Nevada Code § 631.3122

Dental therapists: Practice settings; written practice agreement with authorizing dentist required; limitations on provision of services; qualifications of authorizing dentist
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1. The holder of a license or renewal
certificate to practice dental therapy may practice only in the settings
provided in subsection 3, under the authorization of a dentist meeting the
requirements of subsection 4 and in accordance with a written practice
agreement signed by the dental therapist and the authorizing dentist. A dental
therapist may provide only the services that are within his or her scope of
practice, the scope of practice of the dentist, are authorized by the dentist,
and are provided according to written protocols or standing orders established
by the authorizing dentist. A dental therapist may not provide any services
that are outside the scope of practice of the authorizing dentist. A dental
therapist shall provide such services only under the direct supervision of the
authorizing dentist until such time as the dental therapist has obtained the
following hours of clinical practice as a dental therapist:
(a) Not less than 500 hours, if the dental
therapist has a license to practice dental therapy issued pursuant to the laws
of another state or territory of the United States, or the District of
Columbia;
(b) Not less than 1,000 hours, if the dental
therapist has practiced dental hygiene pursuant to the laws of this State,
another state or territory of the United States, or the District of Columbia,
for 5 years or more; or
(c) Not less than 1,500 hours, if paragraphs (a)
and (b) are not applicable.
2. A dental therapist may provide services
to a patient who has not first seen a dentist for an examination if the
authorizing dentist has given the dental therapist written authorization and
standing protocols for the services and reviews the patient records as provided
by the written practice agreement. The standing protocols may require the
authorizing dentist to personally examine patients either face-to-face or by
the use of electronic means.
3. The holder of a license or renewal
certificate to practice dental therapy may practice only in the following
settings:
(a) A hospital, as defined in NRS 449.012 .
(b) A rural health clinic, as defined in 42
U.S.C. 1395x(aa)(2).
(c) A health facility or agency, other than a
hospital, that is reimbursed as a federally qualified health center as defined
in 42 U.S.C. 1395x(aa)(4) or that has been determined by the Centers for
Medicare and Medicaid Services of the United States Department of Health and
Human Services to meet the requirements to receive funding under section 330 of
the Public Health Service Act, 42 U.S.C. 254b, as amended.
(d) A federally qualified health center, as defined
in 42 U.S.C. 1395x(aa)(4), that is licensed as a health facility or agency by
the Department of Human Services or Nevada Health Authority, as applicable.
(e) An outpatient health program or facility
operated by a tribe or tribal organization under subchapter I of the Indian
Self-Determination and Education Assistance Act, 25 U.S.C. 5321 to 5332,
inclusive, as amended, or by an urban Indian organization receiving funds under
Title V of the Indian Health Care Improvement Act, 25 U.S.C. 1651 to 1660i,
inclusive, as amended.
(f) A school-based health center as defined in NRS 41.495 .
(g) Any other clinic or practice setting,
including, without limitation, a mobile dental unit, in which at least 50
percent of the total patient base of the dental therapist will consist of
patients who:
(1) Are enrolled in a health care program
administered by the Department of Human Services or Nevada Health Authority, as
applicable;
(2) Have a medical disability or chronic
condition that creates a significant barrier to receiving dental care; or
(3) Do not have dental health coverage
through a public health care program or private insurance and have a household
income which is less than 200 percent of the federally designated level
signifying poverty as provided in the most recent federal poverty guidelines
published in the Federal Register by the United States Department of Health and
Human Services.
4. The holder of a license or renewal
certificate to practice dental therapy may practice only under the
authorization of a dentist who:
(a) Holds an active license to practice dentistry
in this State;
(b) Maintains a location from which to practice
dentistry; and
(c) Actively practices dentistry in this State by
treating patients.

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