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SECOND REGULAR SESSION
HOUSE BILL NO. 2137
103RD GENERAL ASSEMBL Y
INTRODUCED BY REPRESENT A TIVE POLLITT .
4390H.01I JOSEPH ENGLER, Chief Clerk
AN ACT
T o repeal section 332.31 1, RSMo, and to enact in lieu thereof one new section relating to
dental hygienists.
Be it enacted by the General Assembly of the state of Missouri, as follows:
Section A. Section 332.31 1, RSMo, is repealed and one new section enacted in lieu
2 thereof, to be known as section 332.31 1, to read as follows:
332.31 1. 1. Except as provided in [ subsection ] subsections 2 and 3 of this section, a
2 duly registered and currently licensed dental hygienist may only practice as a dental hygienist
3 so long as the dental hygienist is employed by a dentist who is duly registered and currently
4 licensed in Missouri, or as an employee of such other person or entity approved by the board
5 in accordance with rules promulgated by the board. In accordance with this chapter and the
6 rules promulgated by the board pursuant thereto, a dental hygienist shall only practice under
7 the supervision of a dentist who is duly registered and currently licensed in Missouri, except
8 as provided in [ subsection ] subsections 2 and 3 of this section.
9 2. A duly re gistered and curr ently licensed dental hygienist or a dental hygienist
10 with a volunteer dental hygienist license may perform oral scre enings, pr ovide oral
11 hygiene instructions, and place fluoride varnish in any setting without the supervision of
12 a dentist.
13 3. A duly registered and currently licensed dental hygienist who has been in practice
14 at least three years and who is practicing in a public health setting may provide [ fluoride
15 treatments, ] teeth cleaning and sealants, if appropriate, to children who are eligible for
16 medical assistance, pursuant to chapter 208, without the supervision of a dentist. Medicaid
17 shall reimburse any eligible provider who provides [ fluoride treatments, ] teeth cleaning[ , ] and
EXPLANA TION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law . Matter in bold-face type in the above bill is proposed language.
18 sealants to eligible children. Those public health settings in which a dental hygienist may
19 practice as described in this subsection without the supervision of a dentist shall be
20 established jointly by the department of health and senior services and by the Missouri dental
21 board by rule.
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HB 2137 2