Getting to know your SB 313

SB 313 would continue the Texas State Board of Dental Examiners (TSBDE) until September 1, 2029. The bill also would change TSBDE board composition and board training requirements, discontinue certain certificates for dental assistants, change dental assistant training requirements, eliminate an advisory committee and a council, regulate anesthesia by dentists, create an advisory committee for anesthesia-related deaths, and make other changes to procedures and licensing at TSBDE.

Summary

For a full copy of the SB 313 and summaries Follow this link:

https://capitol.texas.gov/BillLookup/Text.aspx?LegSess=85R&Bill=SB313#

Key Changes: This legislation addresses issues differently from current law by:

  • Continuing TSBDE for 12 years.
  • Reducing the size of TSBDE from 15 to 11 members.
  • Improving efficient regulation of dental assistants by keeping x-ray and nitrous oxide monitoring programs as registrations, but eliminating the two smaller programs.  
  • Authorizing TSBDE to conduct risk-based inspections of dentists administering anesthesia in office settings.  
  • Clarifying TSBDE’s authority to regulate parenteral—or intravenous—anesthesia, in addition to enteral—or oral—anesthesia.  
  • Establishing permits for the administration of nitrous oxide and four levels of sedation or anesthesia and requiring TSBDE to establish minimum standards, education, and training for permit holders.  
  • Defining pediatric and high-risk patients and requiring additional training on anesthesia administration for those patients.  
  • Requiring TSBDE to determine minimum components to create a pre-operative checklist to be used before administering anesthesia.
  • Requiring TSBDE to ensure dentists with an anesthesia permit maintain written emergency management plans and protocols and to establish minimum emergency preparedness standards necessary before administering anesthesia.  
  • Requiring TSBDE to require dentists indicate portability status on initial and renewal applications.
  • Creating a standing advisory committee on dental anesthesia to analyze data and trends concerning anesthesia-related incidents.
  • Requiring TSBDE to query the Prescription Monitoring Program for potentially harmful prescribing patterns among its licensees.  
  • Requiring dentists to review a patient’s prescription history before prescribing certain drugs.
  • Providing more detailed language on structure and conduct of informal proceedings.  
  • Creating a Dental Review Committee consisting of nine governor-appointed members to serve at informal settlement conferences on a rotating basis.  
  • Updating licensing and enforcement processes that have not kept up with best practices.
  • S.B. 313 amends current law relating to the continuation and functions of the State Board of Dental Examiners and imposes fees.

Source: Bill Analysis Senate Research Center

May 29th, 2018

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