(a) The Board shall renew an anesthesia/sedation permit biennially 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 permit renewal, except as provided for in this section. The licensee shall be assessed a biennial renewal fee in accordance with the fee schedule in Chapter 102 of this title (relating to Fees).(c) Continuing Education.(1) In conjunction with the biennial 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; or(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 (relating to Providers).(d) Anesthesia Jurisprudence Examination. A permit holder for nitrous oxide, level 1, level 2, level 3, or level 4 sedation/anesthesia must take and pass the online jurisprudence examination of Chapter 110 (relating to Anesthesia and Sedation), in conjunction with the jurisprudence examination requirement in §104.1 of this title (relating to Requirement), administered by the Board or an entity designated by the Board once every five years.