BILL ANALYSIS                                                                                                                                                                                                    







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            |Hearing Date:March 13, 2000    |            Bill No:AB 869|
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                    SENATE COMMITTEE ON BUSINESS AND PROFESSIONS
                            Senator Liz Figueroa, Chair

                   Bill No:        AB 869 - UrgencyAuthor:Keeley
                     As Amended:January 24, 2000  Fiscal:   NO

            
            SUBJECT:   Oral conscious sedation.
            
            SUMMARY: Delays the implementation of specified  
            requirements that must be met before a dentist may  
            administer oral conscious sedation to a minor patient.

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

            This bill delays the application of the requirements  
            that must be met before a dentist may administer oral  
            conscious sedation to a minor patient from December  
            31, 1999 to December 31, 2000. 

            FISCAL EFFECT:  None

            COMMENTS:
            
            1.Purpose.  This bill is sponsored by the California  
              Dental Association (CDA).  According to the author  
              and sponsor, the bill is intended to provide  
              dentists more time to comply with California's oral  
              conscious sedation certification law.
             
            2.Background.  In 1998, AB 2006 (Keeley, Chapter 513,  
              Statutes of 1998) established a process by which  
              dentists who wish to administer, or order the  
              administration of, oral conscious sedation for minor  
              patients would be required to be certified with the  
              Board of Dental Examiners.  AB 2006 created a number  
              of avenues by which dentists could qualify for  
              certification, including completion of a Board  
              approved course on oral medications and sedation and  
              documentation of ten successful treatments using  
              oral conscious sedation prior to August 31, 1998.   
              AB 2006 also prohibited the use of oral sedation  
              without a board permit or certification after  
              December 31, 1999.

              The Board of Dental Examiners completed its  
              regulatory hearings last year.  The regulations to  
              implement AB 2006 are currently under review by the  
              Office of Administrative Law (OAL) and a response is  
              expected by March 16, 2000.  If the OAL disapproves,  
              the Board will have 120 days to respond and resubmit  
              their proposed regulations.  OAL would then have 30  
              working days to review and respond.  If the OAL  












              approves, they will file the regulations with the  
              Secretary of State and the regulations will take  
              effect 30 days later.

            3.Arguments in Support.  The CDA indicates that  
              hundreds of dentists have been unable to meet the  
              December 31, 1999 deadline because dental schools,  
              which are prepared to introduce courses on oral  
              medications and sedation, cannot move forward until  
              the Board's regulations are finalized.  According to  
              the CDA, this has placed the dentists in a very  
              uncomfortable legal limbo, in which they are  
              technically out of compliance with the law but are  
              unable to obtain the certificates because the Board  
              has no authority to issue them.  

            4.Is a 1 year extension long enough?  It appears that  
              the one year extension will be a sufficient amount  
              of time for the dentists to comply with the oral  
              conscious sedation certification law, even if the  
              OAL disapproves the regulations.

            SUPPORT AND OPPOSITION:

            Support:California Dental Association (Sponsor)

             Opposition:None received.


            Consultant:Kristin J. Triepke
                                                                  AB 869
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