SB 1474 — Chiropractic Medicine

Florida Senate - 2024 CS for CS for SB 1474 By the CommitteesCommittee on Rules;Health Policy;

and HealthSenator Policy;Trumbull 588-02977-24 20241474c1 A bill to be entitled An act relating to chiropractic medicine;

and Senator Trumbull 595-03796-24 20241474c2 A bill to be entitled An act relating to chiropractic medicine;

revising the definition of the term “practice of chiropractic medicine” to include a specified treatment;treatment that a chiropractic physician may use after demonstrating to the Board of Chiropractic Medicine’s satisfaction completion of certain training;

creating s.

460.4085, F.S.;

requiring the Board of Chiropractic Medicine to establish minimum standards of practice for the performance of dry needling by chiropractic physicians, including specified education and training requirements and restrictions on such practice;

authorizing the board to take specified actions at the request of a chiropractic physician;

requiring the board to issue a chiropractic physician a letter certifying that he or she is authorized to perform dry needling if the chiropractic physician submits certain documentation to the board;

(9)(a) “Practice of chiropractic medicine” means a noncombative principle and practice consisting of the science, philosophy, and art of the adjustment, manipulation, and treatment of the human body in which vertebral subluxations and Pageother 1malpositioned articulations and structures that are interfering with the normal generation, transmission, and expression of 9nerve CODING:impulse between the brain, organs, and tissue cells of the body, thereby causing disease, are adjusted, manipulated, or treated, thus restoring the normal flow of nerve impulse which produces normal function and consequent health by chiropractic physicians using specific chiropractic adjustment or manipulation techniques taught in chiropractic colleges accredited by the Council on Chiropractic Education.

No person Page 1 of 6 CODING:

Florida Senate - 2024 CS for CS for SB 1474 595-03796-24588-02977-24 20241474c220241474c1 other malpositionedthan articulationsa andlicensed structureschiropractic thatphysician aremay interferingrender with the normal generation, transmission, and expression of nerve impulse between the brain, organs, and tissue cells of the body, thereby causing disease, are adjusted, manipulated, or treated, thus restoring the normal flow of nerve impulse which produces normal function and consequent health by chiropractic physiciansservices, using specific chiropractic adjustmentadjustments, or manipulation techniques taught in chiropractic collegesmanipulations. accredited by the Council on Chiropractic Education.

No person other than a licensed chiropractic physician may render chiropractic services, chiropractic adjustments, or chiropractic manipulations.

by the use of monofilament intramuscular stimulation treatment,treatment also known as dry needling, for trigger points or myofascial pain;pain, after demonstrating to the board’s satisfaction the completion of training in such modality which includes a board-approved number of credit hours in a board-approved education program;

or by the administration of foods, food concentrates, food extracts, and items for which a prescription is not required and may apply first aid and hygiene, but chiropractic physicians are expressly prohibited Pagefrom 2prescribing ofor 9administering CODING:to any person any legend drug except as authorized under subparagraph 2., from performing any surgery except as stated herein, or from practicing obstetrics.

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words underlined are additions.

Florida Senate - 2024 CS for CS for SB 1474 595-03796-24 20241474c2 from prescribing or administering to any person any legend drug except as authorized under subparagraph 2., from performing any surgery except as stated herein, or from practicing obstetrics.

499.83(2)(c), pursuant to board rule chiropractic physicians may order,Page store,2 and administer, for emergency purposes only at the chiropractic physician’s office or place of business,6 prescriptionCODING: medical oxygen and may also order, store, and administer the following topical anesthetics in aerosol form:

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2024 CS for SB 1474 588-02977-24 20241474c1 order, store, and administer, for emergency purposes only at the chiropractic physician’s office or place of business, prescription medical oxygen and may also order, store, and administer the following topical anesthetics in aerosol form:

Chiropractic physicians may analyze and diagnose the physical conditions of the human body to determine the abnormal functions of the human organism and to determine such functions as are abnormally expressed and the cause of such Pageabnormal 3expression. of 9 CODING:

(f) Any chiropractic physician who has complied with the provisions of this chapter is authorized to analyze and diagnose abnormal bodily functions and to adjust the physical representative of the primary cause of disease as is herein defined and provided.

As an incident to the care of the sick, Page 3 of 6 CODING:

Florida Senate - 2024 CS for CS for SB 1474 595-03796-24588-02977-24 20241474c220241474c1 abnormalchiropractic expression.physicians may advise and instruct patients in all matters pertaining to hygiene and sanitary measures as taught and approved by recognized chiropractic schools and colleges.

(f) Any chiropractic physician who has complied with the provisions of this chapter is authorized to analyze and diagnose abnormal bodily functions and to adjust the physical representative of the primary cause of disease as is herein defined and provided.

As an incident to the care of the sick, chiropractic physicians may advise and instruct patients in all matters pertaining to hygiene and sanitary measures as taught and approved by recognized chiropractic schools and colleges.

There shall also be an examination fee not to exceed $500 plus the actual per applicant cost to the department for purchase of portions of the examination from the National Board of Chiropractic Examiners or a similar national organization, which may be refundable if the applicant is found ineligible to take the Pageexamination. 4 of 9 CODING:

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Florida Senate - 2024 CS for CS for SB 1474 595-03796-24 20241474c2 examination.

For an applicant who has matriculated in a chiropractic college before July 2, 1990, completed at least 2 years of residence college work, consisting of a minimum of one- half the work acceptable for a bachelor’s degree granted on the basisPage of4 a 4-year period of study,6 inCODING: a college or university accredited by an institutional accrediting agency recognized and approved by the United States Department of Education.

Words stricken are deletions;

words underlined are additions.

Florida Senate - 2024 CS for SB 1474 588-02977-24 20241474c1 basis of a 4-year period of study, in a college or university accredited by an institutional accrediting agency recognized and approved by the United States Department of Education.

Effective July 1, 2000, completed, before matriculation in a chiropractic college, at least 3 years of residence college work, consisting of a minimum of 90 semester hours leading to a bachelor’s degree in a liberal arts college or university accredited by an institutional accrediting agency recognized and approved by the United States Department of Education or have produced a credentials evaluation report from a board-approved organization that deems the applicant’s education equivalent to a bachelor’s degree.

However, before being certified by the board to sit for the examination, each applicant who has matriculated in a chiropractic college after July 1, 2000, must Pagehave 5been ofgranted 9a CODING:bachelor’s degree from an institution holding accreditation for that degree from an institutional accrediting agency that is recognized by the United States Department of Education.

The applicant’s chiropractic degree must consist of credits earned in the chiropractic program and may not include academic credit for courses from the bachelor’s Page 5 of 6 CODING:

Florida Senate - 2024 CS for CS for SB 1474 595-03796-24588-02977-24 20241474c220241474c1 have been granted a bachelor’s degree from an institution holding accreditation for that degree from an institutional accrediting agency that is recognized by the United States Department of Education or have produced a credentials evaluation report from a board-approved organization that deems the applicant’s education equivalent to a bachelor’s degree.