All Roll Calls
Yes: 182 • No: 0
IllinoisSB1463104th General Assembly (2025–2026)SenateWALLET
DENTAL PRACTICE ACT EXTENSION
Sponsored By: Julie A. Morrison (Democratic)
Became Law
assignmentslicensed activitieshealth care licenses
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 6 benefits, 2 costs, 1 mixed.
Community dental care for Medicaid and uninsured
Certified public health dental hygienists can give screenings, cleanings, fluoride, and sealants in approved community settings. Care is for people on Medicaid or uninsured with income at or below 300% of the federal poverty level. They cannot give local anesthesia, nitrous oxide, periodontal therapy, or place amalgam under this program. You sign a consent saying this does not replace a full exam and you get a written referral to a dentist. A supervising dentist may allow follow‑up services to be finished within 30 days before the dentist exam, and a teledentistry consult can replace the first in‑person exam. Several parts of this program end on January 1, 2026.
Hygiene care without dentist present
In a dentist’s office, a hygienist may provide certain care under general supervision if the dentist examined you in the past year, approved the care in your record, and you are told the dentist may be out. For people who cannot travel and are in long‑term care, mental health or developmental disability facilities, or prisons, a hygienist can provide care on site under a dentist’s order. Orders must be done within 45 days, or 180 days in prison. Teledentistry is allowed for diagnosis, planning, and orders for patients of record. The off‑site rules end on January 1, 2026.
Hygienists can do more with training
The law lists what dental hygienists may do under a dentist’s supervision. After Department‑approved training, hygienists may place and finish amalgam restorations, give and monitor nitrous oxide, and give local anesthetic. This part ends on January 1, 2026.
More tasks for trained dental assistants
Trained dental assistants can do coronal polishing and place pit and fissure sealants. Polishing must use a rubber cup or brush, not air polishing. With advanced training, assistants can place and finish amalgam and composite restorations and place interim restorations. Trained assistants may also do hand‑only supragingival scaling on patients age 17 or younger who have no periodontal disease and are not medically compromised, but only for kids on Medicaid, uninsured, or with income at or below 300% of the federal poverty level. A dentist can supervise at most four assistants for polishing, sealants, and restorations, and at most two for scaling. These permissions end on January 1, 2026.
Work while your license is pending
After you pass the state exam, apply for a license, and pay the fee, you may work under delegation while your license is pending. This applies to new general dentists and new dental hygienists. The permission ends when your license is issued or denied, the Department tells you to stop, or 6 months after your exam date unless extended by rule.
School cleanings, sealants, and fluoride
Students in approved school or public health programs can get cleanings, sealants, and fluoride from a dental hygienist under a dentist’s general supervision. The dentist must personally examine and order the care. Sealants must be placed within 120 days of the order. Cleanings and fluoride must be done within 180 days. This rule ends on January 1, 2026.
Where dental hygienists can work
Dental hygienists may only be employed by a dentist, a government agency or institution, a public or private school, or a public clinic under a hospital or public agency. This narrows some private contracting options for hygienists.
Cap on hygienists per dentist
A dental office can have at most four hygienists working at the same time for each dentist in the office. This may limit hiring and appointment slots. This rule stops applying on January 1, 2026.
Rules and pay for public health hygienists
Dentists and public health hygienists must have a written supervision agreement. The dentist must be available, meet in person at least every 3 months, keep standing orders, and manage referrals. A dentist can supervise up to four public health hygienists under these agreements, in addition to the usual hygienist limit. Public health hygienists must get patient consent, give written referrals or follow‑up plans, and complete 4 hours of public health CE each year. Employers can pay these hygienists and seek reimbursement for services. These rules end on January 1, 2026.
Sponsors & Cosponsors
Sponsor
Julie A. Morrison
Democratic • Senate
Cosponsors
Abdelnasser Rashid
Democratic • House
Gregg Johnson
Democratic • House
Janet Yang Rohr
Democratic • House
Javier L. Cervantes
Democratic • Senate
Theresa Mah
Democratic • House
Roll Call Votes
House vote • 5/21/2025
Third Reading - Short Debate - Passed
Yes: 111 • No: 0
House vote • 4/23/2025
Do Pass / Short Debate Health Care Licenses Committee;
Yes: 13 • No: 0
Senate vote • 4/3/2025
Third Reading - Passed;
Yes: 52 • No: 0
Senate vote • 3/19/2025
Do Pass as Amended Licensed Activities;
Yes: 6 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0103
8/1/2025SenateEffective Date August 1, 2025
8/1/2025SenateGovernor Approved
8/1/2025SenateSent to the Governor
6/18/2025SenateAdded Alternate Co-Sponsor Rep. Abdelnasser Rashid
5/21/2025HousePassed Both Houses
5/21/2025SenateThird Reading - Short Debate - Passed 111-000-000
5/21/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/16/2025HouseSecond Reading - Short Debate
5/16/2025HouseAdded Alternate Co-Sponsor Rep. Gregg Johnson
5/2/2025HouseAdded Alternate Co-Sponsor Rep. Janet Yang Rohr
4/23/2025HousePlaced on Calendar 2nd Reading - Short Debate
4/23/2025HouseDo Pass / Short Debate Health Care Licenses Committee; 013-000-000
4/23/2025HouseAssigned to Health Care Licenses Committee
4/17/2025HouseReferred to Rules Committee
4/7/2025HouseFirst Reading
4/7/2025HouseChief House Sponsor Rep. Theresa Mah
4/4/2025HouseArrived in House
4/4/2025HouseThird Reading - Passed; 052-000-000
4/3/2025SenateAdded as Co-Sponsor Sen. Javier L. Cervantes
3/21/2025SenatePlaced on Calendar Order of 3rd Reading April 1, 2025
3/20/2025SenateSecond Reading
3/20/2025SenatePlaced on Calendar Order of 2nd Reading March 20, 2025
3/19/2025SenateDo Pass as Amended Licensed Activities; 006-000-000
3/19/2025SenateSenate Committee Amendment No. 1 Adopted
3/19/2025Senate
Bill Text
Engrossed
Enrolled
Introduced
Senate Amendment 1