United States 116th Congress Status: In Committee Bipartisan · 46 D · 46 R cosponsors

HR 3654 — Chiropractic Medicare Coverage Modernization Act of 2019

Last action — Referred to the Subcommittee on Health.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

In plain language

The bill expands Medicare coverage for all services provided by chiropractors.

This bill aims to update Medicare to include coverage for all services performed by licensed chiropractors, rather than just limited spinal manipulation. It seeks to align Medicare chiropractic benefits with those provided by private insurers and other federal programs.

What this means for you
  • Workers: This bill could enhance access to chiropractic services for workers covered by Medicare.

Summary

Chiropractic Medicare Coverage Modernization Act of 2019 This bill expands Medicare coverage of chiropractic services to include all services provided by chiropractors, rather than only subluxation corrections through manual manipulation of the spine.

Bill Text

How this bill changes current law

2 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill expands Medicare coverage to include all services provided by chiropractors within the scope of their license, rather than limiting coverage to specific treatments.

  • 42 U.S.C. 1395x(r)(5)

    a chiropractor who is licensed as such by the State (or in a State which does not license chiropractors as such, is legally authorized to perform the services of a chiropractor in the jurisdiction in which he performs such services), and who meets uniform minimum standards promulgated by the Secretary, but only for the purpose of sections 1861(s)(1) and 1861(s)(2)(A) and only with respect to treatment by means of manual manipulation of the spine (to correct a subluxation) which he is legally authorized to perform by the State or jurisdiction in which such treatment is provided → a doctor of chiropractic who is licensed as a doctor of chiropractic or a chiropractor by the State in which the function or action is performed and whose license provides legal authorization to perform such function or action in such State or in the jurisdiction in which the function or action is performed

    This change broadens the definition of a chiropractor under Medicare to ensure all services they provide are covered, not just specific treatments.

  • 42 U.S.C. 1395l

    Notwithstanding any other provision of this part, in the case of services of a doctor of chiropractic described in section 1861(r)(5), payment may only be made under this part for such services if-- (1) such services are furnished by a doctor of chiropractic who is verified once, by a process designed by the Secretary, as attending an educational documentation webinar, or other similar electronic product, designed by the Secretary or an updated modified version of such webinar, as designed by the Secretary; or (2) such services are treatment by means of manual manipulation of the spine to correct a subluxation.

    This addition sets specific conditions for Medicare payment of chiropractic services, ensuring that services are verified for quality through educational validation.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  4. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  5. Referred to the Subcommittee on Health.

Sponsors

Sponsorship breakdown

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1 sponsors · 91 co-sponsors · 455 not signed on

Sponsors (1)

Co-sponsors (91)

Not signed on (455)

455 members have not signed on to this bill.

Show all 455 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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Frequently asked questions

What does HR 3654 do?
Chiropractic Medicare Coverage Modernization Act of 2019 This bill expands Medicare coverage of chiropractic services to include all services provided by chiropractors, rather than only subluxation corrections through manual manipulation of the spine.
Who sponsors HR 3654?
HR 3654 is sponsored by Higgins, Brian (Democratic), Reed, Tom (Republican), Peterson, Collin C. (Democratic), Schrader, Kurt (Democratic), Young, Don (Republican), Reschenthaler, Guy (Republican), DeFazio, Peter A. (Democratic), Fitzpatrick, Brian K. (Republican), Soto, Darren (Democratic), Clay, Wm. Lacy (Democratic), Van Drew, Jefferson (Republican), Schakowsky, Janice D. (Democratic), Bonamici, Suzanne (Democratic), Sewell, Terri A. (Democratic), Pingree, Chellie (Democratic), Luetkemeyer, Blaine (Republican), Graves, Sam (Republican), Yarmuth, John A. (Democratic), Blumenauer, Earl (Democratic), Haaland, Debra A. (Democratic), Rogers, Mike D. (Republican), Comer, James (Republican), Aderholt, Robert B. (Republican), Graves, Garret (Republican), Deutch, Theodore E. (Democratic), Blunt Rochester, Lisa (Democratic), Phillips, Dean (Democratic), Hagedorn, Jim (Republican), Wagner, Ann (Republican), Davis, Rodney (Republican), Himes, James A. (Democratic), Crawford, Eric A. "Rick" (Republican), Smith, Jason (Republican), Craig, Angie (Democratic), Walorski, Jackie (Republican), Frankel, Lois (Democratic), Cleaver, Emanuel (Democratic), Long, Billy (Republican), Wittman, Robert J. (Republican), Shimkus, John (Republican), Hastings, Alcee L. (Democratic), Massie, Thomas (Republican), Rice, Kathleen M. (Democratic), Steube, W. Gregory (Republican), Kind, Ron (Democratic), Wild, Susan (Democratic), Kustoff, David (Republican), King, Steve (Republican), Grijalva, Raúl M. (Democratic), Axne, Cynthia (Democratic), Thompson, Bennie G. (Democratic), Suozzi, Thomas R. (Democratic), Cline, Ben (Republican), Wasserman Schultz, Debbie (Democratic), Scanlon, Mary Gay (Democratic), Bost, Mike (Republican), McMorris Rodgers, Cathy (Republican), Gosar, Paul A. (Republican), Larson, John B. (Democratic), Pocan, Mark (Democratic), Taylor, Van (Republican), Visclosky, Peter J. (Democratic), Huizenga, Bill (Republican), Walberg, Tim (Republican), Upton, Fred (Republican), Houlahan, Chrissy (Democratic), Mast, Brian J. (Republican), Foster, Bill (Democratic), Beatty, Joyce (Democratic), Hern, Kevin (Republican), Moolenaar, John R. (Republican), Miller, Carol D. (Republican), Joyce, John (Republican), Loebsack, David (Democratic), Riggleman, Denver (Republican), Aguilar, Pete (Democratic), Meng, Grace (Democratic), Kelly, Mike (Republican), Hartzler, Vicky (Republican), Smith, Adrian (Republican), Bacon, Don (Republican), Fortenberry, Jeff (Republican), McCollum, Betty (Democratic), Finkenauer, Abby (Democratic), Evans, Dwight (Democratic), Dean, Madeleine (Democratic), Ryan, Tim (Democratic), Williams, Roger (Republican), Boyle, Brendan F. (Democratic), Stefanik, Elise M. (Republican), Smucker, Lloyd (Republican), and Torres Small, Xochitl (Democratic).
What is the current status of HR 3654?
This bill died with 116th Congress. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HR 3654?
Track HR 3654 free on One Click Politics — get push/email alerts when it moves.

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