Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 33 - STATE BOARD OF DENTISTRY › Subchapter C - MINIMUM STANDARDS OF CONDUCT AND PRACTICE › Section 33.205b - Practice as a public health dental hygiene practitioner

Current through Register Vol. 54, No. 28, July 13, 2024
(a)
Scope of professional
					 practice
. A public health dental hygiene practitioner may perform the
					 dental hygiene services set forth in §
											33.205(a)(2)-(6)
					 (relating to practice as a dental hygienist) in the practice settings
					 identified in subsection (c) without the authorization, assignment or
					 examination by a dentist. A public health dental hygiene practitioner may
					 perform the dental hygiene services set forth in §
											33.205(a)(1) and
					 (7) in accordance with §
					 33.205(d).
(b)
Requirement
					 of referral
. A public health dental hygiene practitioner shall refer
					 each patient to a licensed dentist on an annual basis. Documentation of the
					 referral must be maintained in the patient's dental record. The failure of the
					 patient to see a dentist as referred will not prevent the public health dental
					 hygiene practitioner from continuing to provide dental hygiene services to the
					 patient within the scope of professional practice set forth in subsection
					 (a).
(c)
Practice
					 settings
. A public health dental hygiene practitioner may perform
					 dental hygiene services without the supervision of a dentist in the following
					 practice settings:
(1) Public and private
					 educational institutions that provide elementary and secondary instruction to
					 school aged children under the jurisdiction of the State Board of Education,
					 and in accordance with all applicable provisions of the Public School Code of
					 1949 (24 P.S. §§
													1-101-27-2702), the regulations relating to
					 the certification of professional personnel in 22 Pa. Code Chapter 49 (relating
					 to certification of professional personnel), and the regulations of the
					 Department of Health in 28 Pa. Code §
												23.35 (relating to dental
					 hygienists).
(2)
Correctional facilities
. For purposes of this section,
					 correctional facilities include Federal prisons and other institutions under
					 the jurisdiction of the United States Department of Justice, Bureau of Prisons
					 which are located within this Commonwealth; institutions, motivational boot
					 camps and community corrections centers operated or contracted by the
					 Department of Corrections; and jails, prisons, detention facilities or
					 correctional institutions operated or contracted by local, county or regional
					 prison authorities within this Commonwealth.
(3) Health care facilities, as defined in
					 section 802.1 of the Health Care
					 Facilities Act (35 P.S. §
													448.802a),
					 including a general, chronic disease or other type of hospital; a home health
					 care agency; a home care agency; a hospice; a long-term care nursing facility;
					 a cancer treatment center; an ambulatory surgical facility or a birth
					 center.
(4) Any other facility
					 licensed and regulated by the Department of Health or a successor
					 agency.
(5) A "facility," as
					 defined in section 1001 of the Human Services Code (62 P.S. §
													1001), including an adult day care center;
					 child day care center; family child care home; boarding home for children;
					 mental health establishment; personal care home; assisted living residence;
					 nursing home, hospital or maternity home.
(6) Any other facility licensed and regulated
					 by the Department of Human Services or a successor agency.
(7) Domiciliary care facilities, as defined
					 in section 2202-A of The Administrative Code of 1929 (71 P.S. §
													581-2).
(8) Older adult daily living centers, as
					 defined in section 2 of the Older Adult Daily Living Centers Licensing Act
					 (62
					 P.S. §
													1511.2).
(9) Continuing-care provider facilities, as
					 defined in section 3 of the Continuing-Care Provider Registration and
					 Disclosure Act (40 P.S. §
													3203).
(10)
Federally-qualified health
					 centers
, as defined in section 1905(1)(2)(B) of the Social Security
					 Act (42 U.S.C.A. §
													1369(1)(2)(B)). For purposes
					 of this section, the term includes Federally-qualified health center lookalikes
					 that do not receive grant funds under section 330 of the Public Health Service
					 Act (42 U.S.C.A. §
													254b).
(11) Public or private institutions under the
					 jurisdiction of a Federal, State or local agency.
(12) Free and reduced-fee nonprofit health
					 clinics.
(13) An office or clinic
					 of a physician who is licensed by the State Board of Medicine under the Medical
					 Practice Act of 1985 (63 P.S. §§
													422.1-422.53) or by the State Board of
					 Osteopathic Medicine under the Osteopathic Medical Practice Act (63 P.S.
					 §§
													271.1-271.18), that is located
					 in a dental health professional shortage area, as determined by the United
					 States Department of Health and Human Services, Health Resources & Services
					 Administration, and published on the Pennsylvania Department of Health's web
					 site at
www.health.pa.gov
. For purposes
					 of this paragraph, an office or clinic of a physician includes a "satellite
					 location" as defined in §
												18.122 (relating to definitions)
					 or "satellite operations" as defined in §
												25.142 (relating to
					 definitions).
(14) A "facility," as
					 defined in 28 Pa. Code §
												701.1 (relating to general
					 definitions) that is licensed by the Department of Drug and Alcohol Programs to
					 provide drug and alcohol treatment services.