ARC 5366C

ARC 5366C

DENTAL BOARD[650]

Adopted and Filed

Rule making related to clinical examinations on manikins

The Dental Board hereby amends Chapter 11, "Licensure to Practice Dentistry or Dental Hygiene," and Chapter 12, "Dental and Dental Hygiene Examinations," Iowa Administrative Code.

Legal Authority for Rule Making

This rule making is adopted under the authority provided in Iowa Code section 147.76.

State or Federal Law Implemented

This rule making implements, in whole or in part, Iowa Code sections 147.3, 147.29, 147.34 and 147.36 and chapter 153.

Purpose and Summary

These amendments allow applicants for a dental license to complete clinical examinations on manikins for the purposes of licensure in Iowa. These amendments also update the language regarding successful passage of examinations for dental and dental hygiene applicants.

Public Comment and Changes to Rule Making

Notice of Intended Action for this rule making was published in the Iowa Administrative Bulletin on November 4, 2020, as ARC 5264C. The Board accepted written and oral comments through November 30, 2020. The Board received two written comments. One comment was strongly in support of the rule making; the other commenter was opposed and believed that the current standards should be maintained.

One change from the Notice has been made. The rule making was updated to require successful completion of the non-patient periodontal section of the Commission on Dental Competency Assessments (CDCA) examination if the CDCA manikin examination is attempted.

Adoption of Rule Making

This rule making was adopted by the Board on December 9, 2020.

Fiscal Impact

This rule making has no fiscal impact to the State of Iowa.

Jobs Impact

After analysis and review of this rule making, there is no impact on jobs since the amendments apply to requirements for licensure and would provide additional opportunities for meeting those requirements.

Waivers

Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Board for a waiver of the discretionary provisions, if any, pursuant to rule 650—7.4(17A,147,153).

Review by Administrative Rules Review Committee

The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee's meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).

Effective Date

This rule making will become effective on February 3, 2021.

The following rule-making actions are adopted:

Item 1. Amend subrule 11.2(2) as follows:

11.2(2) Applications for licensure must be filed with the board along with:

a. and b. No change.

c. Documentation of passage of national dental examination. Evidence of attaining a grade of at least 75 percent on successful passage of the examination administered by the Joint Commission on National Dental Examinations.

d. Documentation of passage of a clinical examination. Successful passage of a board-approved clinical examination within the previous five-year period.

(1)Successful passage of a board-approved clinical examination within the previous five-year period with a grade of at least 75 percent.

(2) (1)The following patient-based regional clinical examinations are approved by the board for purposes of licensure by examination: the Central Regional Dental Testing Service, Inc.examination as administered by the Central Regional Dental Testing Service, Inc.(CRDTS), the Western Regional Examining Board examination as administered by the Western Regional Examining Board (WREB), the Southern Regional Testing Agency, Inc.examination as administered by the Southern Regional Testing Agency, Inc.(SRTA), and the American Board of Dental Examiners, Inc.examination as administered by the Commission on Dental Competency Assessments (CDCA) and the Council of Interstate Testing Agencies, Inc.(CITA).

(2)The following manikin-based regional clinical examinations are approved by the board for purposes of licensure by examination: the Central Regional Dental Testing Service, Inc.examination as administered by the Central Regional Dental Testing Service, Inc.(CRDTS), and the American Board of Dental Examiners, Inc.examination as administered by the Commission on Dental Competency Assessments (CDCA).

(3)Beginning January 1, 2018, the 2014 California portfolio examination is approved by the board for the purposes of licensure by examination. To be eligible for licensure on the basis of portfolio examination, an applicant must be a student at the University of Iowa College of Dentistry or have graduated from the University of Iowa College of Dentistry within one year of the date of application.

e. to i. No change.

Item 2. Amend subrule 11.3(2) as follows:

11.3(2) Applications must be filed with the board along with:

a. No change.

b. Evidence of attaining a grade of at least 75 percent on the examination successful passage of the Joint Commission on National Dental Examinations or evidence of attaining a grade of at least 75 percent on a written examination during the last ten years that is comparable to the examination given by the Joint Commission on National Dental Examinations. Any dentist who has lawfully practiced dentistry in another state or territory for five years may be exempted from presenting this evidence.

c. and d. No change.

e. Evidence that the applicant has met at least one of the following:

(1)Has less than three consecutive years of practice immediately prior to the filing of the application and evidence of attaining a grade of at least 75 percent on successful passage of a board-approved clinical examination pursuant to subrule 11.2(2) within the previous five-year period. The following regional examinations are approved by the board for purposes of licensure by credentials: the Central Regional Dental Testing Service, Inc.examination as administered by the Central Regional Dental Testing Service, Inc.(CRDTS), the Western Regional Examining Board examination as administered by the Western Regional Examining Board (WREB), the Southern Regional Testing Agency, Inc.examination as administered by the Southern Regional Testing Agency, Inc.(SRTA), the American Board of Dental Examiners, Inc.examination as administered by the Commission on Dental Competency Assessments (CDCA) and the Council of Interstate Testing Agencies, Inc.(CITA), and the 2014 California portfolio examination; or

(2)Has for three consecutive years immediately prior to the filing of the application been in the lawful practice of dentistry in such other state, territory or district of the United States.

f. to k. No change.

Item 3. Amend subrule 11.5(2) as follows:

11.5(2) Applications for licensure must be filed with the dental hygiene committee along with:

a. and b. No change.

c. Documentation of passage of national dental hygiene examination. Evidence of attaining a grade of at least 75 percent on successful passage of the examination administered by the Joint Commission on National Dental Examinations.

d. Documentation of passage of a regional clinical examination.

(1)Successful passage of a patient-based regional clinical examination within the previous five-year period with a grade of at least 75 percent.

(2)The following regional examinations are approved by the board for purposes of licensure by examination: the Central Regional Dental Testing Service, Inc.examination as administered by the Central Regional Dental Testing Service, Inc.(CRDTS), the Western Regional Examining Board examination as administered by the Western Regional Examining Board (WREB), the Southern Regional Testing Agency, Inc.examination as administered by the Southern Regional Testing Agency, Inc.(SRTA), and the American Board of Dental Examiners, Inc.examination as administered by the Commission on Dental Competency Assessments (CDCA) and the Council of Interstate Testing Agencies, Inc.(CITA).

e. to i. No change.

Item 4. Amend subrule 11.6(2) as follows:

11.6(2) Applications must be filed with the dental hygiene committee along with:

a. Satisfactory evidence of graduation from an accredited school of dental hygiene approved by the dental hygiene committee.

b. Evidence of attaining a grade of at least 75 percent on successful passage of the examination of the Joint Commission on National Dental Examinations or evidence of attaining a grade of at least 75 percent on a written examination that is comparable to the examination given by the Joint Commission on National Dental Examinations. Any dental hygienist who has lawfully practiced dental hygiene in another state or territory for five or more years may be exempted from presenting this evidence.

c. and d. No change.

e. Evidence that the applicant has met at least one of the following:

(1)Has less than three consecutive years of practice immediately prior to the filing of the application and evidence of attaining a grade of at least 75 percent on successful passage of a regional clinical examination within the previous five-year period. The following regional examinations are approved by the board for purposes of licensure by examination: the Central Regional Dental Testing Service, Inc.examination as administered by the Central Regional Dental Testing Service, Inc.(CRDTS), the Western Regional Examining Board examination as administered by the Western Regional Examining Board (WREB), the Southern Regional Testing Agency, Inc.examination as administered by the Southern Regional Testing Agency, Inc.(SRTA), and the American Board of Dental Examiners, Inc.examination as administered by the Commission on Dental Competency Assessments (CDCA) and the Council of Interstate Testing Agencies, Inc.(CITA); or

(2)Has for three consecutive years immediately prior to the filing of the application been in the lawful practice of dental hygiene in such other state, territory or district of the United States.

f. to k. No change.

Item 5. Amend rule 650—11.7(147,153) as follows:

650—11.7(147,153) Dental hygiene application for local anesthesia permit. A licensed dental hygienist may administer local anesthesia provided the following requirements are met:

1.The dental hygienist holds a current local anesthesia permit issued by the board of dental examiners.

2. and 3. No change.

11.7(1) to 11.7(4) No change.

This rule is intended to implement Iowa Code sections 147.10 and 147.80 and chapter 153.

Item 6. Amend rule 650—12.1(147,153) as follows:

650—12.1(147,153) Clinical examination procedure for dentistry.

12.1(1) Compliance with regional clinical examination testing requirements and procedures. Examinees shall meet the requirements for testing and follow procedures established by each respective testing agency. Examinees must take all parts offered by the respective testing agency, including the CDCA periodontal scaling non-patient component.

12.1(2) Scoring requirements. The examinee must attain a grade of not less than 75 percent passing score on each clinical portion of the examination and on the written portion of the examination.

12.1(3) Compliance with performance clinical operations requirements. Each examinee shall be required to perform such clinical operations as may be required by each respective testing agency, for the purpose of sufficiently evaluating and testing the fitness of the examinee to practice dentistry.

Item 7. Amend rule 650—12.4(147,153) as follows:

650—12.4(147,153) Clinical examination procedure for dental hygiene.

12.4(1) Compliance with regional clinical examination testing requirements and procedures. Examinees shall meet the requirements for testing and follow the procedures established by each respective testing agency. Examinees must take all parts offered by the respective testing agency.

12.4(2) Scoring requirements. The examinee must attain a grade of not less than 75 percent passing score on each clinical portion of the examination and on the written portion of the examination.

12.4(3) Practical demonstrations. Each examinee shall be required to perform such practical demonstrations as may be required by each respective testing agency for the purpose of sufficiently evaluating and testing the fitness of the examinee to practice dental hygiene.

[Filed 12/9/20, effective 2/3/21]

[Published 12/30/20]

Editor's Note: For replacement pages for IAC, see IAC Supplement 12/30/20.