SB3211Introduced in the Senate
TELEDENTISTRY EXAMINATIONS
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
| Representative | District | Vote |
|---|---|---|
| Aaron Ortiz | 1 | Yes |
| Elizabeth Hernandez | 2 | Yes |
| Eva Dina Delgado | 3 | Yes |
| Lilian Jimenez | 4 | Yes |
| Kimberly Du Buclet | 5 | Yes |
| Sonya Harper | 6 | Yes |
| Emanuel Welch | 7 | Yes |
| LaShawn Ford | 8 | Yes |
| Yolanda Morris | 9 | Yes |
| Jawaharial Williams | 10 | Yes |
Bill history
Filed with Secretary by Sen. Michael E. Hastings
First Reading
Referred to Assignments
Assigned to Licensed Activities
Rule 2-10 Committee Deadline Established As March 27, 2026
Postponed - Licensed Activities
Rule 2-10 Committee Deadline Established As April 24, 2026
Rule 3-9(a) / Re-referred to Assignments
Rule 2-10 Committee/3rd Reading Deadline Established As May 15, 2026
Re-assigned to Licensed Activities
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Michael E. Hastings
Senate Committee Amendment No. 1 Referred to Assignments
Senate Committee Amendment No. 1 Assignments Refers to Licensed Activities
Senate Committee Amendment No. 1 Adopted
Do Pass as Amended Licensed Activities; 007-000-000
Placed on Calendar Order of 2nd Reading May 14, 2026
Second Reading
Placed on Calendar Order of 3rd Reading May 18, 2026
Added as Co-Sponsor Sen. David Koehler
Added as Co-Sponsor Sen. Patrick J. Joyce
Added as Co-Sponsor Sen. Christopher Belt
Added as Co-Sponsor Sen. Michael W. Halpin
Added as Co-Sponsor Sen. Paul Faraci
Added as Co-Sponsor Sen. Mary Edly-Allen
Added as Co-Sponsor Sen. Adriane L. Johnson
Added as Co-Sponsor Sen. Suzy Glowiak Hilton
Added as Co-Sponsor Sen. Meg Loughran Cappel
Added as Co-Sponsor Sen. Napoleon Harris III
Added as Co-Sponsor Sen. Mike Porfirio
Added as Co-Sponsor Sen. Steve Stadelman
Added as Co-Sponsor Sen. Robert F. Martwick
Added as Co-Sponsor Sen. Laura Ellman
Added as Co-Sponsor Sen. Linda Holmes
Added as Co-Sponsor Sen. Javier L. Cervantes
Added as Co-Sponsor Sen. Laura Fine
Added as Co-Sponsor Sen. Rachel Ventura
Added as Co-Sponsor Sen. Bill Cunningham
Rule 2-10 Third Reading Deadline Established As May 22, 2026
Third Reading - Passed; 058-000-000
Added as Co-Sponsor Sen. Sally J. Turner
Added as Co-Sponsor Sen. Erica Harriss
Arrived in House
Chief House Sponsor Rep. Robert "Bob" Rita
First Reading
Referred to Rules Committee
Added Alternate Chief Co-Sponsor Rep. Jay Hoffman
Assigned to Health Care Licenses Committee
Committee/Final Action Deadline Extended-9(b) May 31, 2026
Added Alternate Chief Co-Sponsor Rep. Natalie A. Manley
Motion Filed to Suspend Rule 21 Health Care Licenses Committee; Rep. Ann M. Williams
Motion to Suspend Rule 21 - Prevailed 072-038-000
Do Pass / Short Debate Health Care Licenses Committee; 015-000-000
Placed on Calendar 2nd Reading - Short Debate
Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate
Added Alternate Co-Sponsor Rep. Barbara Hernandez
Added as Co-Sponsor Sen. Emil Jones, III
Placed on Calendar Order of 3rd Reading - Short Debate
Third Reading - Short Debate - Passed 116-000-001
Passed Both Houses
Sent to the Governor
Governor Approved
Effective Date January 1, 2027
Public Act . . . . . . . . . 104-0845
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