House Bill 1278 (AS PASSED HOUSE AND SENATE) By: Representatives Hawkins of the 27th, Stephens of the 164th, Greene of the 154th, Newton of the 127th, Schofield of the 63rd, and others A BILL TO BE ENTITLED AN ACT To amend Article 1 of Chapter 11 of Title 43 of the Official Code of Georgia Annotated, relating to general provisions relative to dentists, dental hygienists, and dental assistants, so as to improve efficiencies in the issuance of permits for dentists to administer conscious sedation and general anesthesia; to provide for the evaluation and certification of a properly equipped facility; to provide for demonstration of proficiency in administering sedative techniques; to authorize the board to designate qualified personnel to perform certain evaluations, certifications, and examinations; to provide for related matters; to repeal conflicting laws; and for other purposes. BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA: SECTION 1. Article 1 of Chapter 11 of Title 43 of the Official Code of Georgia Annotated, relating to general provisions relative to dentists, dental hygienists, and dental assistants, is amended in Code Section 43-11-21, relating to conscious sedation, by revising subsections (b) and (c) as follows: "(b) No dentist shall be issued a permit under this Code section unless the board has received satisfactory evidence that such dentist: (1) Has received formal training in the use of conscious sedation at an institution accredited by the Commission on Dental Accreditation of the American Dental Association (ADA), its successor agency, or other board approved organization and is certified by such organization as competent in the administration of pharmacologic agents for conscious sedation and the handling of emergencies relating to conscious sedation. Such certification shall specify the type, number of hours, and length of training. The minimum didactic hours, patient contact hours, and number of patients sedated under supervision shall be established by rule or regulation of the board; (2) Utilizes a properly equipped facility for the administration of conscious sedation, including physical plant and equipment, which has been evaluated and certified by an on-site examination the board or any designee thereof; and (3) Has demonstrated to the satisfaction of the board or any designee thereof proficiency in administering sedative techniques in the dentist's office on a patient or patients in a safe and effective manner. (c) In enforcing the provisions of this Code section, the board is authorized to designate qualified persons to perform the on-site any evaluations, certifications, and examinations required or authorized by this Code section and is further authorized to provide by rule or regulation for standards for physical plant, equipment, and personnel to be utilized in the induction of conscious sedation." SECTION 2. Said article is further amended in Code Section 43-11-21.1, relating to general anesthesia, by revising subsections (b) and (c) as follows: "(b) No dentist shall be issued a permit under this Code section nor have such permit renewed unless the board has received satisfactory evidence that such dentist: (1)(A) Has successfully completed a minimum of one year of advanced training in anesthesiology and related academic subjects beyond the undergraduate dental school level at an institution accredited by the Commission on Dental Accreditation of the American Dental Association or its successor agency or by a nationally recognized health care accreditation body for hospitals; or (B) Is a diplomate of the American Board of Oral and Maxillofacial Surgery, is a member of the American Association of Oral and Maxillofacial Surgeons, or is a fellow of the American Dental Society of Anesthesiology; (2) Utilizes a properly equipped facility for the administration of general anesthesia, including physical plant and equipment which has been evaluated and certified by an on-site examination the board or any designee thereof; and (3) Has demonstrated to the satisfaction of the board or any designee thereof proficiency in administering general anesthesia on a patient or patients in the dentist's office in a safe and effective manner. (c) In enforcing the provisions of this Code section, the board is authorized to designate qualified persons to perform the on-site any evaluations, certifications, and examinations required or authorized by this Code section and is further authorized to provide by rule or regulation for standards for physical plant, equipment, and personnel to be utilized in the administration of general anesthesia." SECTION 3. All laws and parts of laws in conflict with this Act are repealed.