BILL ANALYSIS                                                                                                                                                                                                    



                                                                    AB 869
                                                                    Page  1


          ASSEMBLY THIRD READING
          AB 869 (Keeley)
          As Amended January 24, 2000
          2/3 vote.  Urgency 

           INSURANCE                       APPROPRIATIONS                  
                                (vote not relevant)                         
                         (vote not relevant)
           
          HEALTH              13-0                                        
           
           ----------------------------------------------------------------- 
          |Ayes:|Gallegos, Strickland,     |     |                          |
          |     |Aanestad, Bates, Corbett, |     |                          |
          |     |Firebaugh, Kuehl, Runner, |     |                          |
          |     |Thomas, Vincent, Wayne,   |     |                          |
          |     |Wesson, Wildman, Zettel   |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Delays the implementation of specified requirements  
          that must be met before a dentist may administer oral conscious  
          sedation to a minor patient from January 1, 2000, to January 1,  
          2001.

           EXISTING LAW  :

          1)Prohibits dentists, beginning January 1, 2000, from  
            administering oral conscious sedation on an outpatient basis  
            to a minor patient unless the dentist holds a valid general  
            anesthesia permit, a conscious sedation permit, or has been  
            certified by the Dental Board of California (Board) to  
            administer oral sedation to minor patients.

          2)Establishes a procedure for obtaining an oral conscious  
            sedation permit, requiring dentists to submit evidence to the  
            Board that certain requirements have been met.

          3)Requires oral conscious sedation permit holders to complete a  
            minimum of seven hours of approved courses of study related to  
            oral conscious sedation of minor patients as a condition of  
            certification renewal as an oral conscious sedation provider.

          4)Defines oral conscious sedation as a minimally depressed level  
            of consciousness produced by oral medication that retains the  








                                                                    AB 869
                                                                    Page  2


            patient's ability to maintain independently and continuously  
            an airway, and respond appropriately to physical stimulation  
            and verbal command.

           FISCAL EFFECT  :  None

           COMMENTS  :  According to the author, this bill is sponsored by  
          the California Dental Association (CDA) to delay, by one year,  
          the implementation of a bill enacted in 1998 to strengthen  
          safeguards for minor patients receiving oral conscious sedation  
          in dental offices.  
          AB 2006 (Keeley), Chapter 513, Statutes of 1998, which was also  
          sponsored by CDA, requires dentists who do not already have a  
          general anesthesia permit or a conscious sedation permit, to  
          obtain an oral conscious sedation permit before administering  
          oral conscious sedation to a minor.  This requirement was to go  
          into effect January 1 of this year.  However, the Board has not  
          yet adopted regulations to administer this new requirement, and  
          a delay of one year is necessary to complete the regulatory  
          process.
           

          Analysis Prepared by  :  Vincent D. Marchand / HEALTH / (916)  
          319-2097                                          


                                                                            
                                                                            
                                                                            
                                                       FN: 0004219