A bill for an act relating to the administration of local anesthesia by dental assistants.

House

File

338

-

Introduced

HOUSE

FILE

338

BY

BROWN-POWERS

,

CROKEN

,

KRESSIG

,

GOSA

,

AMOS

JR.

,

BAETH

,

WILBURN

,

BAGNIEWSKI

,

WICHTENDAHL

,

and

R.

JOHNSON

A

BILL

FOR

An

Act

relating

to

the

administration

of

local

anesthesia

by

1

dental

assistants.

2

BE

IT

ENACTED

BY

THE

GENERAL

ASSEMBLY

OF

THE

STATE

OF

IOWA:

3

TLSB

2436YH

(2)

91

ss/ko

H.F.

338

Section

1.

Section

153.38,

Code

2025,

is

amended

to

read

as

1

follows:

2

153.38

Dental

assistants

——

scope

of

practice.

3

A

registered

dental

assistant

may

perform

those

services

4

of

assistance

to

a

licensed

dentist

as

determined

by

the

5

board

by

rule.

A

registered

dental

assistant

with

additional

6

education

and

training,

as

provided

by

the

board

by

rule,

7

may

become

certified

to

perform

expanded

functions

or

become

8

qualified

to

participate

in

dental

radiography.

A

registered

9

dental

assistant

who

has

successfully

completed

expanded

10

function

training

through

the

university

of

Iowa

college

of

11

dentistry

or

a

program

certified

by

the

commission

on

dental

12

accreditation

may

place

dental

sealants

on

teeth.

Services

13

performed

by

a

registered

dental

assistant

shall

be

performed

14

under

supervision

of

a

licensed

dentist,

but

this

section

shall

15

not

be

construed

to

authorize

a

dental

assistant

to

practice

16

dentistry

or

dental

hygiene.

The

board

shall

not

adopt

rules

17

that

delegate

to

a

dental

assistant

the

administration

of

18

local

anesthesia

or

the

removal

of

plaque,

stain,

calculus,

or

19

hard

natural

material

except

by

toothbrush,

floss,

or

rubber

20

cup

coronal

polish.

Every

licensed

dentist

who

utilizes

the

21

services

of

a

registered

dental

assistant

for

the

purpose

of

22

assistance

in

the

practice

of

dentistry

shall

be

responsible

23

for

acts

delegated

to

the

registered

dental

assistant.

A

24

dentist

shall

delegate

to

a

registered

dental

assistant

only

25

those

acts

which

are

authorized

to

be

delegated

to

registered

26

dental

assistants

by

the

board.

27

EXPLANATION

28

The

inclusion

of

this

explanation

does

not

constitute

agreement

with

29

the

explanation’s

substance

by

the

members

of

the

general

assembly.

30

This

bill

strikes

a

provision

prohibiting

the

dental

board

31

from

adopting

rules

to

delegate

to

a

dental

assistant

the

32

administration

of

local

anesthesia.

33

-1-

LSB

2436YH

(2)

91

ss/ko

1/

1