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SB3211Introduced in the Senate

TELEDENTISTRY EXAMINATIONS

Passed

Introduced by Michael Hastings, District 19

What does this bill do?

Plain-English breakdown

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Official description

Amends the Illinois Dental Practice Act. Makes changes concerning the definition of "patient of record", both for the Act and for the provisions concerning teledentistry. Defines "synchronous". Specifies that a dentist may delegate dental services using teledentistry to an Illinois-licensed dental hygienist. Provides that a dental hygienist may perform oral prophylaxis procedures; may apply fluoride treatments, but not any product used for the remineralization of teeth, including, but not limited to, silver diamine fluoride; and may process x-rays, as ordered by the supervising dentist, on a patient of record if an Illinois-licensed dentist has examined, diagnosed, and authorized such procedures using synchronous systems. Provides that a person is limited to 2 oral prophylaxis procedures performed by a licensed dental hygienist using teledentistry until an in-person examination by a licensed dentist has been completed. Provides that local anesthetics and nitrous oxide may not be used during an oral prophylaxis procedure in a teledentistry service by a dental hygienist. Sets forth requirements for the informed consent form. Provides that an initial screening may only be provided using teledentistry by an Illinois-licensed dentist to assess suitability of the patient for treatment at a dental facility or for certain conditions that present immediate harm or discomfort to the patient for which treatment cannot be postponed. Provides that a provider of dental services rendering care or providing a screening through teledentistry (instead of rendering emergent care or conducting an initial consultation through teledentistry) must direct the patient to receive appropriate in-person care after the provision of teledentistry services. Provides that an initial examination may be provided using teledentistry but shall only be conducted for the purpose of providing a consultation for specific services or for treating or assessing acute pain, infection, injury, or any intraoral or perioral condition that presents immediate harm or discomfort that cannot be postponed. Provides that an initial examination for new patients, excluding patients seeking orthodontic, sleep apnea, or snoring treatment or the functional and cosmetic replacement or treatment of teeth, may be conducted through teledentistry. Provides that an initial examination for orthodontia, sleep apnea, or snoring treatment or the functional and cosmetic replacement or treatment of teeth shall be performed in person only. Provides that in-person clinical examination shall be performed immediately before providing or authorizing services or treatments to patients that are not reversible or that otherwise result in an increased risk to the patient. Provides that, for ongoing dentist-patient relationships, dentists shall direct patients to be seen in person at least annually. Provides that nothing in the provisions shall be construed to expand the scope of practice for dental hygienists or establish independent hygiene practice. Makes other changes.

Where it stands

Public Act . . . . . . . . . 104-0845

August 21, 2026

How did lawmakers vote?

House votes

2 recorded votes · each counted separately

Senate votes

3 recorded votes · each counted separately

HouseStage: House Third Reading · May 31, 2026

116

Yes

0

No

1

Absent or Not Voting

117 representatives recorded in this House vote. Colors show vote categories only, not whether a vote was good or bad.

See how each representative voted

Bill history

  1. Filed with Secretary by Sen. Michael E. Hastings

  2. First Reading

  3. Referred to Assignments

  4. Assigned to Licensed Activities

  5. Rule 2-10 Committee Deadline Established As March 27, 2026

  6. Postponed - Licensed Activities

  7. Rule 2-10 Committee Deadline Established As April 24, 2026

  8. Rule 3-9(a) / Re-referred to Assignments

  9. Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026

  10. Re-assigned to Licensed Activities

  11. Senate Committee Amendment No. 1 Filed with Secretary by Sen. Michael E. Hastings

  12. Senate Committee Amendment No. 1 Referred to Assignments

  13. Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities

  14. Senate Committee Amendment No. 1 Adopted

  15. Do Pass as Amended Licensed Activities; 007-000-000

  16. Placed on Calendar Order of 2nd Reading May 14, 2026

  17. Second Reading

  18. Placed on Calendar Order of 3rd Reading May 18, 2026

  19. Added as Co-Sponsor Sen. David Koehler

  20. Added as Co-Sponsor Sen. Patrick J. Joyce

  21. Added as Co-Sponsor Sen. Christopher Belt

  22. Added as Co-Sponsor Sen. Michael W. Halpin

  23. Added as Co-Sponsor Sen. Paul Faraci

  24. Added as Co-Sponsor Sen. Mary Edly-Allen

  25. Added as Co-Sponsor Sen. Adriane L. Johnson

  26. Added as Co-Sponsor Sen. Suzy Glowiak Hilton

  27. Added as Co-Sponsor Sen. Meg Loughran Cappel

  28. Added as Co-Sponsor Sen. Napoleon Harris III

  29. Added as Co-Sponsor Sen. Mike Porfirio

  30. Added as Co-Sponsor Sen. Steve Stadelman

  31. Added as Co-Sponsor Sen. Robert F. Martwick

  32. Added as Co-Sponsor Sen. Laura Ellman

  33. Added as Co-Sponsor Sen. Linda Holmes

  34. Added as Co-Sponsor Sen. Javier L. Cervantes

  35. Added as Co-Sponsor Sen. Laura Fine

  36. Added as Co-Sponsor Sen. Rachel Ventura

  37. Added as Co-Sponsor Sen. Bill Cunningham

  38. Rule 2-10 Third Reading Deadline Established As May 22, 2026

  39. Third Reading - Passed; 058-000-000

  40. Added as Co-Sponsor Sen. Sally J. Turner

  41. Added as Co-Sponsor Sen. Erica Harriss

  42. Arrived in House

  43. Chief House Sponsor Rep. Robert "Bob" Rita

  44. First Reading

  45. Referred to Rules Committee

  46. Added Alternate Chief Co-Sponsor Rep. Jay Hoffman

  47. Assigned to Health Care Licenses Committee

  48. Committee/Final Action Deadline Extended-9(b) May 31, 2026

  49. Added Alternate Chief Co-Sponsor Rep. Natalie A. Manley

  50. Motion Filed to Suspend Rule 21 Health Care Licenses Committee; Rep. Ann M. Williams

  51. Motion to Suspend Rule 21 - Prevailed 072-038-000

  52. Do Pass / Short Debate Health Care Licenses Committee; 015-000-000

  53. Placed on Calendar 2nd Reading - Short Debate

  54. Second Reading - Short Debate

  55. Held on Calendar Order of Second Reading - Short Debate

  56. Added Alternate Co-Sponsor Rep. Barbara Hernandez

  57. Added as Co-Sponsor Sen. Emil Jones, III

  58. Placed on Calendar Order of 3rd Reading - Short Debate

  59. Third Reading - Short Debate - Passed 116-000-001

  60. Passed Both Houses

  61. Sent to the Governor

  62. Governor Approved

  63. Effective Date January 1, 2027

  64. Public Act . . . . . . . . . 104-0845

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