Task Force Update

Dr. Kirk Shilts, Chair

Dr. Kirk Shilts (MA), Chair Dr. Henry W. Hulteen (SC) Dr. Robin Lecy (SD) Dr. Karen Mathiak (GA) Dr. Michael Massey (TN) Dr. Gary Pennebaker (MN) Dr. William Rademacher (IL) Dr. Ian Yamane (NV)

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Fall 2010 Comments sought at fall regional meetings

Nov 9, 2010 FCLB BOD approved task force request to seek add’l comments from broader audience

Dec 17, 2010 Deadline for additional comments

Jan 21, 2011 FCLB BOD to review task force recommendations

May 5, 2011 Report to Member Boards – FCLB Annual Conference in Marco Island, FloridaComplete document scheduled for adoption in May 2012 – FCLB San Antonio Annual Conference

Priority Concept

1 Table of Contents

2 DefinitionsA ● StatutoryB ● Regulatory

3 Scope of Practice

• Please refer to 10-page handout

• Complete 5 question survey on-line or send suggestions via e-mail

Many federations have a Model Practice Act

MPA = “Buffet◦ pick and choose sections that help your

board if you decide to rewrite some sections of your Statutes and/or Regulations

New countries that initiate chiropractic regulation can reference a solid starting framework

Can be customized for their laws and culture

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Original Task Force appointed by FCLB president Dr. Ed Weathersby in 2005

Reviewed other health professions’ Model Practice Acts, also FARB (Federation of Associations of

Regulatory Boards)

Regular working breakout sessions and reports at FCLB regional and annual meetings

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Overall North American document is drafted◦ FCLB BOD and member boards are now studying

certain high-profile sections

◦ Finalized Documentation & Recordkeeping section in Hollywood 2009 Sample statute Sample regulation

Beginning to study other countries’ laws◦ Plan to involve other regulators in modifying the

document in the future to apply to worldwide audience

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◦Definitions◦Indemnification◦Qualifications for

provisional licenses◦Recognition of specialty

certifications◦Chiropractic assistants◦Immunity

◦Delegation of application process

◦Documentation and recordkeeping

◦Peer review◦Compliance programs◦Board advisory rulings

and practice guidelines

◦Delegation of application process

◦Documentation and recordkeeping

◦Peer review◦Compliance programs◦Board advisory rulings

and practice guidelines

How the 11 page handout is organized

Includes such important concepts as:

Includes such important concepts as:

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TABLE OF CONTENTS Outline of statutory components (p. 2 – 3)Outline of regulations (p. 4 – 5)

Introduction: (p. 6)

STATUTEArticle I: Statutory definitions (Section 102) (p. 7)

REGULATIONSSection 1.01 Definitions (p. 8 - 9)Section 5.01 Scope of Practice (p. 10)

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Task Force recommendation, not yet formally adopted by FCLB BOD

Intended to lay out broadly inclusive language◦ Focus on overarching chiropractic concepts◦ Without drugs or surgery◦ Allows jurisdictions to permit DCs to prescribe vitamins,

supplements, homeopathic remedies, etc., if that’s what they want

FCLB BOD forwarded this to CCE as a suggestion for discussion – to include in their definitions

No other uniform definition currently available

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Article I Section 102 “Chiropractic”, a primary care health discipline that recognizes the inherent recuperative power of

the body, whose practitioners promote and facilitate health through the evaluation, diagnosis and management of structural conditions or other disorders of the

body that interfere with physiological function or neural

integrity.

Chiropractic practice does not include the use of legend pharmaceuticals or operative surgery.

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P. 8 - 9

Please review all definitions, with special attention to the following:

Chiropractic Adjustment Chiropractic Formulary Legend Pharmaceutical Subluxation Complex

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P. 10 Excerpt:Chiropractor may perform such procedures, functions, and services as…

Examining, evaluating, and diagnosing patients of all ages

for the purpose of determining the presence or absence of neuromuscular and/or musculoskeletal illnesses, injuries, conditions or disorders

which interfere with the biomechanical and/or neurological integrity or functioning of the body

including, but not limited to the Subluxation Complex;

4 other major concepts also listed >|

Dr. Kirk Shilts, Task Force Chair◦dr-shilts@comcast.net

FCLB Offices◦info@fclb.org◦Or just give us a call!

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