Ch. 221                                    2003 LAWS OF MARYLAND

(ii) A public health department of the State or a county.

(3) A facility in which a dental hygienist is authorized to practice under
the general supervision of a licensed dentist shall ensure that:

(i) The supervising dentist in the facility:

1.       Holds an active general license to practice dentistry in the
State;

2.       Holds a current certificate evidencing health provider
level C proficiency, or its equivalent, in cardiopulmonary resuscitation; and

3.       Has at least 2 years of active clinical practice in direct
patient care;

(ii) Each dental hygienist authorized to practice under the general
supervision of a licensed dentist:

1.       Holds an active general license to practice dental hygiene
in the State;

2.       Holds a current certificate evidencing health provider
level C proficiency, or its equivalent, in cardiopulmonary resuscitation; and

3.       Has at least 2 years of active clinical practice in direct
patient care;

(iii) Before the initial treatment of a patient by a dental hygienist
practicing under the general supervision of a licensed dentist, the supervising dentist,
the patient's dentist, or the treating physician evaluates the patient's medical history
and determines its impact on the patient's suitability to receive oral health treatment;

(iv) The supervising dentist diagnoses the patient and approves the
treatment plan for the patient;

(v) The supervising dentist authorizes, on a patient by patient
basis, a dental hygienist to practice under the general supervision of a licensed
dentist;

(vi) A dental hygienist practicing under the general supervision of a
licensed dentist ascertains before treating a recall patient that there has been no
change in the patient's medical history;

(vii) A dental hygienist consults with the supervising dentist, the
patient's dentist, or a treating physician before proceeding with treatment if there is
a change in the patient's medical history;

(viii) The facility has a medical emergency plan;

(ix) Adequate facilities and equipment are available for the delivery
of dental hygiene services other than fluoride rinse programs; and

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