Wednesday, July 23, 2014

Should You Have a Say in Your States Chiropractic Scope of Practice Laws?


A new abstract published in JMPT, http://www.ncbi.nlm.nih.gov/pubmed/25015008, suggested the scope of chiropractic practice across the United States showed high variability. The study looked at 97 diagnostic, evaluation, and management codes and requested information from each state licensure office about whether or not the service could be performed in their state. In Missouri, chiropractors can perform 91 out of 97, and in Texas chiropractors can only perform 30 out of 97.

Here was the their conclusion, "The scope of chiropractic practice in the United States has a high degree of variability. Scope of practice is dynamic, and gray 
areas are subject to interpretation by ever-changing board members. Although statutes may not address specific procedures, upon challenge, there may be a possibility of sanctions depending on interpretation."

 The question is, does this matter or affect the way any of us should practice chiropractic? Obviously, you cannot do anything that is illegal in your state, but why such a high degree of variability?

There has been quite a fight recently in a few states about adding prescription rights for chiropractors, with a great number of people on both sides.  Should the state boards and state legislatures be allowed to add to our scope of practice to allow chiropractors to use more diagnostic, evaluation, and management codes and then let the individual chiropractors decide what to do afterward? Or should chiropractors in the state be allowed to have a say or even a vote?