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ARIZONA HOUSE OF REPRESENTATIVESFifty-sixth Legislature First Regular Session |
Senate: COM DP 4-3-0-0 | 3rd Read 16-12-2-0
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SB 1602: dental anesthesia; requirements
Sponsor: Senator Shamp, LD 29
House Engrossed
Overview
Prescribes standards and reporting procedures for qualified anesthesia providers that administer general anesthesia and sedation in dental offices and clinics. Requires the Arizona State Board of Dental Examiners (Board) Anesthesia and Sedation Committee (Committee) to submit final recommendations to the Board to improve the general anesthesia and sedation permit requirements.
History
The Board regulates and licenses dental professionals, including dentists, dental hygienists, dental consultants, dental therapists and denturists. Additionally, the Board reviews complaints against licensees and business entities, conducts investigations and is authorized to take disciplinary action for violations of state laws relating to the profession (A.R.S. §§ 32-1201 through 32-1299.26).
The Board is tasked with establishing criteria for the issuance and renewal of general anesthesia and sedation permits. Additionally, the Board must establish and collect a fee of not more than $300 to cover administrative costs connected with issuing the permit and conduct inspections to ensure compliance (A.R.S. § 32-1207).
Provisions
Qualified Anesthesia Provider Requirements
1. Instructs a dental office or clinic that administers general anesthesia or sedation to:
a) contain properly operating equipment and supplies as prescribed by the Board in rule; and
b) have proper emergency response protocols, including advanced cardiac life support, airway management and pediatric advanced life support, as applicable, as prescribed by the Board in rule that is consistent with the standards and practices recommended by the American Heart Association. (Sec. 3)
2. Deems that a licensed qualified anesthesia provider who fails to comply with the statutory general anesthesia and sedation permit requirements or applicable Board rules commits an act that constitutes a danger to the health, welfare and safety of the public. (Sec. 3)
Duty to Report
3. Specifies that if a qualified anesthesia provider who is not licensed by the Board fails to comply with the statutory general anesthesia and sedation permit requirements or applicable Board rules, the Board must promptly report the providers conduct to the regulatory board that licenses them. (Sec. 3)
4. States that if an adverse anesthesia outcome involves a qualified anesthesia provider who is not licensed by the Board, the Board must promptly report the adverse anesthesia outcome to the regulatory board that licenses the provider. (Sec. 3)
5. Directs a treating dentist, within seven business days, to submit an incident report to the Board if a death or incident requiring emergency medical response occurs in a dental office or clinic during the administration of or recovery from general anesthesia or sedation by a qualified anesthesia provider. (Sec. 3)
6. Specifies that if the incident involves a qualified anesthesia provider who is not licensed by the Board, the Board must immediately forward a copy of the incident report to the regulatory Board that licenses the provider. (Sec. 3)
7. Permits the Arizona Medical Board and Arizona State Board of Osteopathic Examiners in Medicine and Surgery to issue registrations to administer general anesthesia and sedation in dental offices and clinics to physicians who have completed residency training in anesthesiology. (Sec. 4, 8)
8. Permits the Arizona State Board of Nursing to issue registrations to administer general anesthesia and sedation in dental offices and clinics to certified registered nurse anesthetists who have national board certification in anesthesiology. (Sec. 6)
9. Requires a licensed physician or certified registered nurse anesthetists, if a death or an incident requiring emergency medical response occurs in a dental office or clinic during the administration of or recovery from general anesthesia or sedation, to report the death or incident to the Board within seven business days after the occurrence. (Sec. 5, 7, 9)
10. Permits any other person, if a death or an incident requiring emergency medical response occurs in a dental office or clinic during the administration of or recovery from general anesthesia or sedation to report the death or incident to the Board within seven business days after the occurrence. (Sec. 5, 7 and 9)
Anesthesia and Sedation Committee
11. Directs the Committee, by September 1, 2023, to submit to the Board its final recommendations to improve the general anesthesia and sedation permit requirements as provided in the Board's existing administrative rules for the purpose of increasing patient safety when general anesthesia or sedation is being administered by a provider within a dental practice or a similar setting that is under the Board's jurisdiction. (Sec. 10)
12. Tasks the Committee with considering ways to create equitable access for all qualified anesthesia providers and improve access to dental anesthesia services for patients. (Sec. 10)
13. Directs the Board, within 60 days after receipt of the Committee's final recommendations, to approve, modify or reject the recommendations. (Sec. 10)
14. Exempts the Board from rulemaking requirements for one year for the purposes of addressing the general anesthesia and sedation permit requirements. (Sec. 10)
15. Repeals the requirements for the Committee's final recommendations on January 1, 2025. (Sec. 10)
Miscellaneous
16.
Defines the term Qualified anesthesia
provider. (Sec. 1)
17. Contains an emergency clause. (Sec. 11)
18. Makes technical and conforming changes. (Sec. 1, 2, 4, 6, 7 and 8).
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SB 1602
Initials AG/BSR Page 0 House Engrossed
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