(a) 
Tribal License Required. The following employees of the Port Gamble S’Klallam Tribe, and persons who are eligible for employment by the Port Gamble S’Klallam Tribe, who carry out the Tribe’s dental health program under the Indian Self-Determination and Education Assistance Act, shall obtain a Tribal License in order to practice within the Tribe’s dental program, except as otherwise provided in this Code:
(1) 
A Dental Health Aide; and
(2) 
A Dentist, but only if the Dentist is or may be responsible for supervising a Dental Health Aide; provided however that the Tribe may determine that a Dentist who is or may be responsible for supervising a Dental Health Aide need not obtain a Tribal License if the Tribe determines that the Dentist is otherwise shown to be qualified by training or experience to supervise a Dental Health Aide and the Dentist is or will provide other, higher levels of dental care to the Tribe’s patients.
(b) 
Scope of Practice. All Tribal Dental Health Providers shall practice within the scope of practice and licenses granted to the Tribal Dental Health Provider, consistent with the Port Gamble S’Klallam Tribe’s tribal law, and any applicable state or federal law.
(c) 
Prohibition of Unlicensed Practice.
(1) 
Except as otherwise provided in this Code, no person shall provide dental services as a Dental Health Aide or as a Dentist within the Port Gamble S’Klallam Tribe’s dental health program without first applying for and being granted a Tribal License to provide such services as required by this Code, and continuing to maintain an active license in good standing. Such a Tribal Dental Health Provider whose Tribal License becomes inactive shall not provide dental services until the license is renewed or a new active license is issued.
(2) 
Notwithstanding the provisions of Section 23.04.06(c)(1) above, in order to preserve continuity of treatment and minimize disruption of dental services, a Dental Health Aide or Dentist who has a valid state license or CHAPCB certification may provide services, within the scope of the license or certification, for the Port Gamble S’Klallam Tribe’s dental health program in the event of an unexpected absence of a Tribal Dental Health Provider whose position cannot be timely filled by another Tribal Dental Health Provider; provided, however, that each such state-licensed or CHAPCB-certified provider shall provide temporary services without obtaining a Tribal License for no more than fourteen (14) business days in a calendar year.
(d) 
Dental health care providers employed by the Tribe who are not Dental Health Aides, and Dentists who will never supervise a Dental Health Aide, are not required to obtain a Tribal License.
(Res. 18-A-012, 1/22/2018)
A Tribal Dental Health Aide must comply with the following:
(a) 
The supervision requirements of CHAPCB 2.30.010 or any supervision requirements imposed as a condition of a Tribal License that the Tribal Dental Health Aide holds; provided, however, that for purposes of this subsection the employment requirement in CHAPCB 2.10.010(a)(9)(A) shall be read to require that the supervising individual be employed by the Port Gamble S’Klallam Tribe; and
(b) 
Any conditions imposed by the Tribal Dental Health Aide’s clinical supervisor or by the Tribe’s health director who supervises the Dental Clinic.
(Res. 18-A-012, 1/22/2018)
A person who is employed by the Port Gamble S’Klallam Tribe may perform services of a Dental Health Aide prior to being licensed in accordance with this Code. The extent of the services that may be performed are as follows:
(a) 
As part of training required for licensing;
(b) 
As part of preceptorship required under CHAPCB sections 2.30.100(b), 2.30.220(c)(1)(B) or (c)(2), 2.30.230(d), 2.30.240(c)(1)(D) or (c)(2), 2.30.250(c), 2.30.260(d), 2.30.400(b), 2.30.500(b), 2.30.550(d), or 2.30.600(3);
(c) 
As authorized by a provisional Tribal License;
(d) 
By a person who has been previously certified as a Dental Health Aide by the Indian Health Service and is undergoing a further preceptorship so that the supervising Tribal Dentist can evaluate his or her skills prior to making recommendations for licensing; or
(e) 
While an application for a Tribal License is pending, after successful completion of all required training and preceptorships.
(Res. 18-A-012, 1/22/2018)
(a) 
Dental Health Aides.
(1) 
A person to be licensed or who is licensed in accordance with this Code as a Tribal Dental Health Aide must satisfy and comply with the requirements for training, education, supervision, and competencies, as required by the Swinomish Indian Community Dental Health Provider Licensing Board and the Swinomish Indian Tribal Community Dental Health Provider Licensing and Standards Code, as applicable.
(2) 
An applicant to be licensed as a Dental Health Aide must demonstrate that the person has formal education, training, and/or personal or professional experience that would be reasonably expected to result in cultural competency.
(3) 
A person who otherwise satisfies the requirements of this Section to be licensed must agree to limit his or her scope of practice to that authorized under his or her Tribal License and any further limitations imposed by his or her supervisor.
(b) 
Dentists. A person to be licensed or licensed in accordance with this Code as a Tribal Dentist must also satisfy and comply with the following requirements for training, education, supervision, and competencies:
(1) 
Possess and maintain an active license as a Dentist in a State of the United States, as prescribed in Section 23.04.05 (c);
(2) 
Report to the Port Gamble S’Klallam Tribe and the Swinomish Indian Community Dental Health Provider Licensing Board any limitation on the license required under subsection (A);
(3) 
Demonstrate that the person has formal education, training, and/or personal or professional experience that would be reasonably expected to result in cultural competency;
(4) 
Agree to limit his or her scope of practice to that authorized under his or her State or Tribal License and any further limitations imposed by his or her supervisor; and
(5) 
Have experience working with and supervising Dental Health Aides or have completed a course acceptable to the Tribe and the Swinomish Indian Tribal Community’s Dental Health Provider Licensing Board regarding supervision of Dental Health Aides.
(Res. 18-A-012, 1/22/2018)
(a) 
Tribal Dental Health Aides. A Tribal Dental Health Aide must comply with all requirements for continuing education identified in CHAPCB 3.10.050 and, if licensed to perform dental radiology, the additional requirements of CHAPCB 2.30.240(c). Approved continuing education programs for a Tribal Dental Health Aide must also satisfy the requirements of CHAPCB 3.10.200, provided:
(1) 
Sponsoring organizations under CHAPCB 3.10.200(b) may also include any state dental society or association or any state dental hygiene society or association; and
(2) 
The Swinomish Indian Tribal Community’s Division of Licensure may approve a continuing education program or self-study education program consistent with the Community’s Dental Health Provider Licensure Code and the requirements of CHAPCB 3.10.200(c) or (d).
(b) 
Tribal Dentists. A Tribal Dentist must satisfy all continuing education requirements required by each jurisdiction in which the Tribal Dentist is licensed and any additional requirements imposed by the Port Gamble S’Klallam Tribe’s dental program.
(Res. 18-A-012, 1/22/2018)
Tribal Dental Health Aide training and curriculum must satisfy the requirements of CHAPCB Chapter 7 or their equivalent, provided that training or curriculum that does not directly satisfy the requirements of CHAPCB must be presented to the Swinomish Indian Tribal Community Dental Health Provider Licensing Board for review and approval.
(Res. 18-A-012, 1/22/2018)