Profession of Registered Dental Assisting

NY-ADR

2/19/20 N.Y. St. Reg. EDU-47-19-00007-E
NEW YORK STATE REGISTER
VOLUME XLII, ISSUE 7
February 19, 2020
RULE MAKING ACTIVITIES
EDUCATION DEPARTMENT
EMERGENCY RULE MAKING
 
I.D No. EDU-47-19-00007-E
Filing No. 75
Filing Date. Feb. 03, 2020
Effective Date. Feb. 03, 2020
Profession of Registered Dental Assisting
PURSUANT TO THE PROVISIONS OF THE State Administrative Procedure Act, NOTICE is hereby given of the following action:
Action taken:
Amendment of sections 29.2, 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of Title 8 NYCRR.
Statutory authority:
Education Law, sections 207, 6504, 6507, 6509, 6608-a; and L. 2019, ch. 390
Finding of necessity for emergency rule:
Preservation of public health and general welfare.
Specific reasons underlying the finding of necessity:
The proposed amendment to section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education is necessary to implement Chapter 390 (Chapter 390) of the Laws of 2019, which amended the Education Law, effective October 23, 2019, by, inter alia, creating the new legally protected title of “registered dental assistant” and eliminating the prior protected title of “certified dental assistant.” The prior title of certified dental assistant was causing confusion between individuals certified by the Department and individuals certified by the National Dental Assisting Board (DANB). This confusion led to some unintentional criminal violations for those individuals who illegally used the certified dental assistant title in this State when they possessed only DANB certification. Additionally, both dentists and the public were confused by which certified dental assistants were licensed by New York State and which were only DANB-certified.
Chapter 390 eliminated these issues by changing the protected title of the profession to registered dental assistant and replacing all the references in Article 133 of the Education Law to the prior title of certified dental assistant with the title registered dental assistant.
The proposed amendment to section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education implements Chapter 390 by changing the references, in those sections, from “certified dental assistant” and “certified dental assisting” to “registered dental assistant” and “registered dental assisting.”
The proposed amendment was presented to the Professional Practice Committee for recommendation and to the Full Board for adoption as an emergency action at the November 2019 meeting of the Board of Regents, effective November 5, 2019. Since the Board of Regents meets at fixed intervals, the earliest the proposed rule can be presented for permanent adoption, after expiration of the required 60-day comment period provided for in the State Administrative Procedure Act (SAPA) sections 201(1) and (5), would be the February 10-11, 2020 Regents meeting. Furthermore, pursuant to SAPA 203(1), the earliest effective date of the proposed rule, if adopted at the February meeting would be February 26, 2020, the date the Notice of Adoption would be published in the State Register. However, the November emergency rule will expire on February 2, 2020. If the rule were to lapse, it would impede the ability of the Department to license applicants for licensure as registered dental assistants, which could adversely impact the public’s access to dental assisting services in this State.
Therefore, a second emergency action is necessary at the January 2020 meeting for the preservation of the public health and general welfare in order to immediately conform the Rules of the Board of Regents and the Regulations of the Commissioner of Education to the requirements of Chapter 390, which became effective October 23, 2019, by changing the references, in those sections, from “certified dental assistant” and “certified dental assisting” to “registered dental assistant” and “registered dental assisting” and to ensure that the emergency adoption taken at the November meeting remains in effect until the proposed rule can be permanently adopted.
It is anticipated that the proposed rule will be presented for adoption as a permanent rule at the February 2020 Regents meeting, which is the first scheduled meeting after the 60-day public comment period prescribed in SAPA for State agency rule makings.
Subject:
Profession of Registered Dental Assisting.
Purpose:
To conform the Regulations of the Commissioner with chapter 390 of the Laws of 2019.
Text of emergency rule:
1. Subdivision (a) of section 29.2 of the Rules of the Board of Regents is amended, as follows:
(a) Unprofessional conduct shall also include, in the professions of: acupuncture, athletic training, audiology, certified behavior analyst assistant, [certified] registered dental assisting, chiropractic, creative arts therapy, dental hygiene, dentistry, dietetics/nutrition, licensed behavior analyst, licensed pathologists’ assistants, licensed perfusionist, licensed practical nursing, marriage and family therapy, massage therapy, medicine, mental health counseling, midwifery, occupational therapy, occupational therapy assistant, ophthalmic dispensing, optometry, pharmacy, physical therapist assistant, physical therapy, physician assistant, podiatry, psychoanalysis, psychology, registered professional nursing, respiratory therapy, respiratory therapy technician, social work, specialist assistant, speech-language pathology (except for cases involving those professions licensed, certified or registered pursuant to the provisions of article 131 or 131-B of the Education Law in which a statement of charges of professional misconduct was not served on or before July 26, 1991, the effective date of chapter 606 of the Laws of 1991):
(1) . . .
(2) . . .
(3) . . .
(4) . . .
(5) . . .
(6) . . .
(7) . . .
(8) . . .
(9) . . .
(10) . . .
(11) . . .
(12) . . .
(13) . . .
(14) . . .
2. Section 52.26 of the Regulations of the Commissioner of Education is amended, as follows:
Section 52.26. [Certified] Registered dental assisting
(a) Definitions. As used in this section:
(1) . . .
(i) . . .
(ii) . . .
(iii) . . .
(2) Professional dental assisting content area shall mean course work relevant to the practice of [certified] registered dental assisting, accompanied where appropriate by laboratory and/or equivalent clinical experiences, which includes, but is not limited to, the following curricular areas:
(i) . . .
(ii) . . .
(iii) . . .
(iv) . . .
(v) . . .
(3) Clinical content area shall mean course work in clinical procedures which includes, but is not limited to, the following curricular areas:
(i) chairside dental assisting and dental laboratory procedures appropriate to the practice of [certified] registered dental assisting which shall include, but not be limited to, specific course work in the following clinical procedures subject to the restrictions set forth in section 61.13(c) of this Title:
(a) . . .
(b) . . .
(c) . . .
(ii) . . .
(iii) . . .
(iv) . . .
(v) . . .
(4) . . .
(b) Curriculum. In addition to meeting all applicable provisions of this Part, to be registered as a program recognized as leading to licensure in [certified] registered dental assisting which meets the requirements of section 61.11 of this Title, it shall be
(1) either:
(i) a one-year program in [certified] registered dental assisting, consisting of at least 24 semester hours or its equivalent, which is offered in an educational setting prescribed in section 6608-b(4)(B)(i) of the Education Law, such program to include:
(a) . . .
(b) at least 200 hours of clinical experience in the practice of [certified] registered dental assisting, as defined in section 6608 of the Education Law and section 61.13 of this Title, under the direct personal supervision of a licensed dentist; or
(ii) an alternate course of study in [certified] registered dental assisting, which requires the student to complete equivalent study as that required in a program prescribed in subparagraph (i) of this paragraph and in an educational setting prescribed in section 6608-b(4)(B)(ii) of the Education Law, such course of study to include:
(a) . . .
(b) at least 1,000 hours of relevant work experience constituting a clinical experience in the practice of [certified] registered dental assisting, as defined in section 6608 of the Education Law and section 61.13 of this Title, under the direct personal supervision of a licensed dentist.
(2) The programs prescribed in paragraph (1) of this subdivision shall have sufficient content, scope and depth to prepare a student for the practice of [certified] registered dental assisting, as defined in section 6608 of the Education Law and section 61.13 of this Title.
(3) Clinical facilities. A written contract or agreement shall be executed between the educational institution conducting the [certified] registered dental assisting program and the clinical facility or agency which is designated to cooperate in providing the clinical experience, which shall set forth the responsibilities of each party, and shall be signed by the responsible officer of each party.
3. Subdivision (d) of section 61.9 of the Regulations of the Commissioner of Education is amended, as follows:
(d) The dental supportive services that a licensed dentist authorizes a [certified] registered dental assistant to perform under section 61.13(b)(18) of this Part, designated in such paragraph as other dental supportive services, may be performed by a licensed dental hygienist under the personal supervision of a licensed dentist who has delegated such function to the licensed dental hygienist, unless general supervision for such service is otherwise expressly prescribed in this section.
4. Section 61.11 of the Regulations of the Commissioner of Education is amended, as follows:
Section 61.11. Professional study of [certified] registered dental assisting
(a) . . .
(b) To meet the professional education requirement for licensure as a [certified] registered dental assistant in this State, the applicant shall present satisfactory evidence of:
(1) . . .
(2) completion of a program in [certified] registered dental assisting that is either registered by the department pursuant to Part 52 of this Title, or accredited by an acceptable accrediting agency, or determined by the department to be the equivalent of such a registered or accredited program.
5. Section 61.12 of the Regulations of the Commissioner of Education is amended, as follows:
Section 61.12. Licensing examination for [certified] registered dental assistant
(a) Each candidate for licensure as a [certified] registered dental assistant shall pass an examination that the department has determined measures the applicant’s knowledge of curricular areas attained in a program prescribed in section 52.26 of this Title and other matters of law, ethics, or practice deemed appropriate by the department.
(b) . . .
6. Section 61.13 of the Regulations of the Commissioner of Education is amended, as follows:
Section 61.13. Practice of [certified] registered dental assisting
(a) The practice of [certified] registered dental assisting shall be that practice defined in section 6808 of the Education Law. In accordance with section 6608 of the Education Law, the practice of [certified] registered dental assisting must be supportive services to a licensed dentist in the dentist’s performance of dental services and must be performed under the direct personal supervision of a licensed dentist. For purposes of this section, under the direct personal supervision of a licensed dentist shall mean supervision of dental procedures based on instructions given by a licensed dentist in the course of a procedure who remains in the dental office where the supportive services are being performed, personally diagnoses the condition to be treated, personally authorizes the procedures, and before dismissal of the patient, who remains the responsibility of the licensed dentist, evaluates the services performed by the registered dental assistant. Such practice shall include the dental supportive service prescribed in subdivision (b) of this section and shall exclude the dental supportive services prescribed in subdivision (c) of this section.
(b) The practice of [certified] registered dental assisting shall include the following supportive services to a licensed dentist while under the direct personal supervision of the licensed dentist:
(1) . . .
(2) . . .
(3) . . .
(4) . . .
(5) . . .
(6) . . .
(7) . . .
(8) . . .
(9) . . .
(10) . . .
(11) . . .
(12) . . .
(13) . . .
(14) . . .
(15) . . .
(16) . . .
(17) . . .
(18) other dental supportive services authorized by the licensed dentist while the [certified] registered dental assistant is under the direct personal supervision of the licensed dentist, provided that such other dental supportive services are not excluded in subdivision (c) of this section.
(c) Excluded dental supportive services. The practice of [certified] registered dental assisting shall not include the following dental supportive services:
(1) . . .
(2) . . .
(3) . . .
(4) . . .
(5) . . .
(6) such dental supportive services that a [certified] registered dental assistant would not reasonably be qualified to perform based upon meeting the requirements for certification as a [certified] registered dental assistant in section 6608-b of the Education Law, and/or obtaining additional legally authorized experience in the practice of [certified] registered dental assisting.
(d) In accordance with section 29.1(b)(9) and (10) of this Title, a [certified] registered dental assistant is not permitted to provide dental supportive services that the [certified] registered dental assistant knows or has reason to know that he or she is not competent to perform, and a licensed dentist is not permitted to delegate to a [certified] registered dental assistant dental supportive services the licensed dentist knows or has reason to know that the [certified] registered dental assistant is not qualified by training, experience or by licensure to perform.
7. Section 61.14 of the Regulations of the Commissioner of Education is amended, as follows:
Section 61.14. Limited permits in [certified] registered dental assisting
(a) . . .
(b) In accordance with section 6608-d of the Education Law, permits limited as to eligibility, practice, and duration shall be issued by the department to eligible applicants as follows:
(1) A person who meets all requirements for admission to the licensure examination for [certified] registered dental assisting shall be eligible for a limited permit as a [certified] registered dental assistant.
(2) A [certified] registered dental assistant permittee shall be authorized to practice only under the direct personal supervision of a licensed dentist.
(3) An application for a limited permit in [certified] registered dental assisting shall be submitted on a form provided by the department and shall be accompanied by the statutory fee.
(4) Limited permits in [certified] registered dental assisting shall expire one year from the date granted, except that such permits may be renewed for one additional one-year period.
This notice is intended
to serve only as a notice of emergency adoption. This agency intends to adopt the provisions of this emergency rule as a permanent rule, having previously submitted to the Department of State a notice of proposed rule making, I.D. No. EDU-47-19-00007-EP, Issue of November 20, 2019. The emergency rule will expire April 2, 2020.
Text of rule and any required statements and analyses may be obtained from:
Kirti Goswami, NYS Education Department, Office of Counsel, 89 Washington Avenue, Room 112 EB, Albany, NY 12234, (518) 474-6400, email: [email protected]
Regulatory Impact Statement
1. STATUTORY AUTHORITY:
Section 207 of the Education Law grants general rule making authority to the Board of Regents to carry into effect the laws and policies of the State relating to education.
Section 6504 of the Education Law authorizes the Board of Regents to supervise the admission to and regulation of the practice of the professions.
Paragraph (a) of subdivision (2) of section 6507 of the Education Law authorizes the Commissioner of Education to promulgate regulations in administering the admission to and the practice of the professions.
Section 6509 of the Education Law authorizes the Board of Regents to promulgate rules regarding professional misconduct in certain professions.
Section 6608 of the Education Law, as amended by Chapter 390 of the Laws of 2019, defines the practice of registered dental assisting.
Section 6608-a of the Education Law, as amended by Chapter 390 of the Laws of 2019, establishes title protection for the title “registered dental assistant.”
2. LEGISLATIVE OBJECTIVES:
The proposed amendment to section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education is consistent with the above statutory authority and implements Chapter 390 of the Laws of 2019 (Chapter 390) by changing the references, in those sections, from “certified dental assistant” and “certified dental assisting” to “registered dental assistant” and “registered dental assisting.”
3. NEEDS AND BENEFITS:
The proposed amendment implements Chapter 390, which, effective October 23, 2019, inter alia, amended the Education Law by creating the new legally protected title of “registered dental assistant” and eliminating the prior protected title of “certified dental assistant.” The prior title of certified dental assistant was causing confusion between individuals certified by the Department and individuals certified by the National Dental Assisting Board (DANB). This confusion led to some unintentional criminal violations for those individuals who illegally used the certified dental assistant title in this State when they possessed only DANB certification. Additionally, both dentists and the public were confused by which certified dental assistants were licensed by New York State and which were only DANB-certified.
Chapter 390 eliminated these issues by changing the protected title of the profession to registered dental assistant and replacing all the references in Article 133 of the Education Law to the prior title of certified dental assistant with the title registered dental assistant.
The proposed amendment conforms section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education to the amendment made to Article 133 of the Education Law by Chapter 390.
4. COSTS:
(a) Costs to State government: There are no additional costs to State government.
(b) Costs to local government: There are no additional costs to local government.
(c) Cost to private regulated parties: The proposed amendment does not impose any additional costs on either current or prospective registered dental assistants.
(d) Cost to the regulatory agency: There are no additional costs to the State Education Department.
5. LOCAL GOVERNMENT MANDATES:
The proposed amendment does not impose any program, service, duty, or responsibility on local governments.
6. PAPERWORK:
There are no new forms, reporting requirements, or other recordkeeping associated with the proposed amendment.
7. DUPLICATION:
The proposed amendment does not duplicate any other existing State or federal requirements.
8. ALTERNATIVES:
The proposed amendment conforms section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education to the amendment made to Article 133 of the Education Law by Chapter 390 by changing the references, in those sections, from “certified dental assistant” and “certified dental assisting” to “registered dental assistant” and “registered dental assisting.”
There are no significant alternatives to the proposed amendment and none were considered.
9. FEDERAL STANDARDS:
No Federal standards apply to the subject matter of this rule making. The Federal government does not regulate the professional title naming and/or title protection requirements for dental assistants in New York State. Since there are no applicable federal standards, the proposed amendment does not exceed any minimum federal standards for the same or similar subject areas.
10. COMPLIANCE SCHEDULE:
If adopted at the February 2020 Regents meeting, the proposed amendment will become effective on February 26, 2020. It is anticipated that regulated parties will be able to comply with the proposed amendment by the effective date.
Regulatory Flexibility Analysis
The purpose of the proposed amendment to section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education is to conform those sections to the amendment made to Article 133 of the Education Law by Chapter 390 (Chapter 390) of the Laws of 2019. Effective October 23, 2019, Chapter 390 amended the Education Law by creating the new legally protected title of “registered dental assistant” and eliminating the prior protected title of “certified dental assistant.” The prior title of certified dental assistant was causing confusion between individuals certified by the Department and individuals certified by the National Dental Assisting Board (DANB). This confusion led to some unintentional criminal violations for those individuals who illegally used the certified dental assistant title in this State when they possessed only DANB certification. Additionally, both dentists and the public were confused by which certified dental assistants were licensed by New York State and which were only DANB-certified.
It is anticipated that the proposed amendment will assist in eliminating these issues by changing the protected title of the profession to registered dental assistant and replacing all the references in the aforementioned regulatory provisions to the prior title of certified dental assistant with the title registered dental assistant.
The proposed amendment will not impose any reporting, recordkeeping, or other compliance requirements or costs, or have an adverse impact, on small businesses or local governments. Because it is evident from the nature of the proposed amendment that it will not affect small businesses or local governments, no affirmative steps were needed to ascertain that fact and none were taken. Accordingly, a regulatory flexibility analysis for small businesses and local governments is not required, and one has not been prepared.
Rural Area Flexibility Analysis
The purpose of the proposed amendment to section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education is to conform those sections to the amendment made to Article 133 of the Education Law by Chapter 390 (Chapter 390) of the Laws of 2019. Effective October 23, 2019, Chapter 390 amended the Education Law by creating the new legally protected title of “registered dental assistant” and eliminating the prior protected title of “certified dental assistant.” The prior title of certified dental assistant was causing confusion between individuals certified by the Department and individuals certified by the National Dental Assisting Board (DANB). This confusion led to some unintentional criminal violations for those individuals who illegally used the certified dental assistant title in this State when they possessed only DANB certification. Additionally, both dentists and the public were confused by which certified dental assistants were licensed by New York State and which were only DANB-certified.
It is anticipated that the proposed amendment will assist in eliminating these issues by changing the protected title of the profession to registered dental assistant and replacing all the references in the aforementioned regulatory provisions to the prior title of certified dental assistant with the title registered dental assistant.
The proposed amendment changing the protected title of this profession to registered dental assistant and the elimination of the prior title of certified dental assistant is applicable to all current licensees in this profession and applicants for licensure in it, including those in rural areas of this State. Thus, the proposed amendment does not adversely impact entities in rural areas of New York State. Accordingly, no further steps were needed to ascertain the impact of the proposed amendment on entities in rural areas and none were taken. Thus, a rural flexibility analysis is not required and one has not been prepared.
Job Impact Statement
It is not anticipated that the proposed amendment will impact jobs or employment opportunities. This is because the proposed amendment conforms section 29.2 of the Rules of the Board of Regents and sections 52.26, 61.9, 61.11, 61.12, 61.13 and 61.14 of the Regulations of the Commissioner of Education to the amendment made to Article 133 of the Education Law by Chapter 390 (Chapter 390) of the Laws of 2019. Effective October 23, 2019, Chapter 390 amended the Education Law by creating the new legally protected title of “registered dental assistant” and eliminating the prior protected title of “certified dental assistant.” The prior title of certified dental assistant was causing confusion between individuals certified by the Department and individuals certified by the National Dental Assisting Board (DANB). This confusion led to some unintentional criminal violations for those individuals who illegally used the certified dental assistant title in this State when they possessed only DANB certification. Additionally, both dentists and the public were confused by which certified dental assistants were licensed by New York State and which were only DANB-certified.
Chapter 390 eliminated these issues by changing the protected title of the profession to registered dental assistant and replacing all the references in Article 133 of the Education Law to the prior title of certified dental assistant with the title registered dental assistant.
The proposed amendment will not have a substantial adverse impact on jobs and employment opportunities. Because it is evident from the nature of the proposed amendment that it will have no impact on jobs or employment opportunities attributable to its adoption or only a positive impact, no affirmative steps were needed to ascertain these facts and none were taken. Accordingly, a job impact statement is not required and one has not been prepared.
End of Document