BILL NUMBER: AB 1524	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  JANUARY 4, 2010

INTRODUCED BY   Assembly Member Hayashi

                        FEBRUARY 27, 2009

   An act to amend Section 1632 of,  to add Section 1632.1 to,
 and to repeal Sections 1630 and 1631 of, the Business and
Professions Code, relating to dentistry.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 1524, as amended, Hayashi. Dentistry: examination requirements.

   The Dental Practice Act provides for the  licensing
  licensure  and regulation of dentists and
associated professions by the Dental Board of California. Existing
law requires an applicant for a license to practice dentistry to
complete various examinations, including the National Board Dental
Examination, an examination in California law and ethics developed by
the board, and a clinical and written examination administered
either by the board or the Western Regional Examining Board. 
Existing law prescribes the maximum amount of fees to be charged for
examination, licensure, and renewal, for deposit into the State
Dentistry Fund. 
   This bill would abolish the clinical and written examination
administered by the board. The bill would instead replace that
examination with  an assessment process in which an applicant
is assessed   a portfolio examination of an applicant's
competence to enter the practice of dentistry, which would be
conducted  while  the applicant is  enrolled 
at an in-state dental school utilizing uniform standards of minimal
clinical experiences and competencies and at the end of his or her
  in a  dental school program  at a
board-approved dental school. At the end of that dental school
program, the bill would then require the passage of a final
assessment of the applicant's portfolio, subject to certification by
his or her dean and payment of a $350 fee. The bill would require the
board to oversee the portfolio examination and final assessment
process, and would require the board to biennially review each dental
school with regard to the standardization of the portfolio
examination. The bill would also set forth specified examination
standards  .
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 1630 of the Business and Professions Code is
repealed.
  SEC. 2.  Section 1631 of the Business and Professions Code is
repealed.
  SEC. 3.  Section 1632 of the Business and Professions Code is
amended to read:
   1632.  (a) The board shall require each applicant to successfully
complete the  Part I and Part II  written examinations of
the National Board Dental Examination of the Joint Commission on
National Dental Examinations.
   (b) The board shall require each applicant to successfully
complete an examination in California law and ethics developed and
administered by the board. The board shall provide a separate
application for this examination. Applicants shall submit this
application and required fee to the board in order to take this
examination. In addition to the aforementioned application, the only
other requirement for taking this examination shall be certification
from the dean of the qualifying dental school attended by the
applicant that the applicant has graduated, or will graduate, or is
expected to graduate. Applicants who submit completed applications
and certification from the dean at least 15 days prior to a scheduled
examination shall be scheduled to take the examination. Successful
results of the examination shall, as established by board regulation,
remain valid for two years from the date that the applicant is
notified of having passed the examination.
   (c) Except as otherwise provided in Section 1632.5, the board
shall require each applicant to have taken and received a passing
score on one of the following: 
   (1) A portfolio assessment of the applicant's fitness to practice
dentistry while the applicant is enrolled in a dental school program
at a board-approved school located in California. This assessment
shall utilize uniform standards of minimal clinical experiences and
competencies. The applicant shall pass a final assessment at the end
of his or her dental school program.  
   (1) A portfolio examination of the applicant's competence to enter
the practice of dentistry. This examination shall be conducted while
the applicant is enrolled in a dental school program at a
board-approved school located in California. This examination shall
utilize uniform standards of minimal clinical experiences and
competencies. The applicant shall pass a final assessment of the
submitted portfolio at the end of his or her dental school program.
Before any portfolio assessment may be scheduled by the board, the
applicant shall submit to the board a three hundred fifty dollar
($350) fee, to be deposited into the State Dentistry Fund, and a
letter of good standing signed by the dean of his or her dental
school or his or her delegate stating that the applicant has
graduated or will graduate with no pending ethical issues. 
   (2) A clinical and written examination administered by the Western
Regional Examining Board, which board shall determine the passing
score for that examination.
   (d) Notwithstanding subdivision (b) of Section 1628, the board is
authorized to do either of the following:
   (1) Approve an application for examination from, and to examine an
applicant who is enrolled in, but has not yet graduated from, a
reputable dental school approved by the board.
   (2) Accept the results of an examination described in paragraph
(2) of subdivision (c) submitted by an applicant who was enrolled in,
but had not graduated from, a reputable dental school approved by
the board at the time the examination was administered.
   In either case, the board shall require the dean of that school or
his or her delegate to furnish satisfactory proof that the applicant
will graduate within one year of the date the examination was
administered  or as provided in paragraph (1) of subdivision (c)
 .
   SEC. 4.    Section 1632.1 is added to the  
Business and Professions Code   , to read:  
   1632.1.  (a) With regard to the portfolio examination specified in
paragraph (1) of subdivision (c) of Section 1632, the board shall
monitor and audit the standardization and calibration of dental
school competency instructors at least biennially with
board-appointed examiners who shall ensure standardization and an
acceptable level of calibration in the grading of the examination and
report to the board. Each dental school's competency examinations
shall be audited biennially by the board.
   (b) The board shall oversee all aspects of the portfolio
examination process specified in paragraph (1) of subdivision (c) of
Section 1632 and under this section, but shall not interfere with the
dental school authority to establish and deliver an accredited
curriculum. The board shall determine an end-of-year deadline, in
consultation with the current board-approved dental schools, to
determine when the portfolio examinations shall be completed and
submitted to the board for review by the board's examiners.
   (c) The board, in consultation with the current board-approved
dental schools, shall determine the minimum number of clinical
experiences required for successful completion of the portfolio
examination in each of the following areas:
   (1) Comprehensive oral diagnosis and treatment planning, each case
to include a health history evaluation, periodontal evaluation, hard
and soft tissue evaluation, smoking and tobacco product cessation,
and treatment planning for optimal restoration of dentition to form
and function.
   (2) Periodontics, including adult prophylaxis and periodontal
management, root planning, and periodontal reevaluation.
   (3) Direct restoration.
   (4) Indirect restoration.
   (5) Endodontics.
   (6) Removable prosthetics.
   (7) Oral surgical procedures.
   (d) The board shall require and verify successful completion of
the following competency examinations that were performed on a
patient of record of a board-approved dental school:
   (1) Comprehensive oral diagnosis and treatment planning, to
include collection of the patient's medical and dental history, a
comprehensive examination, evaluation of data to identify problems,
development of alternative treatment plans, and development of a
final treatment plan and documentation according to risk management
standards. Verification shall include the signed gradesheet and the
student's evaluation that includes all of the above components for
the patient.
   (2) Periodontics, to include performance of a comprehensive
periodontal examination, diagnosis and development of a periodontic
treatment plan, performance of nonsurgical periodontal therapy, and
performance of periodontal reevaluation. Verification shall include
the signed gradesheet, diagnosis, treatment plan, pocket depth
readings, preoperative X-rays showing subgingival calculus,
postoperative X-rays, and any follow-up report.
   (3) Direct restorations, to include restoration of a tooth
containing a primary carious lesion or lesions requiring a Class II
restoration using amalgam or composite, restoration of a tooth
containing a primary carious lesion or lesions requiring a Class III
or IV restoration using composite resin, and restoration of a tooth
containing a primary carious lesion or lesions requiring a Class V
restoration using glass ionomer, composite resin, or amalgam. The
existing carious lesion or lesions shall meet the minimum established
level of disease to justify surgical treatment. Verification shall
include the signed gradesheet and preoperative X-rays. Photographs
may be requested by the board.
   (4) Indirect restorations, to include restoration of a tooth with
a crown or onlay according to approved procedures and materials, and
the case selected must be based on minimum criteria for indirect
restorations. Verification shall include the signed gradesheet,
preoperative X-rays, and postoperative X-rays showing a successfully
cemented crown or onlay. Photographs may be requested by the board.
   (5) Removable prosthodontics, to include development of the
diagnosis and treatment options with the prognosis for removable
prosthesis, restoration of edentulous spaces with removable
prostheses, management of tooth loss transition with immediate or
transitional prostheses, and management of prosthetic problems and
evaluation of laboratory services for prostheses. Verification shall
include the signed gradesheet, a detailed diagnosis and treatment
plan with preoperative X-rays, photographs showing the pretreatment
condition, and postoperative photographs of finished appliances.
   (6) Endodontics, to include application of case selection
criteria, demonstration of pretreatment preparation, performance of
access opening, performance of shaping and cleaning techniques,
performance of obturation techniques, completion of an endodontic
case, and providing recommendations for postendodontic treatment.
Verification shall include the signed gradesheet, diagnosis,
preoperative X-rays, and postoperative X-rays showing completed
endodontic treatment. Photographs may be requested by the board.