reglab/statecodes huggingface dataset:
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 257 - License Renewal › Section 257.003. Refusal for Violation of Board Order

Sec. 257.003.  REFUSAL FOR VIOLATION OF BOARD ORDER.  The board may refuse to renew a license issued under this subtitle if the license holder is in violation of a board order.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 15, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 257 - License Renewal › Section 257.004. Cardiopulmonary Resuscitation Requirements

Sec. 257.004.  CARDIOPULMONARY RESUSCITATION REQUIREMENTS.  (a)  A person holding a dental or dental hygienist license must submit at the time the person applies for renewal of the license:
(1)  a written statement executed by the person stating that the person has successfully completed a current program or course in cardiopulmonary resuscitation that includes a demonstration of skills and a written evaluation;  or
(2)  if the person is not physically able to comply with the requirements of Subdivision (1), a written statement describing the person's physical incapacity executed by a licensed physician.
(b)  Repealed by Acts 2003, 78th Leg., ch. 17, Sec. 28, eff. Sept. 1, 2003.
(c)  A dentist or dental hygienist licensed by the board who resides in a country other than the United States on the renewal date of the person's license and has not practiced dentistry or dental hygiene in the United States during the license period preceding the renewal date is exempt from the requirements of Subsection (a) if the person submits proof of foreign residence with the person's renewal application.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1249, Sec. 7, eff. Jan. 1, 2002;  Acts 2003, 78th Leg., ch. 17, Sec. 16, 28, eff. Sept. 1, 2003.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 16, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 257 - License Renewal › Section 257.005. Continuing Education for Dentist and Dental Hygienist

Sec. 257.005.  CONTINUING EDUCATION FOR DENTIST AND DENTAL HYGIENIST.  (a)  The board shall develop a mandatory continuing education program for licensed dentists and dental hygienists.  The board by rule shall establish the minimum number of hours of continuing education a license holder is required to complete for each registration period to renew the license for a subsequent registration period.
(b)  The board may:
(1)  assess the continuing education needs of license holders;  and
(2)  require license holders to attend continuing education courses specified by the board.
(b-1)  The board shall require a licensed dentist whose practice includes direct patient care to complete not less than two hours of board-approved continuing education annually regarding safe and effective pain management related to the prescription of opioids and other controlled substances, including education regarding:
(1)  reasonable standards of care;
(2)  the identification of drug-seeking behavior in patients; and
(3)  effectively communicating with patients regarding the prescription of an opioid or other controlled substance.
(c)  The board by rule shall:
(1)  identify the key factors required for competent performance of professional duties under this subtitle;
(2)  develop a process to evaluate and approve continuing education courses;  and
(3)  develop a process to assess a license holder's participation and performance in continuing education courses to evaluate the overall effectiveness of the program.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 14.079(d), eff. Sept. 1, 2001.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 17, eff. September 1, 2017.
Acts 2019, 86th Leg., R.S., Ch. 818 (H.B. 2454), Sec. 3, eff. September 1, 2019.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter A. Delegation by Dentist › Section 258.002. Delegation to Dental Assistant

Sec. 258.002.  DELEGATION TO DENTAL ASSISTANT.  (a)  A licensed dentist may delegate to a qualified and trained dental assistant acting under the dentist's general or direct supervision any dental act that a reasonable and prudent dentist would find is within the scope of sound dental judgment to delegate if:
(1)  in the opinion of the delegating dentist, the act:
(A)  can be properly and safely performed by the person to whom the dental act is delegated; and
(B)  is performed in a customary manner and is not in violation of this subtitle or any other statute;
(2)  the person to whom the dental act is delegated does not represent to the public that the person is authorized to practice dentistry; and
(3)  the person to whom the dental act is delegated is registered under Chapter 265, if registration is required to perform the act.
(b)  Repealed by Acts 2009, 81st Leg., R.S., Ch. 476, Sec. 8(1), eff. September 1, 2009.
(c)  The board by rule shall establish guidelines regarding the types of dental acts that may be properly or safely delegated by a dentist, including a determination of which delegated dental acts, if any, require competency testing before a person may perform the act.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1470, Sec. 4.01, eff. Sept. 1, 2001;  Acts 2003, 78th Leg., ch. 1144, Sec. 1, eff. June 20, 2003.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 476 (S.B. 455), Sec. 1, eff. September 1, 2009.
Acts 2009, 81st Leg., R.S., Ch. 476 (S.B. 455), Sec. 8(1), eff. September 1, 2009.
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 18, eff. September 1, 2018.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter A. Delegation by Dentist › Section 258.003. Responsibility of Delegating Dentist

Sec. 258.003.  RESPONSIBILITY OF DELEGATING DENTIST.  A delegating dentist is responsible for a dental act performed by the person to whom the dentist delegates the act.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter B. General Practice Provisions › Section 258.051. Dentist Records

Sec. 258.051.  DENTIST RECORDS.  (a)  The records of a diagnosis made and treatment performed for and on a dental patient are the property of the dentist performing the dental service.
(b)  A dentist's records may not be sold, pledged as collateral, or transferred to any person other than the patient unless the transfer is made in compliance with Subchapter C and board rules.
(c)  This section does not prevent the voluntary submission of records to an insurance company to determine benefits when consent for the disclosure has been granted under Section 258.104.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.  Amended by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(a), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter B. General Practice Provisions › Section 258.0511. Access to Dental Records

Sec. 258.0511.  ACCESS TO DENTAL RECORDS.  (a)  An owner, shareholder, partner, or executive officer of a clinic or other entity that provides dental services for the public shall designate a license holder as the dental custodian of records to provide records to the board or a dentist who has provided dental treatment and to comply with other law regulating dental patient records.
(a-1)  The board by rule shall establish conditions under which the board may temporarily or permanently appoint a person as custodian of a dentist's billing or dental patient records.  In adopting rules under this subsection, the board shall consider the death of a dentist, the mental or physical incapacitation of a dentist, and the abandonment of billing or dental patient records by a dentist as conditions for appointment of a custodian.
(b)  On demand, the dental custodian of records shall give access to the board and produce for the board all records or other evidence related to the investigation or prosecution of an alleged violation of this subtitle or another law regulating the practice of dentistry in this state.
(c)  The board shall adopt rules regarding the designation and duties of a dental custodian of records.
(d)  Section 264.101 applies to a violation of this section.
Added by Acts 2007, 80th Leg., R.S., Ch. 1119 (H.B. 3876), Sec. 1, eff. September 1, 2007.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 19, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter B. General Practice Provisions › Section 258.052. Case Histories and Physical Evaluations

Sec. 258.052.  CASE HISTORIES AND PHYSICAL EVALUATIONS.  (a)  A dentist may take a complete case history and perform a complete physical evaluation that may be used to admit a patient to a hospital for the practice of dentistry if the activity is necessary in the exercise of due care in the practice of dentistry.
(b)  A dentist is not automatically entitled to membership on a hospital's medical staff or to exercise clinical privileges at a hospital solely because the dentist is licensed in this state or because the dentist is authorized to take a case history and perform a physical evaluation.
(c)  A dentist may not be denied membership on a hospital's medical staff or the right to the exercise of clinical privileges at a hospital solely because the person is a dentist rather than a physician.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter B. General Practice Provisions › Section 258.053. Use of Certain Drugs

Sec. 258.053.  USE OF CERTAIN DRUGS.  (a)  In this section, "narcotic drugs," "dangerous drugs," and "controlled substances" have the meanings defined or recognized by federal law or the law of this state.
(b)  A dentist may not:
(1)  prescribe, provide, obtain, order, administer, possess, dispense, give, or deliver to or for any person a narcotic drug, dangerous drug, or controlled substance:
(A)  that is not necessary or required;  or
(B)  the use or possession of which would promote addiction to the drug or substance;  or
(2)  aid, abet, or cause another person to engage in an action described by Subdivision (1).
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter B. General Practice Provisions › Section 258.054. Use of X-Ray Equipment

Sec. 258.054.  USE OF X-RAY EQUIPMENT.  (a)  A dentist may authorize a qualified person to perform beam calibration and characterization, quality assurance, instrument specification, acceptance testing, shielding design, or protection analysis on radiation-emitting equipment or radiopharmaceuticals for a procedure that involves the diagnosis or treatment of disease or another dental condition in humans.
(b)  A dentist's authorization and the performance of authorized activities by a qualified person does not constitute the practice of medical physics under Chapter 602.
(c)  A dentist may not authorize a dental assistant, other than a dental assistant described by Section 265.001(d), to make a dental x-ray unless the dental assistant is registered under Chapter 265.
Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.
Amended by:
Acts 2005, 79th Leg., Ch. 810 (S.B. 610), Sec. 5, eff. September 1, 2005.
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 20, eff. September 1, 2018.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter B. General Practice Provisions › Section 258.055. Practice of Dentistry on Certain Children

Sec. 258.055.  PRACTICE OF DENTISTRY ON CERTAIN CHILDREN.  (a)  The parent or guardian of a child younger than 18 years of age may be present in the treatment room during the child's dental treatment or procedure, unless the dentist determines in the dentist's professional judgment that the presence of the parent or guardian in the treatment room is likely to have an adverse effect on the treatment or the child.
(b)  In this section, "parent or guardian" includes a person authorized by law to consent for the medical or dental treatment of a child younger than 18 years of age.
Added by Acts 2013, 83rd Leg., R.S., Ch. 709 (H.B. 3201), Sec. 8, eff. January 1, 2014.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.101. Definitions

Sec. 258.101.  DEFINITIONS.  In this subchapter:
(1)  "Dental record" means dental information about a patient:
(A)  created or maintained by a dentist;  and
(B)  relating to the history or treatment of the patient.
(2)  "Dentist" means a person licensed to practice dentistry.
(3)  "Patient" means a person who consults with a dentist to receive dental care.
(4)  "Privilege" means the confidentiality privilege created by this subchapter.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.102. Scope of Privilege

Sec. 258.102.  SCOPE OF PRIVILEGE.  (a)  The following information is privileged and may not be disclosed except as provided by this subchapter:
(1)  a communication between a dentist and a patient that relates to a professional service provided by the dentist;  and
(2)  a dental record.
(b)  The privilege described by this section applies regardless of when the patient received the professional service from the dentist.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.103. Holder of Privilege

Sec. 258.103.  HOLDER OF PRIVILEGE.  (a)  The patient is the holder of the privilege.
(b)  The following persons may claim the privilege on the patient's behalf:
(1)  a person authorized to act on the patient's behalf;
(2)  a dentist acting on the patient's behalf;  and
(3)  an agent or employee of a person listed in Subdivision (1) or (2).
(c)  A person's authority to claim the privilege is presumed in the absence of evidence to the contrary.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.104. Consent to Disclosure of Privileged Information

Sec. 258.104.  CONSENT TO DISCLOSURE OF PRIVILEGED INFORMATION.  (a)  A person may disclose privileged information if the patient consents to the disclosure as provided in this section.
(b)  Consent for the release of privileged information must be in writing and be signed by:
(1)  the patient;
(2)  a parent or legal guardian of the patient, if the patient is a minor;
(3)  a legal guardian of the patient, if the patient has been adjudicated incompetent to manage the patient's personal affairs;
(4)  an attorney ad litem appointed for the patient, as authorized by:
(A)  Chapter 107, Family Code;
(B)  Subtitle B, Title 6, Health and Safety Code;
(C)  Subtitle C, Title 7, Health and Safety Code;
(D)  Subtitle D, Title 7, Health and Safety Code;
(E)  Subtitle E, Title 7, Health and Safety Code;
(F)  Chapter 1054, Estates Code; or
(G)  any other law; or
(5)  a personal representative of the patient, if the patient is deceased.
(c)  The consent required under this section must specify:
(1)  the information covered by the release;
(2)  the person to whom the information is to be released;  and
(3)  the purpose for the release.
(d)  A person may withdraw consent granted under this section by notifying in writing the person who maintains the information.  Withdrawal of consent does not affect information disclosed before the written notice of the withdrawal is delivered.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
Amended by:
Acts 2019, 86th Leg., R.S., Ch. 846 (H.B. 2780), Sec. 11, eff. September 1, 2019.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.105. Exception to Privilege for Certain Proceedings

Sec. 258.105.  EXCEPTION TO PRIVILEGE FOR CERTAIN PROCEEDINGS.  (a)  The privilege does not apply in a court or administrative proceeding if the proceeding is:
(1)  brought by the patient against a dentist, including a malpractice, criminal, or license revocation proceeding, and the disclosure is relevant to a claim or defense of the dentist;  or
(2)  to collect on a claim for dental services rendered to the patient.
(b)  The privilege does not apply to the disclosure of a dental record:
(1)  to the board in a disciplinary investigation or proceeding against a dentist conducted under this subtitle;  or
(2)  in a criminal investigation or proceeding against a dentist in which the board is participating or assisting by providing a record obtained from the dentist.
(c)  The board may not reveal the identity of a patient whose dental record is disclosed under Subsection (b).
(d)  Privileged information is discoverable in a criminal prosecution if:
(1)  the patient is a victim, witness, or defendant;  and
(2)  the court in which the prosecution is pending rules, after an in camera review, that the information is relevant for discovery purposes.
(e)  Privileged information is admissible in a criminal prosecution if:
(1)  the patient is a victim, witness, or defendant;  and
(2)  the court in which the prosecution is pending rules, after an in camera review, that the information is relevant.
(f)  The privilege does not apply to a grand jury subpoena.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.106. Exception to Privilege for Certain Disclosures by Dentist

Sec. 258.106.  EXCEPTION TO PRIVILEGE FOR CERTAIN DISCLOSURES BY DENTIST.  (a)  The privilege does not apply to the disclosure of information by a dentist to:
(1)  a governmental agency, if:
(A)  the disclosure is required by another law;  and
(B)  the agency agrees to keep confidential the identity of a patient whose dental record is disclosed;
(2)  medical or law enforcement personnel, if the dentist determines that it is more likely than not that the following will occur:
(A)  imminent physical injury to the patient, the dentist, or others;  or
(B)  immediate mental or emotional injury to the patient;
(3)  a person in relation to a management or financial audit, program evaluation, or research, if the person agrees to keep confidential the identity of a patient whose dental record is disclosed;
(4)  a person involved in the payment or collection of fees for services rendered by a dentist, if necessary;  or
(5)  another dentist, or a person under the direction of the dentist, who participates in the diagnosis, evaluation, or treatment of the patient.
(b)  A person who receives information under Subsection (a)(3) may not disclose a patient's identity in writing.
(c)  A record reflecting a charge or specific service provided may be disclosed only when necessary in the collection of fees for a service provided by a dentist, professional association, or other entity qualified to provide or arrange for a service.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.107. Exception to Privilege for Certain Legislative Inquiries

Sec. 258.107.  EXCEPTION TO PRIVILEGE FOR CERTAIN LEGISLATIVE INQUIRIES.  A state hospital or state school may disclose a dental record if:
(1)  the state hospital or state school created the record;
(2)  an inquiry authorized by the legislature requests the information;  and
(3)  the entity receiving the record agrees not to disclose a patient's identity.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.108. Limit on Disclosure

Sec. 258.108.  LIMIT ON DISCLOSURE.  A person who receives privileged information may disclose the information to another person only to the extent consistent with the purpose for which the information was obtained.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter C. Dental Privilege › Section 258.109. Request for Dental Record: Timing; Exception

Sec. 258.109.  REQUEST FOR DENTAL RECORD:  TIMING;  EXCEPTION.  (a)  If disclosure of a dental record is authorized under this subchapter, a dentist shall disclose the dental record within a reasonable period after it is requested but not later than:
(1)  the 30th day after the date on which it is requested from the dentist;  or
(2)  a date ordered by a court.
(b)  A dentist may refuse to disclose the requested record if the dentist determines that providing the information would be harmful to the physical, mental, or emotional health of the patient, except that requests from the board may not be refused.  If the dentist determines that disclosing the record would be harmful, the dentist shall notify the person requesting the record and explain why the information would be harmful.  The person requesting the record may challenge in court the dentist's refusal to disclose the record.  If the court finds that the dentist made the refusal in bad faith, the court may order the disclosure of the record and award costs and attorney's fees incurred by the person to obtain the information.
(c)  In disclosing a dental record under this section, a dentist shall redact privileged information about another person.
(d)  A dentist may charge a reasonable fee for providing a dental record under this section.  For purposes of this subsection, a fee established under Section 241.154, Health and Safety Code, is a reasonable fee.
Added by Acts 2001, 77th Leg., ch. 1420, Sec. 14.086(b), eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.151. Definitions

Sec. 258.151.  DEFINITIONS.  In this subchapter:
(1)  "High-risk patient" means a patient who has a level 3 or 4 classification according to the American Society of Anesthesiologists Physical Status Classification System.
(2)  "Pediatric patient" means a patient younger than 13 years of age.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 22, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.152. Applicability

Sec. 258.152.  APPLICABILITY.  Rules adopted by the board under this subchapter do not apply to:
(1)  the regional injection of an anesthetic to reduce or eliminate sensation, especially pain, in one part of the body;  or
(2)  the administration of anxiolytics and analgesics that are not being used in conjunction with the administration of nitrous oxide and that are administered in doses that do not have the probability of placing the dental patient at risk for loss of the dental patient's life-preserving protective reflexes.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.153. Rules

Sec. 258.153.  RULES.  (a)  The board shall adopt rules to administer this subchapter, including rules to establish the minimum standards for the administration of anesthesia by a dentist.
(b)  The rules must be designed to protect the health, safety, and welfare of the public and must include requirements relating to:
(1)  for each type of permit held, the methods that may be used to administer an anesthetic and the anesthetic agents that may be used;
(2)  dental patient evaluation, diagnosis, counseling, and preparation;
(3)  dental patient monitoring to be performed and equipment to be used during a procedure and during postprocedure monitoring;
(4)  emergency procedures, drugs, and equipment, including education, training, and certification of personnel, as appropriate, and including protocols for transfers to a hospital;
(5)  the documentation necessary to demonstrate compliance with this subchapter;
(6)  the period in which protocols or procedures covered by rules of the board shall be reviewed, updated, or amended; and
(7)  the minimum components required to be included in a preoperative checklist to be used before administering anesthesia to a patient and retained in the patient's dental record.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 23, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.154. Compliance With Anesthesia Rules

Sec. 258.154.  COMPLIANCE WITH ANESTHESIA RULES.  (a)  A dentist who practices dentistry in this state and who administers anesthesia or performs a procedure for which anesthesia is administered shall comply with the rules adopted under this subchapter.
(b)  The board may require a dentist to submit and comply with a corrective action plan to remedy or address any current or potential deficiencies with the dentist's administration of anesthesia in accordance with this subtitle or rules of the board.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 23, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.155. Permit Required

Sec. 258.155.  PERMIT REQUIRED.  (a)  The board shall issue permits to administer anesthesia in the following categories based on the extent to which the intended procedure will alter the patient's mental status and the method of anesthetic delivery:
(1)  nitrous oxide;
(2)  level 1:  minimal sedation;
(3)  level 2:  moderate sedation (enteral administration);
(4)  level 3:  moderate sedation (parenteral administration); and
(5)  level 4:  deep sedation or general anesthesia.
(b)  A dentist may not administer anesthesia unless the dentist obtains the appropriate permit issued under this section.
(c)  The board shall set and impose a fee for issuance of a permit in an amount designed to recover the costs of regulating a permit holder under this subchapter.
(d)  The board shall coordinate the times at which a permit must be renewed with the times at which a dentist's license must be renewed under Chapter 257 so that the times of registration, payment, notice, and imposition of penalties for late payment are similar and provide a minimum of administrative burden to the board and to dentists.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 23, eff. March 1, 2018.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1551. Permit Qualifications

Sec. 258.1551.  PERMIT QUALIFICATIONS.  (a)  The board by rule shall establish the qualifications to obtain each permit described by Section 258.155, including the education and training required to obtain the permit.
(b)  The rules adopted under Subsection (a) must require an applicant for a level 2, level 3, or level 4 permit to complete training on:
(1)  pre-procedural patient evaluation, including the evaluation of a patient's airway and physical status as classified by the American Society of Anesthesiologists;
(2)  the continuous monitoring of a patient's level of sedation during the administration of anesthesia; and
(3)  the management of emergency situations.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1552. Jurisprudence Examination

Sec. 258.1552.  JURISPRUDENCE EXAMINATION.  (a)  The board shall develop and administer an online jurisprudence examination to determine a permit holder's knowledge of this subchapter, board rules, and other applicable laws of this state relating to the administration of anesthesia.
(b)  A permit holder must pass the online jurisprudence examination developed by the board once every five years.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1553. Portability of Anesthesia Services

Sec. 258.1553.  PORTABILITY OF ANESTHESIA SERVICES.  The board by rule shall require a dentist who applies for the issuance or renewal of a permit under this subchapter to include in the application a statement indicating whether the dentist provides or will provide a permitted anesthesia service in more than one location.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1554. Administration of Anesthesia to Certain Patients

Sec. 258.1554.  ADMINISTRATION OF ANESTHESIA TO CERTAIN PATIENTS.  (a)  A permit holder under this subchapter may not administer anesthesia under a level 2, level 3, or level 4 permit to a pediatric or high-risk patient unless the permit holder has:
(1)  demonstrated to the satisfaction of the board that the permit holder has advanced didactic and clinical training; and
(2)  obtained authorization from the board under this section.
(b)  The board by rule may establish limitations on the administration of anesthesia by a permit holder to a pediatric or high-risk patient.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. March 1, 2018.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1555. Capnography Required for Certain Anesthesia Services

Sec. 258.1555.  CAPNOGRAPHY REQUIRED FOR CERTAIN ANESTHESIA SERVICES.  A permit holder who is administering anesthesia for which a level 4 permit is required shall use capnography during the administration of anesthesia.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1556. Minimum Emergency Preparedness Standards

Sec. 258.1556.  MINIMUM EMERGENCY PREPAREDNESS STANDARDS.  (a)  The board shall adopt rules to establish minimum emergency preparedness standards and requirements for the administration of anesthesia under a permit issued under this subchapter.  The rules must require a permit holder to:
(1)  have available at any time the permit holder administers anesthesia:
(A)  an adequate and unexpired supply of drugs and anesthetic agents necessary for the safe administration of anesthesia; and
(B)  an automated external defibrillator, as defined by Section 779.001, Health and Safety Code;
(2)  conduct periodic inspections of the permit holder's equipment in the manner and on the schedule determined by the board;
(3)  maintain and make available to the board on request an equipment readiness log; and
(4)  develop and annually update written policies, procedures, and training requirements, specific to the permit holder's equipment and drugs, for responding to emergency situations involving anesthesia.
(b)  Rules adopted under Subsection (a)(4) must require a holder of a level 2, level 3, or level 4 permit to develop policies and procedures that include:
(1)  advanced cardiac life support rescue protocols;
(2)  advanced airway management techniques; and
(3)  if the permit holder is authorized to administer anesthesia to pediatric patients, pediatric advanced life support rescue protocols.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.1557. Emergency Preparedness Protocols

Sec. 258.1557.  EMERGENCY PREPAREDNESS PROTOCOLS.  (a)  A permit holder shall develop emergency preparedness protocols, specific to the permit holder's practice setting, that establish a plan for the management of medical emergencies in each practice setting in which the dentist administers anesthesia.
(b)  The board shall adopt rules prescribing the content that a permit holder must include in the emergency preparedness protocols developed under Subsection (a).  The rules must require a permit holder to include in the permit holder's emergency preparedness protocols the written policies, procedures, and training requirements described by Section 258.1556(a)(4).
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 24, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.156. Inspections

Sec. 258.156.  INSPECTIONS.  (a)  Except as provided by Subsection (h), the board may conduct inspections of a dentist who applies for or holds a permit issued under this subchapter as necessary to enforce this subchapter, including inspections of an office site, equipment, a facility, and any document of the dentist.  During an inspection under this section, the board may evaluate a dentist's competency in the administration of anesthesia.
(b)  The board shall conduct an inspection with respect to a dentist who holds a level 2, level 3, or level 4 permit not later than the first anniversary of the date the permit is issued.
(c)  The board by rule shall adopt a risk-based inspection policy for conducting inspections under this section.  The policy must require the board to take into consideration any previous disciplinary action taken against a permit holder for an anesthesia-related violation when determining whether an inspection is necessary.
(d)  The board may contract with another state agency or qualified person to conduct these inspections.
(e)  The board is not required to give notice before conducting an inspection under this section.
(f)  The board shall maintain records of inspections conducted under this section.
(g)  The board by rule may establish education and training requirements for inspectors who conduct inspections under this section.
(h)  The board may not conduct an inspection under this section with respect to a dentist who administers anesthesia exclusively in a state-licensed hospital or state-licensed ambulatory surgical center.  The board may by rule except from inspection under this section a dentist who administers anesthesia exclusively in any other facility that is subject to inspection by the Department of State Health Services or an accrediting body under state law.  The board retains all other authority provided by this subtitle over a dentist described by this subsection.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
Amended by:
Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 25, eff. March 1, 2018.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter D. Administration of Anesthesia › Section 258.157. Requests for Inspection and Advisory Opinion

Sec. 258.157.  REQUESTS FOR INSPECTION AND ADVISORY OPINION.  (a)  The board may consider a request by a dentist for an on-site inspection.  The board may, in its discretion and on payment of a fee in an amount established by the board, conduct the inspection and issue an advisory opinion.
(b)  An advisory opinion issued by the board under this section is not binding on the board, and the board, except as provided by Subsection (c), may take any action under this subtitle in relation to the situation addressed by the advisory opinion that the board considers appropriate.
(c)  A dentist who requests and relies on an advisory opinion of the board may use the opinion as mitigating evidence in an action or proceeding to impose an administrative or civil penalty under this subtitle.  The board or court, as appropriate, shall take proof of reliance on an advisory opinion into consideration and mitigate the imposition of administrative or civil penalties accordingly.
Added by Acts 2001, 77th Leg., ch. 349, Sec. 1, eff. Sept. 1, 2001.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.201. Definition

Sec. 258.201.  DEFINITION.  In this subchapter, "health care provider" means a person who provides services under a license, certificate, registration, or other authority issued by this state or another state to diagnose, prevent, alleviate, or cure a human illness or injury.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.202. Advisory Committee

Sec. 258.202.  ADVISORY COMMITTEE.  (a)  The board shall establish an advisory committee to analyze and report on data and associated trends concerning anesthesia-related deaths or incidents as provided by this subchapter.  The advisory committee consists of six members appointed by the board in the manner provided by Section 258.203 and must include:
(1)  a general dentist;
(2)  a dentist anesthesiologist;
(3)  an oral and maxillofacial surgeon;
(4)  a pediatric dentist;
(5)  a physician anesthesiologist; and
(6)  a periodontist.
(b)  In appointing members to the advisory committee, the board shall maintain a balanced representation of general dentists and specialists to ensure the advisory committee has expertise with respect to each permit category.
(c)  A board member may not serve as a member of the advisory committee.  A former board member may not be appointed to the advisory committee until the second anniversary of the expiration of the member's term on the board.
(d)  Chapter 2110, Government Code, does not apply to the size, composition, or duration of the advisory committee.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.203. Application Process; Appointment of Committee Members

Sec. 258.203.  APPLICATION PROCESS; APPOINTMENT OF COMMITTEE MEMBERS.  (a)  The board by rule shall develop and implement a process by which a person may apply to be appointed to the advisory committee and shall post the application and information regarding the application process on the board's Internet website.
(b)  The presiding officer of the board shall review each application received and nominate for appointment to the advisory committee persons who meet the requirements of Section 258.202.  A person nominated under this subsection may not be appointed to the advisory committee except on the affirmative vote of at least seven members of the board.
(c)  The presiding officer of the board shall designate one of the nominated members as presiding officer of the advisory committee, subject to approval of the board.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.204. Terms; Vacancies

Sec. 258.204.  TERMS; VACANCIES.  The board by rule shall establish:
(1)  the length of a term of a member of the advisory committee and the staggering of the terms of the members; and
(2)  the manner in which a vacancy occurring during a member's term is filled.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.205. Meetings

Sec. 258.205.  MEETINGS.  The advisory committee is subject to Chapter 551, Government Code, except that the advisory committee may conduct a closed meeting to review confidential investigative files provided by the board under Section 258.206.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.206. Compilation and Analysis of Information

Sec. 258.206.  COMPILATION AND ANALYSIS OF INFORMATION.  (a)  The board shall identify complaints resolved by the board that involve anesthesia-related deaths or incidents and compile confidential, de-identified information derived from the investigative files on each complaint identified under this subsection.
(b)  The board shall provide information compiled under Subsection (a) to the advisory committee.  The advisory committee shall analyze the information compiled under Subsection (a) to identify any trends and submit a report to the board at least annually on:
(1)  the advisory committee's findings; and
(2)  any recommendations for changes to board rules or this subtitle based on the advisory committee's analysis.
(c)  On request of the advisory committee, the board may provide confidential, de-identified investigative files for review by the advisory committee.
(d)  The data provided to the advisory committee under this section may not include identifying information of a patient or health care provider, including:
(1)  the name, address, or date of birth of the patient or a member of the patient's family; or
(2)  the name or specific location of a health care provider that treated the patient.
(e)  The board shall post on the board's Internet website any recommendations or findings reported by the advisory committee.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.207. Counsel for Advisory Committee

Sec. 258.207.  COUNSEL FOR ADVISORY COMMITTEE.  The board shall designate an attorney employed by the board to:
(1)  act as counsel and provide legal advice to the advisory committee; and
(2)  be present during the advisory committee's meetings and deliberations.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.208. Confidentiality; Privilege

Sec. 258.208.  CONFIDENTIALITY; PRIVILEGE.  (a)  Any information pertaining to the investigation of an anesthesia-related death or incident is confidential.
(b)  Confidential information that is acquired by the board and that includes identifying information of an individual or health care provider is privileged and may not be disclosed to any person.  Information that may not be disclosed under this subsection includes:
(1)  the name and address of a patient or a member of the patient's family; and
(2)  the identity of a health care provider that provided any services to the patient or a member of the patient's family.
(c)  Advisory committee work product or information obtained or provided by the board under this subchapter is confidential.  This subsection does not prevent the advisory committee or board from releasing information described by Subsection (d) or (e).
(d)  Information is not confidential under this section if the information is:
(1)  general information that cannot be connected with any specific individual, case, or health care provider; and
(2)  presented as aggregate statistical information that describes a single data point.
(e)  The advisory committee may publish statistical studies and research reports based on information that is confidential under this section, provided that the information:
(1)  is published in the aggregate;
(2)  does not identify a patient or the patient's family;
(3)  does not include any information that could be used to identify a patient or the patient's family; and
(4)  does not identify a health care provider.
(f)  The board shall adopt and implement practices and procedures to ensure that information that is confidential under this section is not disclosed in violation of this section.
(g)  Information that is confidential under this section is excepted from disclosure under Chapter 552, Government Code, as provided by Section 552.101 of that chapter.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.
2023 Texas Statutes › Occupations Code › Title 3 - Health Professions › Subtitle D - Dentistry › Chapter 258 - Practice by Dentist › Subchapter E. Advisory Committee on Dental Anesthesia › Section 258.209. Subpoena and Discovery

Sec. 258.209.  SUBPOENA AND DISCOVERY.  Advisory committee work product or information that is confidential under Section 258.208 is privileged, is not subject to subpoena or discovery, and may not be introduced into evidence in any administrative, civil, or criminal proceeding against a patient, a member of the family of a patient, or a health care provider.
Added by Acts 2017, 85th Leg., R.S., Ch. 295 (S.B. 313), Sec. 26, eff. September 1, 2017.