August 25, 2019

If you haven’t heard, the American Chiropractic Association has introduced a bill to the 116th Congress of the United States. It is called the 'Chiropractic Medicare Coverage Modernization Act of 2019’. HR 3654

This bill, if passed, will do the following:

  1.      The bill allows for expansion of services beyond chiropractic care.
  • a.    This bill is more than expanding the chiropractic profession, it would be the gateway into the Pharmaceutical Industry. 
  • b.   Expanding the scope of chiropractic practice also means increased liability, which will dramatically increase malpractice insurance premiums.
  2.      A Chiropractor will be expanded to “physician” status.

Expanding the scope to full physician status is clearly meant to expand the definition of Chiropractic and expand the scope, which would include drugs and allow for duplication of services, thus positioning Chiropractors as primary care providers instead of Portal of Entry providers. The status of a Chiropractor as primary care physician will be confusing to the public.

Doctors of Chiropractic have always been Portal of Entry providers. This distinction is important. Since the beginning of Chiropractic history, Chiropractors have always desired to maintain the ability of their patients to receive Chiropractic care without the need for referral from a medical physician. Positioning chiropractors as primary care providers instead of portal of entry, will change the very nature of the profession.

  3. There is no opt-out clause of Medicare included.

Parity with all other professions to have the ability to opt out of Medicare must be included in the Bill.

  4. The Bill removes the requirement for the management of vertebal subluxation.

 The Subluxation and Chiropractic Adjustment must be upheld as the unique and non-duplicating service performed by chiropractors.  It is the one thing that makes us separate and distinct.

We need legislation that allows Chiropractors to practice as Chiropractors and be reimbursed for providing the Chiropractic benefit.

The FCS would be in support and endorse legislative language for Medicare that would allow Chiropractors to be paid for examinations, x-rays/imaging studies, instrumentation and other diagnostic services and the Adjustment for the assessment and care of the Vertebral Subluxation. While also including the ability for chiropractors to opt out of Medicare.

The Mission and Commitment of the Florida Chiropractic Society (FCS) is to Preserve, Protect and Promote the Philosophy, Science and Art of Chiropractic, as a distinct drug-less health profession dedicated to the detection and correction of Vertebral Subluxation.

While upholding our Mission, The Florida Chiropractic Society respectfully opposes the ‘Chiropractic Medicare Coverage Modernization Act of 2019’, HR 3654’.


Eddie Martinez, DC

President, Florida Chiropractic Society

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