All Roll Calls
Yes: 186 • No: 0
IllinoisSB2492104th General Assembly (2025–2026)SenateWALLET
DENTAL PRACTICE ACT
Sponsored By: Suzy Glowiak Hilton (Democratic)
Signed by Governor
Summary
Amends the Regulatory Sunset Act. Changes the repeal date of the Illinois Dental Practice Act from January 1, 2026 to January 1, 2031. Amends the Illinois Dental Practice Act. Adds a definition for "email address of record". Provides that all applicants and licensees shall provide a valid address and email address to the Department upon application for licensure or renewal of a license and inform the Department of any change in the applicant or licensee's address of record or email address of record within 14 days after such change. Adds Individual Taxpayer Identification Number to provisions concerning information that an applicant must include in an application to the Department. Adds concealment in the application for a license under the Act to causes that allow the Department to take action on a license. Provides that the Department may subpoena the dental records of individual patients of dentists and dental hygienists under the Act, upon a determination that reasonable cause exists, without patient consent. Removes provision that states that exhibits in a judicial review proceeding shall be certified without cost. Adds a definition of "agent of a dentist" to provisions concerning third-party financing for dental services. Makes conforming and other changes. Provides that the changes to the Regulatory Sunset Act are effective immediately.
assignmentslicensed activitieshealth care licenses
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 3 benefits, 2 costs, 4 mixed.
Dental assistants gain limited treatment roles
Qualified dental assistants can perform limited tooth scaling and temporary work inside teeth under dentist supervision. Scaling patients must be 17 or younger, without gum disease, medical complications, or special needs. They must qualify for Medicaid, be uninsured, or have household income at or below 300% of the federal poverty level. Assistants need 2,000 clinical-care hours, a polishing course, and at least 32 hours of structured training with an outcome assessment. A dentist must approve six full-mouth scaling procedures unless training occurred in an accredited dental assistant program. Only hand tools are allowed, and one dentist can supervise no more than two assistants doing this work at once.
More preventive care with hygienist oversight
Certified public health dental hygienists can provide screenings, education, and preventive care through a dentist supervision agreement. Patients must qualify for Medicaid, or be uninsured with household income at or below 300% of the federal poverty level. This authority excludes local anesthesia, nitrous oxide, placing or shaping amalgam fillings, and gum disease treatment. Patients must sign consent acknowledging that these services do not replace a regular dental exam and receive a written dentist referral. Hygienists must report urgent concerns immediately to the supervising dentist and maintain follow-up plans and records. Dentists must provide standing orders or guidelines and meet hygienists in person at least quarterly; hygienists need four public-health dental education hours yearly. Patients generally need a dentist's exam before additional services, except under the stated treatment-plan exception. Teledentistry does not require a prior physical exam when the hygienist consults the supervising dentist before the service.
Adults keep dentist flu shot option
The law removes the January 1, 2026 expiration of dentists' authority to give flu shots to adults 18 or older. Existing requirements remain: approved training, a physician's prescription or standing order, and applicable health-plan credentials. Dentists cannot delegate vaccination. For Medicare or Medicaid patients, dentists also need authorization from the relevant federal or state agency.
Dental applicants gain tax-number identification option
Applicants for an original Illinois dental license can provide an Individual Taxpayer Identification Number instead of a Social Security number. The state keeps the number in its license records.
Illinois extends dental law through 2030
The law continues the Illinois Dental Practice Act until its repeal on January 1, 2031. This maintains the state's overall dental regulation framework, though individual provisions can have earlier expiration dates.
Dental applicants face three-year exam deadline
Dentist and dental hygienist applications expire unless applicants pass the required exam within three years after filing. Dentist applications also expire for neglecting or refusing the next available exam, or missing it without an approved excuse. In those missed-exam cases, the dentist applicant loses the application fee. After expiration, applicants must file again, pay the required fee, and meet the requirements then in effect.
Dental licensing appeals require record payments
People seeking court review of a final state dental licensing decision must pay state-set record preparation and certification costs. The state need not certify the record or appear in court before receiving payment. The law removes free certification of exhibits and sets no dollar amount.
Dental license notices can arrive electronically
Dental license applicants and licensees must provide valid mailing and email addresses and report changes within 14 days. Discipline notices and findings reports can arrive in person, by mail, or by email using the addresses on record. Service of a findings report starts the 20-day deadline to request a rehearing. The law also allows required administrative licensing notices by email to a party's last known email address, alongside mailed notice.
Stronger dental enforcement affects licenses, privacy
The state can deny, suspend, revoke, or refuse to renew licenses for fraud, false statements, or concealment in applications. It can also impose fines up to $10,000 per violation, including fraud in renewal applications. Refusing a state-ordered mental or physical examination and evaluation triggers automatic license suspension without a hearing until the person submits. The state can subpoena dental records without patient consent when the Board chair finds reasonable cause to suspect a disciplinary violation.
Sponsors & Cosponsors
Sponsor
Suzy Glowiak Hilton
Democratic • Senate
Cosponsors
Bob Morgan
Democratic • House
Jawaharial Williams
Democratic • House
Roll Call Votes
House vote • 5/22/2025
Third Reading - Short Debate - Passed
Yes: 111 • No: 0 • Other: 1
House vote • 4/23/2025
Do Pass / Short Debate Health Care Licenses Committee;
Yes: 13 • No: 0
Senate vote • 4/9/2025
Third Reading - Passed;
Yes: 56 • No: 0
Senate vote • 3/19/2025
Do Pass as Amended Licensed Activities;
Yes: 6 • No: 0
Actions Timeline
Public Act . . . . . . . . . 104-0151
8/1/2025SenateEffective Date January 1, 2026; Some Provisions
8/1/2025SenateEffective Date August 1, 2025; Some Provisions
8/1/2025SenateGovernor Approved
8/1/2025SenateSent to the Governor
6/20/2025SenatePassed Both Houses
5/22/2025SenateThird Reading - Short Debate - Passed 111-000-001
5/22/2025HousePlaced on Calendar Order of 3rd Reading - Short Debate
5/14/2025HouseSecond Reading - Short Debate
5/14/2025HousePlaced on Calendar 2nd Reading - Short Debate
4/23/2025HouseDo Pass / Short Debate Health Care Licenses Committee; 013-000-000
4/23/2025HouseAdded Alternate Co-Sponsor Rep. Jawaharial Williams
4/23/2025HouseAssigned to Health Care Licenses Committee
4/17/2025HouseReferred to Rules Committee
4/9/2025HouseFirst Reading
4/9/2025HouseChief House Sponsor Rep. Bob Morgan
4/9/2025HouseArrived in House
4/9/2025HouseThird Reading - Passed; 056-000-000
4/9/2025SenatePlaced on Calendar Order of 3rd Reading
4/9/2025SenatePlaced on Calendar Order of 3rd Reading **
4/4/2025SenatePlaced on Calendar Order of 3rd Reading April 2, 2025
4/1/2025SenateSecond Reading
4/1/2025SenatePlaced 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
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