Arkansas State Board of Chiropractic Examiners (back to top)
Submitted by: Carol Ann Gates - Executive Director

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• Board of Examiners adopted resolutions in support of the American Associations lawsuit against the Health Care Financing Administration. Copies of the resolutions mailed to all Arkansas licensees and all Arkansas Government Representatives.
  
  

• Board established a data registry for Chiropractic Assistants/Aides who administer ionizing radiation to humans under the doctor's direction.
  
  

• The Board drafted legislation that would authorize the Chiropractic Board to issue civil penalties and prosecute individuals practicing chiropractic without a license. The draft was presented in Bill format 1/24/01 and looks like it will be signed by the Governor.

What difficult challenges does your board currently face?

• Direct Solicitation by chiropractors either by direct or telephone solicitation of prospective patients. On February 1, 2001 Chief Justice W.H. Arnold ruled that barring chiropractors from either direct or telephone solicitation of prospective patients is an unconstitutional infringement on free speech. This overturned a board decision, against an Arkansas licensee. Chief Justice Arnold said the regulation didn't meet the burden required of government restrictions on commercial speech set by the U.S. Supreme Court.
  
  

• The Board now has the challenge to revise the Rules and Regulations to better clarify the regulation. Possibly putting a time restriction on when solicitation would be prohibited or by identifying groups such as accident victims that could not be contacted.
  
  
• Another challenge facing all state agencies in Arkansas including the Chiropractic Board is the implementation of the Arkansas Administrative Statewide Information System (ASSIS). The Governor has mandated that all state business will be conducted electronically starting July 1, 2001. This new system will effect every aspect of state procedures including accounting, payroll, budgetary, human resources, and purchasing all in one single integrated system.

Name one way the FCLB has helped you achieve a board goal within the last year.

• Power Poll: Assisted our board in polling other states regarding adjusting animals and videotaped continuing education.

State of Arizona Board of Chiropractic Examiners (back to top)
Submitted by: Patrice A. Pritzl - Executive Director

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• The Board has implemented initiatives which have resulted in expedited processing of investigations and license renewals. The initiatives include reorganization of investigative processes and meeting preparation as well as upgrades to technical resources and increased resources to attract and retain highly qualified professional staff.
  
  

• The agency 10 year sunset audit, an extensive audit of agency functions taking several months, identified no major concerns and supported agency initiatives for the next three year planning cycle. Overall, the audit found that the agency responds to requests for public information in a prompt and professional manner, upholds the laws of the State of Arizona, processes investigations thoroughly and promptly, exercises authority appropriately and demonstrates a customer service commitment. The audit suggestions for improvements reflect the agencies own goals and notes that the only reason the initiatives have not been taken to date is due to lack of funds. It is anticipated that the audit report will support the agencies proposal to raise fees in order to fund quality initiatives.
  
  

• The agency was successful in its bid for FY 2002 and FY 2003 budget appropriations to expand staff and equipment which will facilitate response to public records requests, expedite overall office processes and provide improved telephonic means for members of the public who reside outside of the metropolitan Phoenix area to "attend" board meetings via a speaker system.

What difficult challenges does your board currently face?

• Complaints due to misleading advertising and "pre-paid" plans continue to appear before the Board frequently and create considerable concern regarding ethical practices. In particular, the Board has concerns with licensees who advertise "free" services, but than transition patients into billed services without the patient realizing that the change has occurred. The Board has also had a number of complaints involving licensees who sell "pre-paid" plans to patients but than fail to meet their part of the bargain, or the details of the plan are unclear resulting in a dispute between the patient and the licensee. These types of complaints are a concern due to frequency and because they are difficult to regulate. Generally, such actions do not actually violate a law, but manage to walk a fine line by getting very close to fraudulent or misleading activity, but not clearly violating applicable laws.

Name one way the FCLB has helped you achieve a board goal within the last year.

• A FCLB staff member, Korie Goodman, has been extremely helpful to the ABCA steering committee in meeting the commitment to evaluate the purpose and goals of ABCA and propose changes to create a more viable group that will be a resource to agency administrators for training, development and networking purposes.

Iowa Board of Chiropractic Examiners (back to top)
Submitted by: Sharon Dozier - Board Administrator

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• Adoption of administrative rules for continuing education. New rules include a requirement for professional boundaries training and offer additional options for sponsoring and obtaining continuing education. Recent and anticipated rules changes are in conjunction with the Governor's Executive Orders to make government more accountable and customer-friendly.
  
  

• Initiated a Request for Proposals (RFP) and formal contractual process to enhance oversight and accountability of the UCCR Committee function, in accordance with Iowa law.
  
  

• Established a "Superintendent of Examinations" Board position for the purpose of an ongoing liaison function between the NBCE and the Iowa Board, thus enhancing the flow of information and communication between the entities.

What difficult challenges does your board currently face?

• Scope of practice- from physical therapy profession challenging scope of practice and advertising of physiotherapy; is in the legislative arena again during the current session.
  
  

• Anticipated additional budget cuts in state government which would affect communications and other Board operations.

Name one way the FCLB has helped you achieve a board goal within the last year.

• CIN-BAD database, used for approval of preceptors and as a resource for complaints/discipline purposes
  
  

• Information, e.g., "Power Poll" survey data and national directory, used as an ongoing resource

Maryland Board of Chiropractic Examiners (back to top)
Submitted by: James J. Vallone, J.D. - Executive Director

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• Development of Board web site at www.mdchiro.org. Site contains all down-loadable information, laws, regulations. It also contains a fully interactive forum and e-mail system. It has reduced phone calls to the Board by approximately 30%.
  
  

• Successful implementation of a massage therapy certification program for the state. From scratch, the Board developed the application, certification and compliance and disciplinary regime for the State of MD. To date, we have certified 1,350 individuals under the program which has become a model followed by other states.
  
  

• Comprehensive review and redraft of all chiropractic regulations. These were completed on January 11, 2001 and will be promulgated within the next 3-4 months.

What difficult challenges does your board currently face?

• The most difficult challenge facing the Board is the State mandate to conduct 80% of all business by electronic mode incrementally within the next 3 years. This is a daunting task and requires a complete and total strategic initiative to rethink communications and operations technology. Not, but not least, is the substantial cost which will have to be borne by the licentiates.

Name one way the FCLB has helped you achieve a board goal within the last year.

• FCLB's monitoring and tracking of recent changes with other State Boards is constantly reviewed and is helpful in our Board determining whether decisions are in the main stream or are out of "synch" with national chiropractic trends.

Massachusetts Board of Registration of Chiropractors (back to top)
Submitted by: David N. Taylor, D.C.

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• Drafting of new regulations. Many of the new regulations were to respond to the many complaints regarding 3rd party payers and other governmental organizations independently determining Chiropractic scope of practice without consult of the Board. The new draft regulations include regulating investigative techniques, age discrimination via payers, direct access, authority to order diagnostic tests, ability to provide nutritional, lifestyle, ergonomics, exercise, and good health habits consultations with patients, ability to order and perform all therapeutic procedures which DCs are trained, regulation of Internet Practice and Telemedicine, and the ability of the DC to practice in various types of settings (hospital, nursing home, work places, private office etc.). These regulations were worked on by the full board in coordination with Board Counsel. We expect these to go to public hearing this year. Once they are passed, it is expected that these regulations will clear up misunderstandings by HMOs, PPOs, Insurers and other payers. It will also allow us the enhanced ability to allow licensees to perform clinical chiropractic research while protecting the public with the new technologies, research and information that are increasingly advanced in our profession. The regulations regarding Internet Practice are being coordinated with the whole Division of Professional Licensure and will allow regulation of the practice of the many licensed professions instead of just the practitioners.
  
  

• Establishing working relationships with sister state agencies that regulate and ration health care to the Commonwealth Citizens. Expect to increase our presence over the next year and to allow our Board to be consulted regarding professional questions which would effect the health care consumers.
  
  

• Continuing Education audits of the licensees as well as the organizations providing continuing education. This has been an increasing enforcement of the continuing education requirements. Expected outcome is already being realized. There is an increased awareness of the requirements by the practitioners and therefore an increased educational level of our licensees, allowing all practitioners to maintain a current knowledge base.

What difficult challenges does your board currently face?

Name one way the FCLB has helped you achieve a board goal within the last year.

Nebraska Chiropractic Board (back to top)
Submitted by: Daryl D. Wills, DC - Chairman

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• Updated definition of "unprofessional conduct" in the Rules and Regs as well as formulating guidelines for unlicensed personnel (i.e. Chiropractic Assistants) in the state of Nebraska. This currently is being reviewed by the Attorney General who questions the right of the Chiropractic Board to provide Rules and Regs for unlicensed personnel.
  
  

• Update of Rules and Regs regarding mandated hours clarifying provider issues, number of hours that can be given in one day and the right of the Board to determine mandated hours based upon disciplinary actions and/or investigations within the state.
  
  

• Took part in a mediation session between a very small number of dissident DCs within the state who opposed any changes in the Rules and Regs or any attempt to further clarify providers number of mandated hours, etc.

What difficult challenges does your board currently face?

• Part of the Rules and Regs update was to include the term, "chiropractic physician" along with the term, "chiropractor" wherever it appeared in the Rules and Regs. A recent judge's decision in the state of Nebraska held that chiropractors are not physicians and therefore are not covered by Physicians Liens. It was the intent of the Board to include the term, "chiropractic physician" with the word, "chiropractor" for reimbursement issues. There was no scope change intended, nor could it be through the Rules and Regs. It was strictly a reimbursement issue. We received unsolicited letters from Life Chiropractic College East, Life Chiropractic College West, Palmer College East and from the President of the ICA. This issue is something that will need to be dealt with within our profession on a broad-scale base since nearly thirty states allow the term, "physician" when referring to a doctor of chiropractic. It is also the position of our Board that we are reimbursed under Medicare because we are classified as physicians and this is the very basis of the HCFA Lawsuit in which the ACA is currently dealing with HCFA for allowing non-physicians to provide and be paid for chiropractic services.

Name one way the FCLB has helped you achieve a board goal within the last year.

• FCLB has been extremely helpful in providing a list of mandated hours state by state, with specific subjects being delineated, in an attempt to assist the Chiropractic Board of Nebraska in changing the Rules and Regs to currently reflect the needs of the profession.

New York State Board for Chiropractic (back to top)
Submitted by: Drs. Carl L. Valvo, D.C. - Delegate and Joanne Amicola-Olgee, D.C. - Alternate

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• By far the most dramatic event of the past year was our office move. Along with nearly 275 colleagues who license, regulate practice, and administer disciplinary proceedings in 38 professions, our entire umbrella agency, the Office of the Professions, moved into the main Education Building, which is located at the opposite end of the Empire State Plaza from the Cultural Education Center, our worksite for more than 20 years.
  
  A century ago, Theodore Roosevelt was Governor of New York State. He envisioned an integrated approach for regulating the few licensed professions in existence at the time, i.e., medicine, dentistry, veterinary medicine, accountancy, pharmacy and nursing. So, in 1904, he brought together the regulators of the professions with those responsible for their professional preparation, the educators of the State, and unified them under the same agency, the State Education Department. Our December move into the same building with those educators achieves the physical integration that has been practiced programmatically since 1904. Teddy, most certainly, is smiling.
  
  Our new address: New York State Board for Chiropractic, State Education Department, Education Building, Second floor, 89 Washington Avenue, Albany, NY 12234. Our new main telephone number: (518)474-3817, ext. 450; same fax at (518)486-2981; and same e-mail at chirobd@mail.nysed.gov
  
  

• New York State Board Members continue to provide leadership and support for the NBCE Part IV exam in the Northeast, and in other parts of the country as needed. The population is growing at the two New York sites with the addition of new states accepting or requiring the exam. Aside from assuring continuity of exam administration standards, the Board Members have assisted the NBCE to identify actual and potential problem areas, and to address them effectively before they compromise the integrity or quality of the exam.
  
  

• The Board conducted an "Education Day" in October, combining it with a regularly scheduled Board meeting, thus making for a stimulating and cost-effective two-day event. Education Day is a closed meeting for the purpose of training and discussion of items without taking action, which must be conducted in public as required by New York's Open Meetings Law. The Education Day (summary report attached) focused on disciplinary processes and diversity in the profession. It was so well received that the Board decided to make it an annual event.
  
  Related to the Education Day discussion of disciplinary matters, the Board played a prominent role in a Department-produced videotape about the discipline process as part of our outreach program to inform the profession about professional responsibilities under the law. Also, we were successful in advocating for a change in the statutory number of Board members required on a disciplinary hearing panel, reducing the number from five to three, just as most other administrative hearing panels in this State. Finally, data on resolutions resulting from our mediation process, called Informal Settlement conferences, continue to evidence a significant decrease in turnaround and numbers of cases going to hearing panel determinations. This process improvement speaks to the adage: "Justice delayed is justice denied."

What difficult challenges does your board currently face?

• Professional Misconduct -- Multidisciplinary practices, also known as "vertical practices," especially those involving chiropractors working for medical physicians and professional corporations, some of which are constituted fraudulently or deceptively to maximize revenues at patients' expense, continue to expand and draw the scrutiny of regulators, third party payers, and law enforcement authorities.
  
  

• Regulatory Partnerships - The Board continues its efforts to facilitate and encourage rival state chiropractic organizations to conduct business, especially legislative initiatives, in a collegial manner and in the interest of the public as well as the profession. At this juncture, reportedly less than 20 percent of the 6,000 New York State licensed chiropractors are represented by a State level membership organization.

Name one way the FCLB has helped you achieve a board goal within the last year.

• Power Polls - a definite plus in a fairly rapid collection and dissemination of pertinent information about the profession and its regulation.
  
  

• Consistency and Uniformity - Standards, procedures, model laws/codes/policy statements all get reviewed and fed back to us as a "best practice" document for our adoption, adaptation, or revision. The documents provide helpful enclosures to memoranda to and meetings with the decision-makers we all have to inform and influence as we serve the public.
  
  

• Levity, Camaraderie and Good of the Order - Who among us can do without the countless "touches" of the FCLB leadership and staff??!! Their style is surpassed only by their substance!

North Dakota Board of Chiropractic Examiners  (back to top)
Submitted by: Dr. Harvey Nitschke - President

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• New Doctor Seminar: The North Dakota Board took it upon itself to mandate all new Doctors to our state to take new Doctor Seminar presented by our 5 member board. Each member will cover a special topic which consists of:

  1. Advertising

  2. Conduct

  3. Ethics

  4. Records

  5. Treatment Parameters

  The seminar is limited to one hour as to not make this a lengthy ordeal.
  
  

• Rules Change Update: Our rules were gone over with our States Attorney and updated which include:

  1. Current testing procedures

  2. Office of the Executive Director

  3. Fees

  4. Reciprocity

  5. Code of Ethics

  6. Disciplinary Reporting

  7. New Doctor Seminar

  8. Professional Boundary

  9. Inactive License Status
     
     

• Increased Continuing Education hours from 12 to 20 hours.

What difficult challenges does your board currently face?

• Split fees, fraud, unethical advertising, sexual harassment cases.

Name one way the FCLB has helped you achieve a board goal within the last year.

• The discussion of clinical competency and reciprocity. We are preparing for the future. It also helps us stay informed to see what other states are doing.

Ohio State Chiropractic Board (back to top)
Submitted by: Kelly Valentine - Executive Director

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• In December 2000, Substitute House Bill 506 was passed after four years of working closely with the Ohio State Chiropractic Association and other interested parties. The bill goes into effect in early April and will give the Ohio Board authority to:

  • Appoint advisory committees from amongst the profession to advise it on various issues - those appointed may be reimbursed for expenses and represented by the Attorney General's office in case of litigation;

  • Create or establish a code of ethics;

  • Perform more extensive background checks on applicants for licensure;

  • Issue a special limited license for travel and treat, preceptors and residencies;

  • Issue licenses by reciprocity to established doctors who meet certain criteria;

  • Increase the penalty for unlicensed chiropractic practice to a felony;

  • Create a Quality Intervention Program to assist doctors with clinical and patient care issues, outside of the disciplinary process;

  • Expand the types of penalties the Board may impose. Currently, the Board may only suspend or revoke a doctor's license for a violation. The new language permits reprimands, fines, and letters of admonition or caution, which may be more appropriate for minor violations.

  • Provide protection to doctors who report the unethical activities of other doctors;

  • Adopt in statute the term chiropractic physician as a legally permissible title, codifying what is already an administrative rule;

  • Reform continuing education through rules to increase and/or decrease hours, accept online education, out of state seminars, journal articles, etc.;

  • Create an impaired physician program to assist doctors with chemical dependency problems;

  • Eliminate state board exams, except the Ohio jurisprudence test, in favor of the standardized NBCE examinations, based on date of graduation.
    
    

• In the fall of 2000, the Board issued its first newsletter to all Ohio licensees, with outstanding positive feedback from the profession. The newsletter covered many important topics of interest to our licensees. In particular, the Board included a "Self Inspection Checklist" to help ensure their compliance with the Board's laws and rules.
  
  

• As a result of working with the Ohio Veteran's Home in Sandusky, Ohio, the Board developed a "Chiropractic Physician" position (job) description that the Board will submit to the Ohio Department of Administrative Services in order to create the position on the state job classification index.
  
  

• Unlicensed Practice of Chiropractic: The Board continues to be very successful in investigating and prosecuting the unlicensed practice of chiropractic in the state of Ohio. Two individuals were convicted in 1999 and two other cases were settled. Two individuals were convicted in 2000 and one other case was settled. One additional unlicensed practice case has already been settled this year (2001)!

What difficult challenges does your board currently face?

• Along with passage of Sub. HB 506, the Board faces its most difficult challenge - drafting and implementing administrative rules.

Name one way the FCLB has helped you achieve a board goal within the last year.

South Dakota Board of Chiropractic Examiners (back to top)
Submitted by: Marcia Walter - Executive Secretary

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• The South Dakota Board of Examiners determined that every chiropractor in the state of South Dakota should be informed on the rules and regulation changes and various other issues relating to board functions and policy. Consequently, the board members conducted four separate presentations, statewide to review this information. The seminar also included various tips on proper documentation, CMT coding, and a review of appropriate physical therapy modalities/procedures. In addition, attendees completed a survey presented by the board concerning opinions on various issues. The input from this opinion survey assisted the board in maintaining and establishing further policy. These meetings were mandatory to be in good standing for license renewal in the year 2000, and chiropractors received two hours of continuing education credit for attendance. There was 100% participation from the chiropractors across the state.
  
  

• The board created a committee of twelve chiropractors from across the state that spent countless hours and held several meetings to review, read and discuss various definitions of manipulation/mobilization. The committee's proposed definition is currently in the process of being added to ARSD 20:41:01:01 in the rules and regulations with the intent of then becoming part of the codified law in the coming year.
  
  

• The board has administered significant internal restructuring. An Executive Secretary position has been created to assist the Board of Examiners with daily functions and also assist in interpreting and administering South Dakota law and administrative rules to ensure compliance and protect consumers in all facets of chiropractic on behalf of the board. A new computer database program has been developed and implemented to manage licensee information and data, board actions, and continuing education hours and approved courses. The board has also implemented the use of a computerized accounting program to replace the old written ledger system. All of these changes have been made to maintain a more efficient operation of daily activities within the Board of Chiropractic Examiners.

What difficult challenges does your board currently face?

• The most difficult challenge for the South Dakota Board is to remain fiscally responsible in an era of technological advancement that has required computerization and hiring a full time executive secretary. This challenge is followed closely by the challenge of enforcement of our peer review recommendations. A few doctors have learned how to circumvent our recommendations for cuts in unnecessary care, over utilization of care, and poor documentation by taking their case to small claims court and winning!!

Name one way the FCLB has helped you achieve a board goal within the last year.

• Our board has initiated a reciprocity policy modeled after the recommendations of the FCLB Committee on Interdisciplinary Mobility. Reciprocity is granted with the following criteria:

  1. the doctor has passed all parts of the National Boards, which were available at the time of his graduation

  2. has been in active practice for at least 5 years with no board infractions

  3. has no current investigations or complaints presently under consideration

  4. must sit before the board at their designated meetings for orientation and sign an affidavit that says they have read, understand, and will abide by the rules and regulations and the laws of the state of South Dakota.

Texas Board of Chiropractic Examiners (back to top)
Submitted by: Gary K. Cain, Ed.D. - Executive Director

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• The agency began the assessment of administrative fines for violations of Board Statutes and Rules on July 25, 2000. As of February 1, 2001 the collected fines totaled $83,884 and there is an additional amount of $9,250 that will be collected prior to April 1, 2001. It is anticipated that total administrative fines will exceed $100,000 prior to July 25, 2001.
  
  

• The TBCE Web Site is being redesigned and updated. The work on the new Web Site is making good progress and the Board anticipates most of the work will be completed and the new site will be accessible prior to April 15, 2001. The new Web Site will have a refreshing professional look that will exude more color and visitors will find it more user friendly that the old Web Site. Check out our upgraded Web Site at www.tbce.state.tx.us to see the changes.
  
  

• The agency initiated a program of replacing one third of all Information Technology hardware annually in order to keep pace with advances in IT equipment and software systems. The TBCE upgraded the agency software to FileMaker 5.0 and it serves as the host system for all agency databases. Most of the institutional furniture in the agency was replaced with quality oak furniture.

What difficult challenges does your board currently face?

• For the past several years, the Texas Board of Chiropractic Examiners has experienced substantial growth in the number of licensees and the number of chiropractic facilities. The increased workload on a limited staff is becoming a major problem and the Legislature has been reluctant to authorize any additional staff for the agency. The ratio of revenue over expenditures for the TBCE has consistently been more than $1,000,000 for the past several years.
  
  

• E-government is a high priority in Texas. Within the next three years, all state regulatory agencies will have to develop “on-line” systems where the public can access information about licensees, chiropractic clinics and enforcement cases that have been resolved. This information is available now, but it has to be processed from requests than are sent via telephone, fax, e-mail and the postal service. The TBCE will also have to develop an optional system whereby their licensees and facility owners can access and process their annual renewals “on-line.” Being able to attract and retain IT staff members is very challenging when state salaries are not competitive with private industry.

Name one way the FCLB has helped you achieve a board goal within the last year.

• The Texas Board of Chiropractic Examiners will serve as the Host State for the 75th Annual Congress of the Federation of Chiropractic Licensing Boards. It will be several years before the FCLB Conference will return to the Lone Star State, so the Texas Board decided the 2001 meeting should be extra special. The FCLB staff quickly saw our excitement about the San Antonio meeting and they began to share our vision. Because of the superb efforts of the FCLB staff, the 75th meeting will be memorable.

WASHINGTON CHIROPRACTIC QUALITY ASSURANCE COMMISSION (back to top)
Submitted By: Connie Glasgow - Program Manager

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• An Operating Agreement Between the Department of Health and the Department of Health and the Chiropractic Quality Assurance commission became effective April 1, 2000.

  RCW 43.70.240 requires that the Secretary enter into written operating agreements on administrative procedures with the health profession Boards/Commissions under the administration of DOH. The statute requires that this agreement, at a minimum, address administrative activities supporting Board/Commission policies, goals and objectives, and the agency's budget as it relates to the Board/Commission and Board/Commission related personnel issues.

  The agreement was developed in accordance with RCW 43.70.250. The statute requires that the cost of each profession be fully borne by members of that profession. The Secretary in consultation with the Chiropractic Quality Assurance Commission will from time to time establish the amount of all fees associated with licensing or regulation of chiropractic at a sufficient level to defray the costs of administering its program.

  The agreement between DOH and the Chiropractic Commission is intended to delineate functional and program areas that affect the operation of chiropractic regulation the practice of the profession, licensure, examination and discipline.
  
  

• The Commission continues its work on drafting rules for those individual's who perform Independent Chiropractic Examinations. Rule writing workshops were held and drafts of the rules will be shared with interested parties for proposed changes prior to a hearing being held.
  
  

• The Commission recently adopted the use of Special Issue Standing Committees. The Commission will have the following Standing Committees:

  • Executive Committee

  • Examinations

  • Disciplinary Activities

  • Continuing Education / Continuing Quality Assessment / Continuing Competency

  • Instrumentation & Procedures

  • Ethics / Boundaries / Abuse

  Special Issue: Independent Chiropractic Examinations

  Members of the Commission will assume full responsibility of the special issue updating the commission as needed. Thus important issues will not be lost or left in limbo for long periods of time.

What difficult challenges does your board currently face?

• Regulatory Reform continues to be the biggest challenge for the Commission.

  Executive Order 97-02 requires the Commission to complete a review of all controversial or significant rules, WAC's (Washington Administrative Code) by January 2001.

  Since 1997 the Commission has held five open forums to review 75 rules. Forty-one (41) were left unchanged. The Commission held one expedited hearing to repeal four (4) and held one hearing to amend four (4) and repeal one (1) relating to the examination.

  This new procedure is costly as it has added additional staff meetings, meetings with stakeholders, before during and after the adoption process. This is an on-going challenge as the executive order requires a review to take place every three years.

Name one way the FCLB has helped you achieve a board goal within the last year.

• The Federation of Chiropractic Licensing Boards helped with training new staff on the process for submitting final orders to CIN-BAD. We are thankful that reporting of final orders is current.

Wyoming Board of Chiropractic Examiners (back to top)
Submitted by: Larry Steffensmeier, D.C. - Board President

Describe THREE (3) of the most interesting and/or important events/achievements/changes your Board has accomplished this past year.

• Language was strengthened in our reciprocity rules.
  
  

• Language was changed among our examining rules.

What difficult challenges does your board currently face?

• The board is currently formulating guidelines for needle acupuncture.
  
  

• The board is going to be making opinions on physical examinations for boy scouts as well as high school athletics.

Name one way the FCLB has helped you achieve a board goal within the last year.

• The FCLB has helped with the dissemination of information from other boards.

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Date Page Last Updated: August 02, 2005

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