a health care profession. 826
(3) An applicant who meets the requirements of this 827
section and who has successfully completed an examination 828
identified in paragraph (2)(c) in a jurisdiction other than this 829
state, or who has successfully completed a comparable 830
examination administered or approved by the licensing authority 831
in a jurisdiction other than this state, shall be licensed to 832
practice dental therapy in this state if the board determines 833
that the other jurisdiction's examination is substantially 834
similar to those identified in paragraph (2)(c). 835
Section 14. Section 466.0227, Florida Statutes, is created 836
to read: 837
466.0227 Dental therapists; scope and area of practice.— 838
(1) Except as otherwise provided in this chapter, a dental 839
therapist may perform the dental therapy services specified in 840
subsection (2) under the general supervision of a dentist in all 841
service scenarios including mobile dental units to the extent 842
authorized by the supervising dentist and provided within the 843
terms of a written collaborative management agreement signed by 844
the dental therapist and the supervising dentist which meets the 845
requirements of subsection (3). 846
(2) The scope of practice of a dental therapist, subject 847
to the terms of a written collaborative management agreement, 848
includes all of the following: 849
(a) Oral evaluation and assessment of dental disease and 850

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formulation of an individualized treatment plan. 851
(b) Identification of oral and systemic conditions 852
requiring evaluation or treatment by dentists, physicians, or 853
other health care providers and managing referrals. 854
(c) Comprehensive charting of the oral cavity. 855
(d) Oral health instruction and disease prevention 856
education, including, but not limited to, nutritional counseling 857
and dietary analysis. 858
(e) Exposure and evaluation of radiographic images. 859
(f) Dental prophylaxis, including, but not limited to, 860
subgingival scaling and polishing procedures. 861
(g) Dispensing and administration via the oral or topical 862
route of nonnarcotic analgesic, anti-inflammatory, and 863
antibiotic medications as prescribed by a licensed health care 864
provider. 865
(h) Application of topical preventive or prophylactic 866
agents, including, but not limited to, fluoride varnish, 867
antimicrobial agents, caries arresting medicaments, and pit and 868
fissure sealants. 869
(i) Pulp vitality testing. 870
(j) Application of desensitizing medications or resins. 871
(k) Fabrication of athletic mouth guards and soft occlusal 872
guards. 873
(l) Changing of periodontal dressings. 874
(m) Administration of local anesthetic and nitrous oxide. 875

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(n) Simple extraction of erupted primary teeth. 876
(o) Nonsurgical extraction of periodontally diseased 877
permanent teeth with tooth mobility of +3 to +4 to the extent 878
authorized in the dental therapist's collaborative management 879
agreement, except for the extraction of a tooth that is 880
unerupted, impacted, or fractured or that needs to be sectioned 881
for removal. 882
(p) Emergency palliative treatment of dental pain limited 883
to the procedures in this subsection. 884
(q) Preparation and placement of direct restoration in 885
primary and permanent teeth. 886
(r) Fabrication and placement of single-tooth temporary 887
crowns. 888
(s) Preparation and placement of preformed crowns on 889
primary teeth. 890
(t) Indirect and direct pulp capping on permanent teeth. 891
(u) Indirect pulp capping on primary teeth. 892
(v) Intraoral suture placement and removal. 893
(w) Minor adjustment and repair of removable prostheses. 894
(x) Placement and removal of space maintainers. 895
(y) Pulpotomy on primary teeth. 896
(z) Tooth reimplantation and stabilization. 897
(aa) Recementing of a permanent crown. 898
(bb) Additional services, treatments, or procedures as the 899
board deems appropriate by rule. 900

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(3) Before performing any of the services authorized in 901
subsection (2), a dental therapist must enter into a written 902
collaborative management agreement with a supervising dentist. 903
The agreement must be signed by the dental therapist and the 904
supervising dentist and must include all of the following 905
information: 906
(a) Practice settings where services may be provided by 907
the dental therapist and the populations to be served by the 908
dental therapist. 909
(b) Any limitations on the services that may be provided 910
by the dental therapist, including the level of supervision 911
required by the supervising dentist. This may include 912
telehealth. 913
(c) Age-specific and procedure-specific practice protocols 914
for the dental therapist, including case selection criteria, 915
assessment guidelines, and imaging frequency. 916
(d) A procedure for creating and maintaining dental 917
records for the patients who are treated by the dental 918
therapist. 919
(e) A plan to manage medical emergencies in each practice 920
setting where the dental therapist provides care. 921
(f) A quality assurance plan for monitoring care provided 922
by the dental therapist, including patient care review, referral 923
follow-up, and a quality assurance chart review. 924
(g) Protocols for the dental therapist to administer and 925

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dispense medications, including the specific conditions and 926
circumstances under which the medications are to be dispensed 927
and administered. 928
(h) Criteria relating to the provision of care by the 929
dental therapist to patients with specific medical conditions or 930
complex medication histories, including requirements for 931
consultation before the initiation of care. 932
(i) Supervision criteria of dental therapists. 933
(j) A plan for the provision of clinical resources and 934
referrals in situations that are beyond the capabilities of the 935
dental therapist. 936
(4) A supervising dentist shall determine the number of 937
hours of practice that a dental therapist must complete under 938
direct or indirect supervision of the supervising dentist before 939
the dental therapist may perform any of the services authorized 940
in subsection (2) under general supervision. 941
(5) A supervising dentist may restrict or limit the dental 942
therapist's practice in the written collaborative management 943
agreement to be less than the full scope of practice for dental 944
therapists which is authorized in subsection (2). 945
(6) A supervising dentist may authorize a dental therapist 946
to provide dental therapy services to a patient before the 947
supervising dentist examines or diagnoses the patient if the 948
authority, conditions, and protocols are established in a 949
written collaborative management agreement and if the patient is 950

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subsequently referred to a dentist for any needed additional 951
services that exceed the dental therapist's scope of practice or 952
authorization under the collaborative management agreement. 953
(7) A supervising dentist must be licensed and practicing 954
in this state. The supervising dentist is responsible for all 955
services authorized and performed by the dental therapist 956
pursuant to the collaborative management agreement and for 957
providing or arranging followup services to be provided by a 958
dentist for any additional services that exceed the dental 959
therapist's scope of practice or authorization under the 960
collaborative management agreement. 961
Section 15. Section 466.026, Florida Statutes, is amended 962
to read: 963
466.026 Prohibitions; penalties.— 964
(1) Each of the following acts constitutes a felony of the 965
third degree, punishable as provided in s. 775.082, s. 775.083, 966
or s. 775.084: 967
(a) Practicing dentistry, dental therapy, or dental 968
hygiene unless the person has an appropriate, active license 969
issued by the department pursuant to this chapter. 970
(b) Using or attempting to use a license issued pursuant 971
to this chapter which license has been suspended or revoked. 972
(c) Knowingly employing any person to perform duties 973
outside the scope allowed such person under this chapter or the 974
rules of the board. 975

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(d) Giving false or forged evidence to the department or 976
board for the purpose of obtaining a license. 977
(e) Selling or offering to sell a diploma conferring a 978
degree from a dental college, or dental hygiene school or 979
college, or dental therapy school or college, or a license 980
issued pursuant to this chapter, or procuring such diploma or 981
license with intent that it will shall be used as evidence of 982
that which the document stands for, by a person other than the 983
one upon whom it was conferred or to whom it was granted. 984
(2) Each of the following acts constitutes a misdemeanor 985
of the first degree, punishable as provided in s. 775.082 or s. 986
775.083: 987
(a) Using the name or title "dentist," the letters 988
"D.D.S." or "D.M.D.", or any other words, letters, title, or 989
descriptive matter which in any way represents a person as being 990
able to diagnose, treat, prescribe, or operate for any disease, 991
pain, deformity, deficiency, injury, or physical condition of 992
the teeth or jaws or oral-maxillofacial region unless the person 993
has an active dentist's license issued by the department 994
pursuant to this chapter. 995
(b) Using the name "dental hygienist" or the initials 996
"R.D.H." or otherwise holding herself or himself out as an 997
actively licensed dental hygienist or implying to any patient or 998
consumer that she or he is an actively licensed dental hygienist 999
unless that person has an active dental hygienist's license 1000

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issued by the department pursuant to this chapter. 1001
(c) Using the name "dental therapist" or the initials 1002
"D.T." or otherwise holding herself or himself out as an 1003
actively licensed dental therapist or implying to any patient or 1004
consumer that she or he is an actively licensed dental therapist 1005
unless that person has an active dental therapist's license 1006
issued by the department pursuant to this chapter. 1007
(d)(c) Presenting as her or his own the license of 1008
another. 1009
(e)(d) Knowingly concealing information relative to 1010
violations of this chapter. 1011
(f)(e) Performing any services as a dental assistant as 1012
defined herein, except in the office of a licensed dentist, 1013
unless authorized by this chapter or by rule of the board. 1014
Section 16. Paragraphs (b), (c), (g), (s), and (t) of 1015
subsection (1) of section 466.028, Florida Statutes, are amended 1016
to read: 1017
466.028 Grounds for disciplinary action; action by the 1018
board.— 1019
(1) The following acts constitute grounds for denial of a 1020
license or disciplinary action, as specified in s. 456.072(2): 1021
(b) Having a license to practice dentistry, dental 1022
therapy, or dental hygiene revoked, suspended, or otherwise 1023
acted against, including the denial of licensure, by the 1024
licensing authority of another state, territory, or country. 1025

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(c) Being convicted or found guilty of or entering a plea 1026
of nolo contendere to, regardless of adjudication, a crime in 1027
any jurisdiction which relates to the practice of dentistry, 1028
dental therapy, or dental hygiene. A plea of nolo contendere 1029
creates shall create a rebuttable presumption of guilt to the 1030
underlying criminal charges. 1031
(g) Aiding, assisting, procuring, or advising any 1032
unlicensed person to practice dentistry, dental therapy, or 1033
dental hygiene contrary to this chapter or to a rule of the 1034
department or the board. 1035
(s) Being unable to practice her or his profession with 1036
reasonable skill and safety to patients by reason of illness or 1037
use of alcohol, drugs, narcotics, chemicals, or any other type 1038
of material or as a result of any mental or physical condition. 1039
In enforcing this paragraph, the department shall have, upon a 1040
finding of the State Surgeon General or her or his designee that 1041
probable cause exists to believe that the licensee is unable to 1042
practice dentistry, dental therapy, or dental hygiene because of 1043
the reasons stated in this paragraph, has the authority to issue 1044
an order to compel a licensee to submit to a mental or physical 1045
examination by physicians designated by the department. If the 1046
licensee refuses to comply with such order, the department's 1047
order directing such examination may be enforced by filing a 1048
petition for enforcement in the circuit court where the licensee 1049
resides or does business. The licensee against whom the petition 1050

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is filed may shall not be named or identified by initials in any 1051
public court records or documents, and the proceedings must 1052
shall be closed to the public. The department is shall be 1053
entitled to the summary procedure provided in s. 51.011. A 1054
licensee affected under this paragraph must shall at reasonable 1055
intervals be afforded an opportunity to demonstrate that she or 1056
he can resume the competent practice of her or his profession 1057
with reasonable skill and safety to patients. 1058
(t) Committing fraud, deceit, or misconduct in the 1059
practice of dentistry, dental therapy, or dental hygiene. 1060
Section 17. Subsection (1) of section 466.0285, Florida 1061
Statutes, is amended to read: 1062
466.0285 Proprietorship by nondentists.— 1063
(1) A No person other than a dentist licensed pursuant to 1064
this chapter, or nor any entity other than a professional 1065
corporation or limited liability company composed of dentists, 1066
may not: 1067
(a) Employ a dentist, a dental therapist, or a dental 1068
hygienist in the operation of a dental office. 1069
(b) Control the use of any dental equipment or material 1070
while such equipment or material is being used for the provision 1071
of dental services, whether those services are provided by a 1072
dentist, a dental therapist, a dental hygienist, or a dental 1073
assistant. 1074
(c) Direct, control, or interfere with a dentist's 1075

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clinical judgment. To direct, control, or interfere with a 1076
dentist's clinical judgment may not be interpreted to mean 1077
dental services contractually excluded, the application of 1078
alternative benefits that may be appropriate given the dentist's 1079
prescribed course of treatment, or the application of 1080
contractual provisions and scope of coverage determinations in 1081
comparison with a dentist's prescribed treatment on behalf of a 1082
covered person by an insurer, health maintenance organization, 1083
or a prepaid limited health service organization. 1084
1085
Any lease agreement, rental agreement, or other arrangement 1086
between a nondentist and a dentist whereby the nondentist 1087
provides the dentist with dental equipment or dental materials 1088
shall contain a provision whereby the dentist expressly 1089
maintains complete care, custody, and control of the equipment 1090
or practice. 1091
Section 18. Paragraph (g) of subsection (3) of section 1092
921.0022, Florida Statutes, is amended to read: 1093
(3) OFFENSE SEVERITY RANKING CHART 1094
(g) LEVEL 7 1095
1096
Florida
Statute
Felony
Degree Description
1097
316.027(2)(c) 1st Accident involving death,

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failure to stop; leaving scene.
1098
316.193(3)(c)2. 3rd DUI resulting in serious bodily
injury.
1099
316.1935(3)(b) 1st Causing serious bodily injury
or death to another person;
driving at high speed or with
wanton disregard for safety
while fleeing or attempting to
elude law enforcement officer
who is in a patrol vehicle with
siren and lights activated.
1100
327.35(3)(a)3.b. 3rd Vessel BUI resulting in serious
bodily injury.
1101
402.319(2) 2nd Misrepresentation and
negligence or intentional act
resulting in great bodily harm,
permanent disfiguration,
permanent disability, or death.
1102
409.920
(2)(b)1.a.
3rd Medicaid provider fraud;
$10,000 or less.

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1103
409.920
(2)(b)1.b.
2nd Medicaid provider fraud; more
than $10,000, but less than
$50,000.
1104
456.065(2) 3rd Practicing a health care
profession without a license.
1105
456.065(2) 2nd Practicing a health care
profession without a license
which results in serious bodily
injury.
1106
458.327(1) 3rd Practicing medicine without a
license.
1107
459.013(1) 3rd Practicing osteopathic medicine
without a license.
1108
460.411(1) 3rd Practicing chiropractic
medicine without a license.
1109
461.012(1) 3rd Practicing podiatric medicine
without a license.
1110

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462.17 3rd Practicing naturopathy without
a license.
1111
463.015(1) 3rd Practicing optometry without a
license.
1112
464.016(1) 3rd Practicing nursing without a
license.
1113
465.015(2) 3rd Practicing pharmacy without a
license.
1114
466.026(1) 3rd Practicing dentistry, dental
therapy, or dental hygiene
without a license.
1115
467.201 3rd Practicing midwifery without a
license.
1116
468.366 3rd Delivering respiratory care
services without a license.
1117
483.828(1) 3rd Practicing as clinical
laboratory personnel without a
license.

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1118
483.901(7) 3rd Practicing medical physics
without a license.
1119
484.013(1)(c) 3rd Preparing or dispensing optical
devices without a prescription.
1120
484.053 3rd Dispensing hearing aids without
a license.
1121
494.0018(2) 1st Conviction of any violation of
chapter 494 in which the total
money and property unlawfully
obtained exceeded $50,000 and
there were five or more
victims.
1122
560.123(8)(b)1. 3rd Failure to report currency or
payment instruments exceeding
$300 but less than $20,000 by a
money services business.
1123
560.125(5)(a) 3rd Money services business by
unauthorized person, currency
or payment instruments

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exceeding $300 but less than
$20,000.
1124
655.50(10)(b)1. 3rd Failure to report financial
transactions exceeding $300 but
less than $20,000 by financial
institution.
1125
775.21(10)(a) 3rd Sexual predator; failure to
register; failure to renew
driver license or
identification card; other
registration violations.
1126
775.21(10)(b) 3rd Sexual predator working where
children regularly congregate.
1127
775.21(10)(g) 3rd Failure to report or providing
false information about a
sexual predator; harbor or
conceal a sexual predator.
1128
782.051(3) 2nd Attempted felony murder of a
person by a person other than
the perpetrator or the

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perpetrator of an attempted
felony.
1129
782.07(1) 2nd Killing of a human being by the
act, procurement, or culpable
negligence of another
(manslaughter).
1130
782.071 2nd Killing of a human being or
unborn child by the operation
of a motor vehicle in a
reckless manner (vehicular
homicide).
1131
782.072 2nd Killing of a human being by the
operation of a vessel in a
reckless manner (vessel
homicide).
1132
784.045(1)(a)1. 2nd Aggravated battery;
intentionally causing great
bodily harm or disfigurement.
1133
784.045(1)(a)2. 2nd Aggravated battery; using
deadly weapon.

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1134
784.045(1)(b) 2nd Aggravated battery; perpetrator
aware victim pregnant.
1135
784.048(4) 3rd Aggravated stalking; violation
of injunction or court order.
1136
784.048(7) 3rd Aggravated stalking; violation
of court order.
1137
784.07(2)(d) 1st Aggravated battery on law
enforcement officer.
1138
784.074(1)(a) 1st Aggravated battery on sexually
violent predators facility
staff.
1139
784.08(2)(a) 1st Aggravated battery on a person
65 years of age or older.
1140
784.081(1) 1st Aggravated battery on specified
official or employee.
1141
784.082(1) 1st Aggravated battery by detained
person on visitor or other

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detainee.
1142
784.083(1) 1st Aggravated battery on code
inspector.
1143
787.025(2)(b) 2nd Luring or enticing a child;
second or subsequent offense.
1144
787.025(2)(c) 2nd Luring or enticing a child with
a specified prior conviction.
1145
787.06(3)(a)2. 1st Human trafficking using
coercion for labor and services
of an adult.
1146
787.06(3)(e)2. 1st Human trafficking using
coercion for labor and services
by the transfer or transport of
an adult from outside Florida
to within the state.
1147
790.07(4) 1st Specified weapons violation
subsequent to previous
conviction of s. 790.07(1) or
(2).

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1148
790.16(1) 1st Discharge of a machine gun
under specified circumstances.
1149
790.165(2) 2nd Manufacture, sell, possess, or
deliver hoax bomb.
1150
790.165(3) 2nd Possessing, displaying, or
threatening to use any hoax
bomb while committing or
attempting to commit a felony.
1151
790.166(3) 2nd Possessing, selling, using, or
attempting to use a hoax weapon
of mass destruction.
1152
790.166(4) 2nd Possessing, displaying, or
threatening to use a hoax
weapon of mass destruction
while committing or attempting
to commit a felony.
1153
790.23 1st,PBL Possession of a firearm by a
person who qualifies for the
penalty enhancements provided

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for in s. 874.04.
1154
794.08(4) 3rd Female genital mutilation;
consent by a parent, guardian,
or a person in custodial
authority to a victim younger
than 18 years of age.
1155
796.05(1) 1st Live on earnings of a
prostitute; 2nd offense.
1156
796.05(1) 1st Live on earnings of a
prostitute; 3rd and subsequent
offense.
1157
800.04(5)(c)1. 2nd Lewd or lascivious molestation;
victim younger than 12 years of
age; offender younger than 18
years of age.
1158
800.04(5)(c)2. 2nd Lewd or lascivious molestation;
victim 12 years of age or older
but younger than 16 years of
age; offender 18 years of age
or older.

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1159
800.04(5)(e) 1st Lewd or lascivious molestation;
victim 12 years of age or older
but younger than 16 years;
offender 18 years or older;
prior conviction for specified
sex offense.
1160
806.01(2) 2nd Maliciously damage structure by
fire or explosive.
1161
810.02(3)(a) 2nd Burglary of occupied dwelling;
unarmed; no assault or battery.
1162
810.02(3)(b) 2nd Burglary of unoccupied
dwelling; unarmed; no assault
or battery.
1163
810.02(3)(d) 2nd Burglary of occupied
conveyance; unarmed; no assault
or battery.
1164
810.02(3)(e) 2nd Burglary of authorized
emergency vehicle.
1165

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812.014(2)(a)1. 1st Property stolen, valued at
$100,000 or more or a
semitrailer deployed by a law
enforcement officer; property
stolen while causing other
property damage; 1st degree
grand theft.
1166
812.014(2)(b)2. 2nd Property stolen, cargo valued
at less than $50,000, grand
theft in 2nd degree.
1167
812.014(2)(b)3. 2nd Property stolen, emergency
medical equipment; 2nd degree
grand theft.
1168
812.014(2)(b)4. 2nd Property stolen, law
enforcement equipment from
authorized emergency vehicle.
1169
812.014(2)(g) 2nd Grand theft; second degree;
firearm with previous
conviction of s.
812.014(2)(c)5.
1170

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812.0145(2)(a) 1st Theft from person 65 years of
age or older; $50,000 or more.
1171
812.019(2) 1st Stolen property; initiates,
organizes, plans, etc., the
theft of property and traffics
in stolen property.
1172
812.131(2)(a) 2nd Robbery by sudden snatching.
1173
812.133(2)(b) 1st Carjacking; no firearm, deadly
weapon, or other weapon.
1174
817.034(4)(a)1. 1st Communications fraud, value
greater than $50,000.
1175
817.234(8)(a) 2nd Solicitation of motor vehicle
accident victims with intent to
defraud.
1176
817.234(9) 2nd Organizing, planning, or
participating in an intentional
motor vehicle collision.
1177
817.234(11)(c) 1st Insurance fraud; property value

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$100,000 or more.
1178
817.2341
(2)(b) &
(3)(b)
1st Making false entries of
material fact or false
statements regarding property
values relating to the solvency
of an insuring entity which are
a significant cause of the
insolvency of that entity.
1179
817.418(2)(a) 3rd Offering for sale or
advertising personal protective
equipment with intent to
defraud.
1180
817.504(1)(a) 3rd Offering or advertising a
vaccine with intent to defraud.
1181
817.535(2)(a) 3rd Filing false lien or other
unauthorized document.
1182
817.611(2)(b) 2nd Traffic in or possess 15 to 49
counterfeit credit cards or
related documents.
1183

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825.102(3)(b) 2nd Neglecting an elderly person or
disabled adult causing great
bodily harm, disability, or
disfigurement.
1184
825.103(3)(b) 2nd Exploiting an elderly person or
disabled adult and property is
valued at $10,000 or more, but
less than $50,000.
1185
827.03(2)(b) 2nd Neglect of a child causing
great bodily harm, disability,
or disfigurement.
1186
827.04(3) 3rd Impregnation of a child under
16 years of age by person 21
years of age or older.
1187
827.071(2) & (3) 2nd Use or induce a child in a
sexual performance, or promote
or direct such performance.
1188
827.071(4) 2nd Possess with intent to promote
any photographic material,
motion picture, etc., which

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includes child pornography.
1189
837.05(2) 3rd Giving false information about
alleged capital felony to a law
enforcement officer.
1190
838.015 2nd Bribery.
1191
838.016 2nd Unlawful compensation or reward
for official behavior.
1192
838.021(3)(a) 2nd Unlawful harm to a public
servant.
1193
838.22 2nd Bid tampering.
1194
843.0855(2) 3rd Impersonation of a public
officer or employee.
1195
843.0855(3) 3rd Unlawful simulation of legal
process.
1196
843.0855(4) 3rd Intimidation of a public
officer or employee.
1197

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847.0135(3) 3rd Solicitation of a child, via a
computer service, to commit an
unlawful sex act.
1198
847.0135(4) 2nd Traveling to meet a minor to
commit an unlawful sex act.
1199
872.06 2nd Abuse of a dead human body.
1200
874.05(2)(b) 1st Encouraging or recruiting
person under 13 to join a
criminal gang; second or
subsequent offense.
1201
874.10 1st,PBL Knowingly initiates, organizes,
plans, finances, directs,
manages, or supervises criminal
gang-related activity.
1202
893.13(1)(c)1. 1st Sell, manufacture, or deliver
cocaine (or other drug
prohibited under s.
893.03(1)(a), (1)(b), (1)(d),
(2)(a), (2)(b), or (2)(c)5.)
within 1,000 feet of a child

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care facility, school, or
state, county, or municipal
park or publicly owned
recreational facility or
community center.
1203
893.13(1)(e)1. 1st Sell, manufacture, or deliver
cocaine or other drug
prohibited under s.
893.03(1)(a), (1)(b), (1)(d),
(2)(a), (2)(b), or (2)(c)5.,
within 1,000 feet of property
used for religious services or
a specified business site.
1204
893.13(4)(a) 1st Use or hire of minor; deliver
to minor other controlled
substance.
1205
893.135(1)(a)1. 1st Trafficking in cannabis, more
than 25 lbs., less than 2,000
lbs.
1206
893.135
(1)(b)1.a.
1st Trafficking in cocaine, more
than 28 grams, less than 200

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grams.
1207
893.135
(1)(c)1.a.
1st Trafficking in illegal drugs,
more than 4 grams, less than 14
grams.
1208
893.135
(1)(c)2.a.
1st Trafficking in hydrocodone, 28
grams or more, less than 50
grams.
1209
893.135
(1)(c)2.b.
1st Trafficking in hydrocodone, 50
grams or more, less than 100
grams.
1210
893.135
(1)(c)3.a.
1st Trafficking in oxycodone, 7
grams or more, less than 14
grams.
1211
893.135
(1)(c)3.b.
1st Trafficking in oxycodone, 14
grams or more, less than 25
grams.
1212
893.135
(1)(c)4.b.(I)
1st Trafficking in fentanyl, 4
grams or more, less than 14
grams.

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1213
893.135
(1)(d)1.a.
1st Trafficking in phencyclidine,
28 grams or more, less than 200
grams.
1214
893.135(1)(e)1. 1st Trafficking in methaqualone,
200 grams or more, less than 5
kilograms.
1215
893.135(1)(f)1. 1st Trafficking in amphetamine, 14
grams or more, less than 28
grams.
1216
893.135
(1)(g)1.a.
1st Trafficking in flunitrazepam, 4
grams or more, less than 14
grams.
1217
893.135
(1)(h)1.a.
1st Trafficking in gamma-
hydroxybutyric acid (GHB), 1
kilogram or more, less than 5
kilograms.
1218
893.135
(1)(j)1.a.
1st Trafficking in 1,4-Butanediol,
1 kilogram or more, less than 5
kilograms.

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1219
893.135
(1)(k)2.a.
1st Trafficking in Phenethylamines,
10 grams or more, less than 200
grams.
1220
893.135
(1)(m)2.a.
1st Trafficking in synthetic
cannabinoids, 280 grams or
more, less than 500 grams.
1221
893.135
(1)(m)2.b.
1st Trafficking in synthetic
cannabinoids, 500 grams or
more, less than 1,000 grams.
1222
893.135
(1)(n)2.a.
1st Trafficking in n-benzyl
phenethylamines, 14 grams or
more, less than 100 grams.
1223
893.1351(2) 2nd Possession of place for
trafficking in or manufacturing
of controlled substance.
1224
896.101(5)(a) 3rd Money laundering, financial
transactions exceeding $300 but
less than $20,000.
1225

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896.104(4)(a)1. 3rd Structuring transactions to
evade reporting or registration
requirements, financial
transactions exceeding $300 but
less than $20,000.
1226
943.0435(4)(c) 2nd Sexual offender vacating
permanent residence; failure to
comply with reporting
requirements.
1227
943.0435(8) 2nd Sexual offender; remains in
state after indicating intent
to leave; failure to comply
with reporting requirements.
1228
943.0435(9)(a) 3rd Sexual offender; failure to
comply with reporting
requirements.
1229
943.0435(13) 3rd Failure to report or providing
false information about a
sexual offender; harbor or
conceal a sexual offender.
1230

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943.0435(14) 3rd Sexual offender; failure to
report and reregister; failure
to respond to address
verification; providing false
registration information.
1231
944.607(9) 3rd Sexual offender; failure to
comply with reporting
requirements.
1232
944.607(10)(a) 3rd Sexual offender; failure to
submit to the taking of a
digitized photograph.
1233
944.607(12) 3rd Failure to report or providing
false information about a
sexual offender; harbor or
conceal a sexual offender.
1234
944.607(13) 3rd Sexual offender; failure to
report and reregister; failure
to respond to address
verification; providing false
registration information.
1235

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985.4815(10) 3rd Sexual offender; failure to
submit to the taking of a
digitized photograph.
1236
985.4815(12) 3rd Failure to report or providing
false information about a
sexual offender; harbor or
conceal a sexual offender.
1237
985.4815(13) 3rd Sexual offender; failure to
report and reregister; failure
to respond to address
verification; providing false
registration information.
1238
1239
Section 19. The Department of Health, in consultation with 1240
the Board of Dentistry and the Agency for Health Care 1241
Administration, shall submit a progress report to the President 1242
of the Senate and the Speaker of the House of Representatives by 1243
July 1, 2029, and a final report 4 years after the first dental 1244
therapy license is issued. The reports must include all of the 1245
following information and recommendations: 1246
(1) The progress that has been made in this state to 1247
implement dental therapy training programs, licensing, and 1248

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Medicaid reimbursement. 1249
(2) Data demonstrating the effects of dental therapy in 1250
this state on all of the following: 1251
(a) Patient access to dental services. 1252
(b) Costs to dental providers, patients, dental insurance 1253
carriers, and the state. 1254
(c) The quality and safety of dental services. 1255
(3) Specific recommendations for any necessary 1256
legislative, administrative, or regulatory reform relating to 1257
the practice of dental therapy. 1258
(4) Any other information the department deems 1259
appropriate. 1260
Section 20. This act shall take effect July 1, 2026. 1261