CHIROPRACTORS: SCOPE OF PRACTICE S.B. 908: COMMITTEE SUMMARY
[Please see the PDF version of this analysis, if available, to view this image.]






Senate Bill 908 (as introduced 11-20-07)
Sponsor: Senator Wayne Kuipers
Committee: Health Policy


Date Completed: 3-10-08

CONTENT The bill would amend the Public Health Code to revise the scope of practice for chiropractors.

Currently, "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. The term includes the following:

-- Diagnosis, including spinal analysis, to determine the existence of subluxations or misalignments that produce nerve interference indicating the necessity for chiropractic care.
-- The chiropractic adjustment of spinal 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 or misaligned vertebrae of the human spine.


Under the bill, instead, the term 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. The term 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 and the treatment of related bones and tissues that produce joint dysfunction 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, nutritional advice, rehabilitative exercise and adjustment apparatus regulated by promulgated rules, the use of x-ray and other imaging technology, and the performance of physical modalities and rehabilitative services.


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. The bill would refer to invasive procedures requiring instrumentation that cuts or punctures the skin.


MCL 333.16401 Legislative Analyst: Julie Cassidy

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

Fiscal Analyst: Matthew Grabowski

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. sb908/0708