Texas Register

RULE §110.9Anesthesia Permit Renewal
ISSUE 06/22/2018
ACTION Proposed
Preamble Texas Admin Code Rule

(a)The Board shall renew an anesthesia/sedation permit biennially [annually] if required fees are paid and the required emergency management training and continuing education requirements are satisfied. The Board shall not renew an anesthesia/sedation permit if, after notice and opportunity for hearing, the Board finds the permit holder has provided, or is likely to provide, anesthesia/sedation services in a manner that does not meet the minimum standard of care. If a hearing is held, the Board shall consider factors including patient complaints, morbidity, mortality, and anesthesia consultant recommendations.

(b)Fees. Biennial dental license renewal certificates shall include the biennial [annual] permit renewal, except as provided for in this section. The licensee shall be assessed a biennial [an annual] renewal fee in accordance with the fee schedule in Chapter 102 of this title.

(c)Continuing Education.

  (1)In conjunction with the biennial [annual ] renewal of a dental license, a dentist seeking to renew a minimal sedation, moderate sedation, or deep sedation/general anesthesia permit must submit proof of completion of the following hours of continuing education every two years on the administration of or medical emergencies associated with the permitted level of sedation:

    (A)Level 1: Minimal Sedation - six (6) hours

    (B)Levels 2 and 3: Moderate Sedation - eight (8) hours

    (C)Level 4: Deep Sedation/General Anesthesia - twelve (12) hours

  (2)The continuing education requirements under this section shall be in addition to any additional courses required for licensure. Advanced Cardiac Life Support (ACLS) course and Pediatric Advanced Life Support (PALS) course may not be used to fulfill the continuing education requirement for renewal of the permit under this section.

  (3)Continuing education courses must meet the provider endorsement requirements of §104.2 of this title.

(d)Anesthesia Jurisprudence Examination. The Board shall develop and administer an online jurisprudence examination to determine a permit holder's knowledge of the Dental Practice Act, Board rules, and other applicable laws of this state relating to the administration of anesthesia. A permit holder for nitrous oxide, level 1, level 2, level 3, or level 4 sedation/anesthesia must pass the online jurisprudence examination developed by the Board once every five years.

The agency certifies that legal counsel has reviewed the proposal and found it to be within the state agency's legal authority to adopt.

Filed with the Office of the Secretary of State on June 8, 2018


W. Boyd Bush, Jr.

Executive Director

State Board of Dental Examiners

Earliest possible date of adoption: July 22, 2018

For further information, please call: (512) 475-0987

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