CHIROPRACTORS: SCOPE OF PRACTICE S.B. 483: COMMITTEE SUMMARY






Senate Bill 483 (as introduced 5-11-05)
Sponsor: Senator Wayne Kuipers
Committee: Health Policy


Date Completed: 3-20-06

CONTENT The bill would amend the Public Health Code's definition of the "practice of chiropractic" to refer to the discipline that deals with the human nervous system and the musculoskeletal system's interrelationship with other body systems, instead of the discipline that deals with the nervous system's relationship with the spinal column; and make other changes in the definition.
Under the Code, "practice of chiropractic" means the discipline within the healing arts that deals with the human nervous system and its relationship to the spinal column and its interrelationship with other body systems. It includes the following:

-- Diagnosis, including spinal analysis, to determine the existence of spinal subluxations or misalignments that produce nerve interference, indicating the necessity for chiropractic care.
-- A chiropractic adjustment of spinal and subluxations or misalignments and related bones and tissues for the establishment of neural integrity using the inherent recuperative powers of the body for restoration and maintenance of health.
-- The use of analytical instruments, nutritional advice, rehabilitative exercise and adjustment apparatus regulated by rules promulgated by the Michigan Board of Chiropractic, and the use of x-ray machines in the examination of patients for the purpose of locating spinal subluxations of misaligned vertebrae of the human spine.


The practice of chiropractic does not include the performance of incisive surgical procedures, the performance of an invasive procedure requiring instrumentation, or the dispensing or prescribing of drugs or medicine.


Under the bill, "practice of chiropractic" would mean the discipline within the healing arts that deals with the human nervous system and the musculoskeletal system and their interrelationship with other body systems. It would include the following:

-- Diagnosis, including differential diagnosis to determine the existence of subluxations or misalignments that produce nerve interference or joint dysfunction, indicating the necessity for chiropractic care through examination, evaluation, x-ray and other imaging technology, and monitoring body physiology.
-- The chiropractic adjustment of spinal and extraspinal subluxations or misalignments, the treatment of related bones and tissues that produce joint dysfunction, the provision of nutritional advice, and the performance of physical medicine and rehabilitative services, for the establishment of neural integrity and structural stability using the inherent recuperative powers of the body for restoration and maintenance of health.
-- -- The use of analytical instruments and adjustment apparatus regulated by rules promulgated by the Michigan Board of Chiropractic.


The practice of chiropractic would not include the performance of incisive surgical procedures or the dispensing or prescribing of drugs or medicine.


MCL 333.16401 Legislative Analyst: J.P. Finet

FISCAL IMPACT
The bill would have no fiscal impact on State or local government.

Fiscal Analyst: David Fosdick

Analysis was prepared by nonpartisan Senate staff for use by the Senate in its deliberations and does not constitute an official statement of legislative intent. sb483/0506