Renee Cornett of Austin is a licensed dental hygienist and chair of the Austin Community College Department of Dental Hygiene. She is a member of the American Dental Education Association, American Dental Hygiene Association and Texas Dental Hygiene Directors’ Association. She is a member of the Texas Dental Hygiene Educators’ Association, Texas Community College Teachers’ Association, and Sigma Phi Alpha Dental Hygiene Honor Society. She is also a member of the Austin Community College Faculty Senate, a dental hygiene examiner for the Western Regional Dental Examining Board, and past chair of the Texas Dental Hygiene Advisory Committee. Cornett received a bachelor’s degree from Carroll College and a Master of Business Administration from the University of Texas at San Antonio. She is appointed for a term to expire Feb. 1, 2015.

D. Bradley Dean of Frisco is a dentist and board certified periodontist in private practice. He is a member of the American and Texas Dental associations, a diplomate of the Academy of Periodontology, past president of the North Texas Dental Association, and past program chair for the Southwest Society of Periodontists. He is a former delegate to the Texas Dental Association and past chair of the Council on Dental Economics. He is also an advisory board member of the Collin County Community College Dental Hygiene program, a former assistant professor in the Baylor College of Dentistry Graduate Periodontics Department, and a volunteer with Give Kids a Smile and Rite to Smile. Dean received a bachelor’s degree from Texas A&M University, and a doctorate of dental surgery and a master’s degree in periodontics from Baylor College of Dentistry. He is appointed for a term to expire Feb. 1, 2017.

Tammy Gough of McKinney is a pediatric dentist in private practice. She is a member of the American and Texas Dental associations, and a member and past president of the Texas Academy of Pediatric Dentistry, Southwest Society of Pediatric Dentistry and the Paul P. Taylor Academy of Pediatric Dentistry. She is board certified by the American Board of Pediatric Dentistry, and is a member of the American Academy of Pediatric Dentistry. Gough received a bachelor’s degree from the University of Illinois, and a doctor of dental surgery degree and a master’s degree in pediatric dentistry from Baylor College of Dentistry. She is appointed for a term to expire Feb. 1, 2017.

Christie Leedy of Abilene is a dentist and owner of Abilene Dental. She is a member of the American and Texas Dental associations, American Academy of Cosmetic Dentistry, and Dental Organization for Conscious Sedation, a founding member of the American Academy of Oral Systemic Health, and a member and past board member of the 17th District Dental Society. She is also a founding member and president of Angel Smiles, an advisory board member of the Noah Project, and a member of the Community Foundation of Abilene. Leedy attended Tarleton State University and received a doctor of dental surgery degree from the University of Texas Health Science Center at San Antonio. She is appointed for a term to expire Feb. 1, 2017.

Evangelia ‘Lia’ Mote of Cedar Park is owner of LV Mote Consulting Group, and founder and executive director of Mosaic Arts Group. She is a volunteer summer camp coordinator for Royal Purpose Ministries. Mote received a bachelor’s degree and master’s degree in dramatic production from Bob Jones University. She will serve as a public member on the board for a term to expire Feb. 1, 2017.

Ann Pauli of El Paso is a certified public accountant (CPA), and is retired president and CEO of Paso del Norte Health Foundation. She is a member of the Texas Society of CPA’s, president of the El Paso Public Libraries Foundation, and an El Paso Master Gardner volunteer. Pauli received a bachelor’s degree from the University of Illinois and a master’s degree in organizational management from the University of Phoenix. She is reappointed and will serve as a public member on the board for a term to expire Feb. 1, 2013.

John T. Steen III of Houston is Director of Commercial Development for Lone Star NGL LLC. He is a Chartered Financial Analyst (CFA) charterholder, an Eagle Scout, and a life member of the Sons of the Republic of Texas. Steen received a bachelor’s degree from Vanderbilt University, a Master of Business Administration from the Wharton School of Business, and a master of arts in international studies from the University of Pennsylvania. He will serve as a public member on the board for a term to expire Feb. 1, 2017.

The most significant change in the revisions is to the levels of anesthesia and sedation permitting. The permitting process emphasizes the level of sedation of the patient rather than the route of administration of the medication. The new sections establish five levels of anesthesia and sedation permits beyond the standard dental license: Nitrous Oxide/Oxygen Inhalation Sedation;

• Level 1: Minimal Sedation;
• Level 2: Moderate Sedation (enteral sedation);
• Level 3: Moderate Sedation (parenteral sedation); and
• Level 4: Deep Sedation or General Anesthesia.

Most levels of permitting will change in name only. Licensed dentists who lack sedation permits may continue to utilize local anesthetic and prescribe minor tranquilizers for anxiolysis. A licensed dentist who holds an active Nitrous Oxide/Oxygen Inhalation Conscious Sedation permit, Parenteral Sedation permit, or Deep Sedation or General Anesthesia permit on or before the effective date of the new sections will have his or her permit automatically reclassified as a Nitrous Oxide/Oxygen Inhalation Sedation permit, Level 3 permit, and Level 4 permit respectively on the effective date.

Gough is a pediatric dentist in private practice. She is a member of the American and Texas Dental associations, and a member and past president of the Texas Academy of Pediatric Dentistry, Southwest Society of Pediatric Dentistry and the Paul P. Taylor Academy of Pediatric Dentistry. Gough is board certified by the American Board of Pediatric Dentistry and is a member of the American Academy of Pediatric Dentistry. She received two bachelor’s degrees from the University of Illinois and a doctor of dental surgery degree and a master’s degree in pediatric dentistry from Baylor College of Dentistry.

 For FY 2012 and 2013, the Governor, the Lt. Governor, and the Speaker of House told agencies to offer budget 10% less than their FY 2011 budgets.  This will mean lost of more staff, slower time to process new licenses and slower time to investigate cases.  The Texas Medical Board reports it believes it will generate less income for the state for due to its budget cuts.  The Board did not explain how this would occur. 

 It is possible, the further cuts will occur.  It is even more likely professional renewal fees will increase as will new licensure application fees.  The reason these things will occur is the projected budget deficit is 23 billion dollars.  Even if the legislature ends all state programs other than education, prisons, roads, law enforcement, and Medicaid, there will still be deficit; therefore, it seems logical to assume more cuts and larges fees are a matter of when, and not if.

GENERAL PROVISIONS

22 TAC §100.10

DENTAL HYGIENE LICENSURE

22 TAC §103.5

DENTAL BOARD PROCEDURES

22 TAC §§107.11, 107.15, 107.17, 107.21 – 107.25, 107.47, 107.48, 107.50, 107.54, 107.55, 107.63
22 TAC §107.59
22 TAC §107.102
22 TAC §107.203

PROFESSIONAL CONDUCT

22 TAC §§108.7 – 108.9

EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL ASSISTANTS

22 TAC §114.10

EXTENSION OF DUTIES OF AUXILIARY PERSONNEL–DENTAL HYGIENE

22 TAC §115.9

§108.9.Dishonorable Conduct.

The dishonorable conduct section is intended to protect the public from dangerous, unethical, and illegal conduct of licensees. The purpose of this section is to identify unprofessional or dishonorable behaviors of a licensee which the Board believes are likely to pose a threat to the public. Actual injury to a patient need not be established for a licensee to be in violation of this section. Behavior constituting dishonorable conduct includes, but is not limited to [A licensee is in violation of this rule if he or she]:

(1) Criminal conduct–including but not limited to conviction of a misdemeanor involving fraud or a felony under federal law or the law of any state as outlined in Chapter 101 of this title.

[(1) Aids or abets in the violation of a criminal statute or participates in a conspiracy to procure (by corruption, fraud, misrepresentation, or bribery, or both) a dental license for an unqualified person.]

(2) Deception or misrepresentation–engages in deception or misrepresentation:

(A) in soliciting or obtaining patronage; or

(B) in obtaining a fee.

(3) Fraud in obtaining a license–obtains a license by fraud or misrepresentation or participates in a conspiracy to procure a license, registration, or certification for an unqualified person.

(4) Misconduct involving drugs or alcohol–actions or conduct that include, but are not limited to:

(A) [(2)] providing [Provides ] dental services to a patient while the licensee is impaired through the use of drugs, narcotics, or alcohol ;[.]

(B) addicted to or habitually intemperate in the use of alcoholic beverages or drugs;

(C) improperly obtained, possessed, or used habit-forming drugs or narcotics including self-prescription of drugs;

(D) [(3)] grossly [Grossly ] over prescribes, dispenses, or administers narcotic drugs, dangerous drugs, or controlled substances;[.]

(E) [(4)] prescribes [Prescribes ], dispenses, or administers narcotic drugs, dangerous drugs, or controlled substances to or for a person who is not his or her dental patient;[,] or [not for a dental purpose.]

(F) prescribes, dispenses, or administers narcotic drugs, dangerous drugs, or controlled substances to a person for a non-dental purpose, whether or not the person is a dental patient.

(5) Assisting another in engaging in the unauthorized practice of dentistry or dental hygiene–holds a dental license and employs, permits, or has employed or permitted a person not licensed to practice dentistry to practice dentistry in an office of the dentist that is under the dentist’s control or management.

(6) Failure to comply with applicable laws, rules, regulations, and orders–violates or refuses to comply with a law relating to the regulation of dentists, dental hygienists, or dental assistants; fails to cooperate with a Board investigation; or fails to comply with the terms of a Board Order.

(7) Inability to practice safely–is physically or mentally incapable of practicing in a manner that is safe for the person’s dental patients.

(8) Discipline of a licensee by another state board–holds a license or certificate to practice dentistry or dental hygiene in another state and the examining board of that state:

(A) reprimands the person;

(B) suspends or revokes the person’s license or certificate or places the person on probation; or

(C) imposes another restriction on the person’s practice.

(9) Failure to comply with Medicaid, insurance, or other regulatory laws–knowingly provides or agrees to provide dental care in a manner that violates a federal or state law that:

(A) regulates a plan to provide, arrange for, pay for, or reimburse any part of the cost of dental care services; or

(B) regulates the business of insurance.

(10) Improper delegation–improperly delegates any task to any individual who is not permitted to perform the task by law, this chapter, or practice restrictions imposed by Board Order.

[(5) Indicates a fee for dental services on an insurance or other third party reimbursement claim form which is other than the fee which the dentist expects to collect for services rendered.]

(11) [(6)] Unprofessional conduct engages–[Engages] in conduct that has become established through professional experience as likely to disgrace, degrade, or bring discredit upon the licensee or the dental profession.