SENATE AMENDED PRIOR PRINTER'S NOS. 1632, 1677, 1853 PRINTER'S NO. 3763
No. 1362 Session of 1985
INTRODUCED BY LLOYD, MILLER, RIEGER, MURPHY, BOOK, SEVENTY, AFFLERBACH, LINTON AND DONATUCCI, JUNE 4, 1985
SENATOR BELL, CONSUMER PROTECTION AND PROFESSIONAL LICENSURE, IN SENATE, AS AMENDED, JUNE 24, 1986
AN ACT 1 Providing for the licensing of chiropractors and the regulation 2 of the practice of chiropractic; establishing the State Board 3 of Chiropractic Examiners in the Department of State and <-- 4 providing for its powers and duties; providing for the 5 supervision of schools of chiropractic, for the examination 6 of applicants, for enforcement and for disciplinary actions; 7 providing penalties; and making repeals. 8 TABLE OF CONTENTS 9 Chapter 1. Preliminary Provisions 10 Section 101. Short title. 11 Section 102. Definitions. 12 Chapter 3. State Board of Chiropractic Examiners <-- 13 Section 301. State Board of Chiropractic Examiners. <-- 14 Section 302. Powers and duties. 15 Section 303. General supervision of chiropractic schools and <-- 16 colleges. 17 Chapter 5. Licensure and Regulation 18 Subchapter A. Licensure 19 Section 501. Applications for license.
1 Section 502. Examination. 2 Section 503. Failure of examination. 3 Section 504. Reciprocity. 4 Section 505. Limited license. 5 Section 506. Refusal, suspension or revocation of license. 6 Section 507. Continuing chiropractic education. <-- 7 Section 508. Professional liability insurance. 8 Subchapter B. General Regulation 9 Section 521. License required. 10 Section 522. Radiologic procedures; EDUCATION AND <-- 11 TRAINING REQUIRED. 12 Section 523. Reporting of multiple licensure. 13 Section 524. Display of certificate. 14 Section 525. Doctor of Chiropractic and abbreviation. 15 Section 526. Relationship with other branches of the healing 16 arts. 17 SECTION 527. REVOKED LICENSES; REINSTATEMENT; REPORTS TO <-- 18 THE BOARD. 19 Chapter 7. Penalty Provisions 20 Section 701. Practice of chiropractic without license 21 prohibited. 22 Section 702. Violation of other provisions. 23 Section 703. Civil penalty. 24 Section 704. Fines and penalties. 25 Chapter 11. Miscellaneous Provisions 26 Section 1101. Fees. 27 Section 1102. Current members of board. 28 Section 1103. Current licensees. 29 Section 1104. Existing regulations. 30 Section 1105. Reestablishment of agency. 19850H1362B3763 - 2 -
1 Section 1106. Repeals. 2 Section 1107. Effective date. 3 The General Assembly of the Commonwealth of Pennsylvania 4 hereby enacts as follows: 5 CHAPTER 1 6 PRELIMINARY PROVISIONS 7 Section 101. Short title. 8 This act shall be known and may be cited as the Chiropractic 9 Practice Act. 10 Section 102. Definitions. 11 The following words and phrases when used in this act shall 12 have the meanings given to them in this section unless the 13 context clearly indicates otherwise: 14 "Board." The State Board of Chiropractic Examiners. <-- 15 "Bureau." The Bureau of Professional and Occupational 16 Affairs. 17 "Chiropractic." A limited science of the healing arts <-- 18 dealing with the relationship between the articulations of the 19 vertebral column, as well as other articulations, and the neuro- 20 musculo-skeletal system and the role of these relationships in 21 the restoration and maintenance of health. The term shall 22 include systems of locating misaligned or displaced vertebrae of 23 the human spine and other articulations; the examination 24 preparatory to the adjustment or manipulation and the adjustment 25 or manipulation of such misaligned or displaced vertebrae and 26 other articulations; the use of board-approved scientific 27 instruments of analysis, including X-ray, as taught in the 28 approved schools and colleges of chiropractic. The term shall 29 also include diagnosis, provided that such diagnosis is 30 necessary to determine what, if any, chiropractic treatment is 19850H1362B3763 - 3 -
1 appropriate. The term shall also include the use of adjunctive 2 procedures if the use of any such adjunctive procedure is 3 necessary to the performance of an adjustment or manipulation: 4 Provided, That the chiropractor was taught such adjunctive 5 procedure in a chiropractic school or college and the procedure 6 was included in the examination he passed in order to obtain a 7 license to practice chiropractic in this Commonwealth, or the 8 chiropractor participates in a board-approved program of 9 continuing chiropractic education in the use of such adjunctive 10 procedure. No chiropractor may use any adjunctive procedure 11 during the first 18 months following the effective date of this 12 section unless such procedure has been approved by board action 13 or subsequent to those first 18 months unless such procedure has 14 been approved by regulation. The term shall not include the 15 treatment of minors, except in accordance with guidelines 16 approved by the board, for the first 18 months following the 17 effective date of this act, and in accordance with regulations 18 promulgated by the board subsequent to those first 18 months. 19 The term shall not include the practice of obstetrics or 20 gynecology, the reduction of fractures or major dislocations, 21 needle acupuncture, the treatment of cancer, the treatment of 22 infectious or communicable disease, or the use of drugs or 23 surgery. 24 "CHIROPRACTIC." A LIMITED SCIENCE OF THE HEALING ARTS <-- 25 DEALING WITH THE RELATIONSHIP BETWEEN THE ARTICULATIONS OF THE 26 VERTEBRAL COLUMN, AS WELL AS OTHER ARTICULATIONS, AND THE 27 NERVOUS SYSTEM AND THE ROLE OF THESE RELATIONSHIPS IN THE 28 RESTORATION AND MAINTENANCE OF HEALTH. THE TERM SHALL INCLUDE 29 CHIROPRACTIC DIAGNOSIS; A SYSTEM OF LOCATING MISALIGNED OR 30 DISPLACED VERTEBRAE OF THE HUMAN SPINE AND OTHER ARTICULATIONS; 19850H1362B3763 - 4 -
1 THE EXAMINATION PREPARATORY TO AND THE ADJUSTMENT OF SUCH 2 MISALIGNED OR DISPLACED VERTEBRAE AND OTHER ARTICULATIONS; THE 3 FURNISHING OF NECESSARY PATIENT CARE FOR THE RESTORATION AND 4 MAINTENANCE OF HEALTH AND THE USE OF SCIENTIFIC INSTRUMENTS OF 5 ANALYSIS, AS TAUGHT IN THE APPROVED SCHOOLS AND COLLEGES OF 6 CHIROPRACTIC, WITHOUT THE USE OF EITHER DRUGS OR SURGERY. THE 7 TERM SHALL NOT INCLUDE THE PRACTICE OF OBSTETRICS OR REDUCTION 8 OF FRACTURES OR MAJOR DISLOCATIONS. 9 "Chiropractor." A practitioner of chiropractic. 10 "Commissioner." The Commissioner of Professional and 11 Occupational Affairs. 12 "Department." The Department of State of the Commonwealth. 13 CHAPTER 3 14 STATE BOARD OF CHIROPRACTIC EXAMINERS <-- 15 Section 301. State Board of Chiropractic Examiners. <-- 16 (a) Establishment and composition.--There is hereby 17 established within the Department of State the State Board of 18 Chiropractic Examiners. The board shall consist of nine members <-- 19 as follows: 20 (1) The commissioner. 21 (2) The Director of the Bureau of Consumer Protection in 22 the Office of Attorney General, or his designee. 23 (3) Two members representing the general public who 24 shall be appointed by the Governor with the advice and 25 consent of a majority of the MEMBERS ELECTED TO THE Senate. <-- 26 (4) Five members, appointed by the Governor with the 27 advice and consent of a majority of the MEMBERS ELECTED TO <-- 28 THE Senate, who are licensed to practice chiropractic under 29 the laws of this Commonwealth and who have been engaged in 30 the full-time practice of chiropractic in this Commonwealth 19850H1362B3763 - 5 -
1 for at least five years immediately preceding their
2 appointment. No member shall be in any manner financially
3 interested in or connected with the faculty or management of
4 any school or college of chiropractic. No member shall be an
5 officer, representative, agent or consultant to a local,
6 state or national professional society or private entity
7 which establishes standards adjudging the practice and fees
8 of licensed members of the chiropractic profession or shall
9 receive any remuneration in any form from such society or
10 entity, directly or indirectly, or shall engage in any
11 activity related to the chiropractic profession for which he
12 receives remuneration in any form or amount, other than in
13 the capacity of treating patients. NOT MORE THAN TWO MEMBERS <--
14 OF THE BOARD SHALL BE GRADUATES OF ANY ONE SCHOOL OR COLLEGE
15 OF CHIROPRACTIC.
16 (b) Term and vacancies.--The term of office of each
17 professional and public member shall be four years from his
18 appointment or until his successor has been duly appointed and
19 qualified according to law but no longer than six months beyond
20 the four-year period. In the event that any member should die or
21 resign OR OTHERWISE BECOME DISQUALIFIED during his term of <--
22 office, his successor shall be appointed in the same way and
23 with the same qualifications as set forth in subsection (a) and
24 shall hold office for the unexpired term. NO MEMBER SHALL BE <--
25 ELIGIBLE FOR APPOINTMENT TO SERVE MORE THAN TWO CONSECUTIVE
26 TERMS.
27 (c) Quorum and officers.--Five members of the board A <--
28 MAJORITY OF THE MEMBERS OF THE BOARD SERVING IN ACCORDANCE WITH
29 LAW shall constitute a quorum FOR PURPOSES OF CONDUCTING THE <--
30 BUSINESS OF THE BOARD. EXCEPT FOR TEMPORARY AND AUTOMATIC
19850H1362B3763 - 6 -
1 SUSPENSIONS UNDER SECTION 506, A MEMBER MAY NOT BE COUNTED AS 2 PART OF A QUORUM OR VOTE ON ANY ISSUE UNLESS HE IS PHYSICALLY IN 3 ATTENDANCE AT THE MEETING. The board shall annually select, from 4 among its members, a chairman and a secretary. 5 (d) Compensation.--Each member of the board other than the 6 commissioner and the Director of the Bureau of Consumer 7 Protection shall receive reimbursement for reasonable traveling, <-- 8 lodging and other necessary expenses and per diem compensation 9 at the rate of $60 per day for each day of actual service while 10 on board business $60 PER DIEM WHEN ACTUALLY ATTENDING TO THE <-- 11 WORK OF THE BOARD. MEMBERS SHALL ALSO RECEIVE THE AMOUNT OF 12 REASONABLE TRAVELING, HOTEL AND OTHER EXPENSES INCURRED IN THE 13 PERFORMANCE OF THEIR DUTIES IN ACCORDANCE WITH COMMONWEALTH 14 REGULATIONS. 15 (e) Attendance AT MEETINGS.--A member who fails to attend <-- 16 three consecutive meetings shall forfeit his seat unless the 17 commissioner, upon written request from the member, finds that 18 the member should be excused from a meeting because of illness 19 or the death of an immediate family member. 20 (F) ATTENDANCE AT TRAINING SEMINARS.--A PUBLIC MEMBER WHO <-- 21 FAILS TO ATTEND TWO CONSECUTIVE STATUTORILY MANDATED TRAINING 22 SEMINARS IN ACCORDANCE WITH SECTION 813(E) OF THE ACT OF APRIL 23 9, 1929 (P.L.177, NO.175), KNOWN AS THE ADMINISTRATIVE CODE OF 24 1929, SHALL FORFEIT HIS SEAT UNLESS THE COMMISSIONER, UPON 25 WRITTEN REQUEST FROM THE PUBLIC MEMBER, FINDS THAT THE PUBLIC 26 MEMBER SHOULD BE EXCUSED FROM A MEETING BECAUSE OF ILLNESS OR 27 THE DEATH OF A FAMILY MEMBER. 28 Section 302. Powers and duties. 29 The board shall have powers and duties as follows: 30 (1) To provide for and regulate the issuance of a 19850H1362B3763 - 7 -
1 license to any person: 2 (i) who meets the general and educational 3 qualifications of this act and who passes the examination 4 specified by the board; or 5 (ii) who meets the requirements for the issuance of 6 a license by reciprocity or of a limited license, as 7 provided for in this act. 8 (2) To decide matters relating to the issuance, renewal, 9 suspension or revocation of licenses. 10 (3) To promulgate, adopt, and enforce in the manner 11 provided by law, the rules and regulations necessary to carry 12 out this act. 13 (4) To approve or disapprove chiropractic schools and 14 colleges in accordance with section 303. 15 (5) To take appropriate actions to initiate injunctive 16 and criminal prosecution proceedings in connection with the 17 unlawful or unauthorized practice of chiropractic or other 18 violations of this act. Injunctive and criminal proceedings 19 shall be instituted in accordance with the act of October 15, 20 1980 (P.L.950, No.164), known as the Commonwealth Attorneys 21 Act. 22 (6) To provide for and schedule examinations in 23 accordance with this act and to contract with a professional 24 testing organization for the preparation and administration 25 of those examinations in accordance with section 812.1 of the 26 act of April 9, 1929 (P.L.177, No.175), known as The 27 Administrative Code of 1929. 28 (7) To conduct hearings and make adjudications, 29 including adjudications involving disciplinary actions. The 30 board may conduct such hearings or may designate a member of 19850H1362B3763 - 8 -
1 the board or utilize a qualified hearing examiner to conduct 2 such hearings and to prepare adjudications, including 3 adjudications involving disciplinary actions, for final 4 revision and approval by the board. 5 (8) To keep a record showing the names and addresses of 6 all licensees under this act. 7 (9) To keep minutes and records of all its transactions 8 and proceedings, especially with relation to the issuance, 9 denial, registration, formal reprimand, suspension and 10 revocation of licenses. In all actions or proceedings in any 11 court, a transcript of any board record or any part thereof, 12 which is certified to be a true copy by the board, shall be 13 entitled to admission in evidence. 14 (10) To submit annually to the House and Senate 15 Appropriations Committees, 15 days after the Governor has 16 submitted his budget to the General Assembly, a copy of the 17 budget request for the upcoming fiscal year which the board 18 previously submitted to the department. 19 (11) To submit annually a report to the Professional 20 Licensure Committee of the House of Representatives and to 21 the Consumer Protection and Professional Licensure Committee 22 of the Senate CONTAINING a description of the types of <-- 23 complaints received, status of cases, board action which has 24 been taken and the length of time from the initial complaint 25 to final board resolution. 26 (12) To hold at least four meetings a year for the 27 conduct of its business upon giving public notice of such 28 meetings in the manner provided by law. 29 (13) TO ISSUE SUBPOENAS, UPON APPLICATION OF AN ATTORNEY <-- 30 RESPONSIBLE FOR REPRESENTING THE COMMONWEALTH IN DISCIPLINARY 19850H1362B3763 - 9 -
1 MATTERS BEFORE THE BOARD, FOR THE PURPOSE OF INVESTIGATING 2 ALLEGED VIOLATIONS OF THE DISCIPLINARY PROVISIONS 3 ADMINISTERED BY THE BOARD. THE BOARD SHALL HAVE THE POWER TO 4 SUBPOENA WITNESSES, TO ADMINISTER OATHS, TO EXAMINE WITNESSES 5 AND TO TAKE TESTIMONY OR COMPEL THE PRODUCTION OF BOOKS, 6 RECORDS, PAPERS AND DOCUMENTS AS IT MAY DEEM NECESSARY OR 7 PROPER IN AND PERTINENT TO ANY PROCEEDING, INVESTIGATION OR 8 HEARING HELD BY IT. CHIROPRACTIC RECORDS MAY NOT BE 9 SUBPOENAED WITHOUT CONSENT OF THE PATIENT OR WITHOUT ORDER OF 10 A COURT OF COMPETENT JURISDICTION ON A SHOWING THAT THE 11 RECORDS ARE REASONABLY NECESSARY FOR THE CONDUCT OF THE 12 INVESTIGATION. THE COURT MAY IMPOSE SUCH LIMITATIONS ON THE 13 SCOPE OF THE SUBPOENA AS ARE NECESSARY TO PREVENT UNNECESSARY 14 INTRUSION INTO PATIENT CONFIDENTIAL INFORMATION. THE BOARD IS 15 AUTHORIZED TO APPLY TO COMMONWEALTH COURT TO ENFORCE ITS 16 SUBPOENAS. 17 Section 303. General supervision of chiropractic schools and <-- 18 colleges. 19 (a) Approval of schools and colleges.--For the purposes of 20 satisfying the educational requirements established in 21 accordance with this act, the board shall approve any 22 chiropractic school or college which is accredited by a 23 chiropractic accrediting agency recognized by the United States 24 Department of Education or the Council on Post-Secondary 25 Accreditation, but the board shall not approve any chiropractic 26 school or college which is not so accredited. 27 (b) Implementation.--This section shall not immediately 28 apply to a chiropractic school or college which is currently 29 approved by the board on the basis of a self-study and 30 inspection of the institution, nor shall it immediately apply to 19850H1362B3763 - 10 -
1 a chiropractic school or college which currently holds status as 2 a recognized candidate for accreditation with an appropriate 3 accrediting agency, as required by subsection (a). Such school 4 or college shall have five years from the effective date of this 5 act in which to obtain accreditation from an appropriate agency 6 as provided in this act. 7 SECTION 303. GENERAL SUPERVISION OF CHIROPRACTIC SCHOOLS. <-- 8 (A) ACCREDITATION.--FOR THE PURPOSES OF SATISFYING THE 9 EDUCATIONAL REQUIREMENTS ESTABLISHED IN ACCORDANCE WITH THIS 10 ACT, THE BOARD SHALL APPROVE ANY CHIROPRACTIC SCHOOL OR COLLEGE 11 WHICH IS ACCREDITED BY A CHIROPRACTIC ACCREDITING AGENCY OR 12 REGIONAL ACCREDITING AGENCY RECOGNIZED BY THE UNITED STATES 13 DEPARTMENT OF EDUCATION OR THE COUNCIL ON POST-SECONDARY 14 ACCREDITATION, BUT THE BOARD SHALL NOT APPROVE ANY CHIROPRACTIC 15 SCHOOL OR COLLEGE WHICH IS NOT SO ACCREDITED. 16 (B) IMPLEMENTATION.--A CHIROPRACTIC COLLEGE WHICH IS NOT 17 ACCREDITED IN ACCORDANCE WITH THE PROVISIONS OF SUBSECTION (B) 18 SHALL HAVE FIVE YEARS FROM THE EFFECTIVE DATE OF THIS ACT IN 19 WHICH TO OBTAIN ACCREDITATION FROM AN APPROPRIATE AGENCY AS 20 PROVIDED IN THIS ACT. 21 CHAPTER 5 22 LICENSURE AND REGULATION 23 SUBCHAPTER A 24 LICENSURE 25 Section 501. Applications for license. 26 (a) Requirement for licensure.--An applicant for a license 27 under this act shall submit satisfactory proof to the board that 28 the applicant meets all of the following: 29 (1) Is 21 years of age or older. 30 (2) Is of good moral character. 19850H1362B3763 - 11 -
1 (3) Has a high school diploma or its equivalent. 2 (4) Has completed two years of college or 60 credit 3 hours. 4 (5) Has graduated from an approved school or college of 5 chiropractic, with successful completion of not less than the 6 minimum number of hours of classroom and laboratory 7 instruction required by regulation of the board, which 8 minimum shall be at least 4,000 hours. 9 (6) Has passed the examination required under this act. 10 (7) Has not been convicted of a felonious act prohibited 11 by the act of April 14, 1972 (P.L.233, No.64), known as The 12 Controlled Substance, Drug, Device and Cosmetic Act, or 13 convicted of a felony relating to a controlled substance in a <-- 14 court of law of the United States or any other state, 15 territory or country OF AN OFFENSE UNDER THE LAWS OF ANOTHER <-- 16 JURISDICTION WHICH IF COMMITTED IN THIS COMMONWEALTH WOULD BE 17 A FELONY UNDER THE CONTROLLED SUBSTANCE, DRUG, DEVICE AND 18 COSMETIC ACT, UNLESS THE APPLICANT SATISFIES ALL OF THE 19 FOLLOWING CRITERIA: 20 (I) AT LEAST TEN YEARS HAVE ELAPSED FROM THE DATE OF 21 CONVICTION. 22 (II) SATISFACTORILY DEMONSTRATES TO THE BOARD THAT 23 HE HAS MADE SIGNIFICANT PROGRESS IN PERSONAL 24 REHABILITATION SINCE THE CONVICTION SUCH THAT LICENSURE 25 OF THE APPLICANT SHOULD NOT BE EXPECTED TO CREATE A 26 SUBSTANTIAL RISK OF HARM TO THE HEALTH AND SAFETY OF HIS 27 PATIENTS OR THE PUBLIC OR A SUBSTANTIAL RISK OF FURTHER 28 CRIMINAL VIOLATIONS. 29 (III) SATISFIES THE QUALIFICATIONS CONTAINED IN THIS 30 ACT. 19850H1362B3763 - 12 -
1 An applicant's statement on the application declaring the 2 absence of a conviction shall be deemed satisfactory evidence 3 of the absence of a conviction, unless the board has some 4 evidence to the contrary. AS USED IN THIS SECTION, THE TERM <-- 5 "CONVICTED" SHALL INCLUDE A JUDGMENT, AN ADMISSION OF GUILT 6 OR A PLEA OF NOLO CONTENDERE. 7 (b) Renewal of licenses.--A license may SHALL be renewed <-- 8 biennially for a period of two years upon payment of the 9 biennial fee, provided that the licensee satisfies the other 10 requirements of this act. ANY PERSON WHO HAS FAILED TO RENEW HIS <-- 11 LICENSE FOR A PERIOD OF LONGER THAN FIVE YEARS SHALL BE REQUIRED 12 TO APPLY FOR A LICENSE IN ACCORDANCE WITH SECTION 501(A) IF HE 13 DESIRES TO RESUME PRACTICING CHIROPRACTIC. 14 Section 502. Examination. 15 (a) Admission.--The board shall admit to a standard 16 examination any applicant who has satisfied all of the 17 requirements of section 501 except for the requirement to have 18 passed the examination. The board may, in its discretion, permit 19 a student in good standing in his final semester in an approved 20 chiropractic school or college to be admitted to the standard 21 examination, provided he meets all the other requirements of 22 this act, but he must have certification of graduation from said 23 school or college before a license may be granted. 24 (b) Nature and content of examination.--The examination 25 shall be oral, practical and written, upon the principles and 26 technique of chiropractic and shall include the following 27 subjects: anatomy, physiology, histology, chemistry, pathology, 28 physics, bacteriology, diagnosis, hygiene and sanitation, <-- 29 symptomatology, chiropractic analysis, X-ray, chiropractic 30 principles and a practical demonstration of chiropractic 19850H1362B3763 - 13 -
1 technique. 2 (c) When conducted.--Examinations shall be conducted at 3 least twice each year. 4 (d) Testing organization.--All written, oral and practical 5 examinations required under this section shall be prepared and 6 administered by a qualified and approved professional testing 7 organization in accordance with section 812.1 of the act of 8 April 9, 1929 (P.L.177, No.175), known as The Administrative 9 Code of 1929, except that the oral and practical examinations 10 shall not be subject to section 812.1 until such examinations 11 are available from a testing organization. 12 (e) Score.--A license shall be granted to an applicant who 13 meets the requirements of this act and who achieves: <-- 14 (1) an overall score of at least 75% on the entire 15 examination; or 16 (2) an average score of at least 74.5% on the oral and 17 practical examination and a passing score on the written 18 examination administered by the National Board of 19 Chiropractic Examiners as such passing score is determined by 20 the national board. A GENERAL AVERAGE OF NOT LESS THAN 75% OF <-- 21 A MAXIMUM OF 100. 22 Section 503. Failure of examination. 23 (a) Second examination.--Any applicant who shall fail any 24 examination shall, after the expiration of six months and within 25 two years, have the privilege of taking a second examination. 26 (b) Subsequent examinations.--The board may adopt 27 regulations governing the eligibility of applicants who have 28 failed to pass two examinations to be admitted to subsequent 29 examinations. 30 Section 504. Reciprocity. 19850H1362B3763 - 14 -
1 The board may grant licenses without further examination to 2 individuals from other states and provinces of Canada if all of 3 the following conditions are met: 4 (1) The standards for licensing in such states or 5 provinces are substantially the same as those provided in 6 this act. 7 (2) Similar privileges are accorded persons licensed in 8 this Commonwealth. 9 (3) The applicants hold valid licenses. 10 (4) The applicable rules and regulations prescribed by 11 the board are complied with. 12 Section 505. Limited license. 13 (a) Requirements.--The following educational and 14 professional requirements must be met in order to secure a 15 limited license which may be issued to an out-of-State or 16 foreign chiropractic school or college graduate for a period not 17 to exceed one year for the purpose of teaching in an approved 18 graduate chiropractic education program: 19 (1) The applicant must submit a letter of appointment to 20 teach or practice from a training institution in this 21 Commonwealth. 22 (2) The applicant must submit an application for 23 licensure consisting of evidence that all requirements 24 contained in this act have been met. 25 (3) The applicant must submit evidence that he has had 26 teaching experience or its equivalent which is acceptable to 27 the board. 28 (4) The applicant must submit to an oral examination in 29 his specialty conducted by a board member or the board's 30 designated representative. 19850H1362B3763 - 15 -
1 (b) License to practice.--Persons granted limited licenses 2 under this section shall not be authorized to practice 3 chiropractic in this Commonwealth other than for the purpose of 4 teaching, which shall not include treatment of patients, and 5 those persons who subsequently desire to obtain a license for 6 the practice of chiropractic shall be required to meet the 7 standards for such license as set forth by regulation. 8 (c) Use of titles.--The use of titles such as "fellow," 9 "fellowship," "consultant," "visiting professor" or similar 10 designations of an individual in a health care institution does 11 not eliminate the need for proper licensure under this act for 12 the practice of chiropractic. 13 Section 506. Refusal, suspension or revocation of license. 14 (a) Reasons enumerated.--The board may refuse to issue a 15 license or may suspend or revoke a license for any of the 16 following reasons: 17 (1) Failing to demonstrate the qualifications or 18 standards for a license contained in this act or regulations 19 of the board. 20 (2) Making misleading, deceptive, untrue or fraudulent 21 representations in the practice of chiropractic. 22 (3) Practicing fraud or deceit in obtaining a license to 23 practice chiropractic. 24 (4) Displaying gross incompetence, negligence or 25 misconduct in carrying on the practice of chiropractic. 26 (5) Submitting a false or deceptive biennial 27 registration to the board. 28 (6) Being convicted of a felony in any State or Federal <-- 29 court or being convicted of the equivalent of a felony in any 30 foreign country. As used in this paragraph, the term 19850H1362B3763 - 16 -
1 "convicted" includes a finding or verdict of guilt, an 2 admission of guilt or a plea of nolo contendere OR A <-- 3 MISDEMEANOR IN THE PRACTICE OF CHIROPRACTIC, OR RECEIVING 4 PROBATION WITHOUT VERDICT, DISPOSITION IN LIEU OF TRIAL OR AN 5 ACCELERATED REHABILITATIVE DISPOSITION IN THE DISPOSITION OF 6 FELONY CHARGES, IN THE COURTS OF THIS COMMONWEALTH, A FEDERAL 7 COURT, OR A COURT OF ANY OTHER STATE, TERRITORY, POSSESSION 8 OR COUNTRY. 9 (7) Having a license to practice chiropractic suspended, 10 revoked or refused or receiving other disciplinary action by 11 the proper chiropractic licensing authority of another state, 12 territory, POSSESSION or country. <-- 13 (8) Being unable to practice chiropractic with 14 reasonable skill and safety to patients by reason of illness, 15 drunkenness, excessive use of drugs, narcotics, chemicals or 16 any other type of material, or as a result of any mental or 17 physical condition. In enforcing this paragraph, the board 18 shall, upon probable cause, have authority to compel a 19 chiropractor to submit to a mental or physical examination by 20 physicians approved by the board. Failure of a chiropractor 21 to submit to such examination when directed by the board, 22 unless such failure is due to circumstances beyond his 23 control, shall constitute an admission of the allegations 24 against him, consequent upon which a default and final order 25 may be entered without the taking of testimony or 26 presentation of evidence. A chiropractor affected under this 27 paragraph shall at reasonable intervals be afforded an 28 opportunity to demonstrate that he can resume a competent 29 practice of chiropractic with reasonable skill and safety to 30 patients. 19850H1362B3763 - 17 -
1 (9) Violating a lawful regulation promulgated by the 2 board or violating a lawful order of the board previously 3 entered in a disciplinary proceeding. 4 (10) Knowingly aiding, assisting, procuring or advising 5 any unlicensed person to practice chiropractic, contrary to 6 this act or regulations of the board. 7 (11) Committing immoral or unprofessional conduct. 8 Unprofessional conduct shall include any departure from, or 9 failure to conform to, the standards of acceptable and 10 prevailing chiropractic practice. Actual injury to a patient 11 need not be established. 12 (12) Soliciting any engagement to perform professional 13 services by any direct, in-person or uninvited soliciting 14 through the use of coercion, duress, compulsion, 15 intimidation, threats, overreaching or harassing conduct. 16 (13) Failing to perform any statutory obligation placed 17 upon a licensed chiropractor. 18 (14) Intentionally submitting to any third-party payor a 19 claim for a service or treatment which was not actually 20 provided to a patient. 21 (15) Failing to maintain chronological documentation of <-- 22 patient care in accordance with regulations prescribed by the 23 board. 24 (16) Knowingly permitting radiologic procedures to be 25 performed in violation of section 522, or in violation of the 26 regulations promulgated or orders issued in accordance with 27 section 522. 28 (17) Unconditionally guaranteeing that a cure will 29 result from the performance of chiropractic treatment. 30 (18) Holding oneself out as a specialist in the 19850H1362B3763 - 18 -
1 development, treatment or health of children. 2 (b) Discretion of board.--When the board finds that the 3 license of any person may be refused, revoked or suspended under 4 the terms of subsection (a), the board may: 5 (1) Deny the application for a license. 6 (2) Administer a public reprimand. 7 (3) Revoke, suspend, limit or otherwise restrict a 8 license as determined by the board. Unless ordered to do so 9 by a court, the board shall not reinstate the license of a 10 person to practice chiropractic which has been revoked, and 11 such person shall be required to apply for a license after a 12 five-year period in accordance with section 501 if he desires 13 to practice at any time after such revocation. 14 (4) Require a licensee to submit to the care, counseling 15 or treatment of a physician or physicians designated by the 16 board. 17 (5) Suspend enforcement of its findings thereof and 18 place a licensee on probation with the right to vacate the 19 probationary order for noncompliance. 20 (6) Restore a suspended license to practice chiropractic 21 and impose any disciplinary or corrective measure which it 22 might originally have imposed. 23 (c) Procedure.--All actions of the board shall be taken 24 subject to the right of notice, hearing and adjudication and the 25 right of appeal therefrom in accordance with Title 2 of the 26 Pennsylvania Consolidated Statutes (relating to administrative 27 law and procedure). 28 (d) Summary TEMPORARY suspension.--The board shall <-- 29 temporarily suspend a license under circumstances as determined 30 by the board to be an immediate and clear danger to the public 19850H1362B3763 - 19 -
1 health or safety. The board shall issue an order to that effect
2 without a hearing, but upon due notice to the licensee concerned
3 at his last known address, which shall include a written
4 statement of all allegations against the licensee. The
5 provisions of subsection (c) shall not apply to temporary
6 suspension. The board shall thereupon commence formal action to
7 suspend, revoke and OR restrict the license of the person <--
8 concerned as otherwise provided for in this act. All actions
9 shall be taken promptly and without delay. Within 30 days
10 following the issuance of an order temporarily suspending a
11 license, the board shall conduct, or cause to be conducted, a
12 preliminary hearing to determine that there is a prima facie
13 case supporting the suspension. The licensee whose license has
14 been temporarily suspended may be present at the preliminary
15 hearing and may be represented by counsel, cross-examine
16 witnesses, inspect physical evidence, call witnesses, offer
17 evidence and testimony and make a record of the proceedings. If
18 it is determined that there is not a prima facie case, the
19 suspended license shall be immediately restored. The temporary
20 suspension shall remain in effect until vacated by the board,
21 but in no event longer than 180 days.
22 (e) Automatic suspension.--A license issued under this act
23 shall automatically be suspended upon the legal commitment of a
24 licensee to an institution because of mental incompetency from
25 any cause upon filing with the board a certified copy of such
26 commitment; conviction of a felony under the act of April 14,
27 1972 (P.L.233, No.64), known as The Controlled Substance, Drug,
28 Device and Cosmetic Act; or conviction of an offense under the
29 laws of another jurisdiction, which, if committed in
30 Pennsylvania, would be a felony under The Controlled Substance,
19850H1362B3763 - 20 -
1 Drug, Device and Cosmetic Act. As used in this subsection, the 2 term "conviction" shall include a judgment, an admission of 3 guilt or a plea of nolo contendere. Automatic suspension under 4 this section shall not be stayed pending any appeal of a 5 conviction. Restoration of such license shall be made as 6 provided in this act for revocation or suspension of such 7 license. 8 Section 507. Continuing chiropractic education. <-- 9 (a) Requirement for license renewal.--As a condition for the 10 biennial renewal of a license to practice chiropractic, a 11 licensee shall submit to the board evidence that he has 12 completed at least 24 hours of continuing chiropractic education 13 within the immediately preceding two-year period, provided that 14 a licensee shall be required to complete only 12 hours of 15 continuing chiropractic education before the licensing period 16 commencing in 1987. 17 (b) Qualifying education.--A licensee may receive credit for 18 only those hours of continuing chiropractic education in a 19 program approved by the board and for only those hours directed 20 toward keeping the licensee apprised of advancements and new 21 developments in chiropractic which build upon the basic courses 22 required to practice chiropractic and which are in the following 23 areas: 24 (1) Anatomy. 25 (2) Physiology. 26 (3) Histology. 27 (4) Chemistry. 28 (5) Pathology. 29 (6) Physics. 30 (7) Bacteriology. 19850H1362B3763 - 21 -
1 (8) Diagnosis. 2 (9) Hygiene and sanitation. 3 (10) Symptomatology. 4 (11) Chiropractic analysis. 5 (12) X-ray. 6 (13) Chiropractic principles. 7 (14) Chiropractic technique. 8 No credit shall be given for any course in office management or 9 practice building. 10 (c) Application by sponsors.--Prior to receiving board 11 approval for a program of continuing chiropractic education, a 12 sponsor shall submit to the board by registered or certified 13 mail the following information at least 60 days prior to the 14 date on which the program is scheduled to be presented: 15 (1) Evidence that the sponsor's program would be 16 directed toward keeping the licensee apprised of advancements 17 and new developments in chiropractic which build upon the 18 basic courses required to practice chiropractic and which are 19 in the areas specified in subsection (b). 20 (2) A detailed course outline or syllabus, including 21 such items as methods of instruction and testing materials, 22 if any. 23 (3) A current curriculum vitae of each instructor, 24 speaker or lecturer appearing in the program. 25 (d) Action on application.--The board shall notify each 26 sponsor by registered or certified mail of approval or 27 disapproval of the application within 30 days of the receipt of 28 the application. If an application is disapproved, the board 29 shall detail the reasons for disapproval in order that the 30 sponsor may cure any defect and submit an amended application in 19850H1362B3763 - 22 -
1 a timely manner. 2 (e) Evidence of completion.--Each licensee, in order to 3 qualify for biennial renewal of his license, shall complete a 4 form provided by the sponsor and supplied by the board which 5 contains the name of the licensee, business address, name of the 6 sponsor and instructor, course taken, hours completed, date and 7 place of the continuing education program offered, and a signed 8 statement sworn and attested to by the licensee that the 9 licensee was fully in attendance at the program offered and that 10 the information in such form is true and correct. The licensee 11 shall be responsible for sending this form to the board. 12 (f) Notification.--The board, within 30 days after the 13 effective date of this act, shall notify all licensees subject 14 to this section that they will be required to complete 12 hours 15 of continuing education before the licensing period commencing 16 in 1987 and shall notify such licensees of continuing education 17 required when renewal applications are issued for 1987 and every 18 renewal period thereafter. 19 (g) Approved programs.--A continuing education program 20 offered by a chiropractic school or college approved in 21 accordance with this act and attended by a licensee must be 22 accepted by the board so long as the course requirements of this 23 section are met. 24 (h) Exceptions.--The board may make exceptions to the 25 continuing education program requirements in emergency or 26 hardship cases on the basis of evidence submitted in proof of an 27 emergency or hardship. 28 Section 508. Professional liability insurance. 29 As a condition for the biennial renewal of a license to 30 practice chiropractic in this Commonwealth, a licensee shall 19850H1362B3763 - 23 -
1 submit to the board satisfactory evidence that he has obtained 2 professional liability insurance, or that he has established 3 self-insurance for professional liability, in the minimum amount 4 of $100,000 per occurrence and $300,000 per annual aggregate. 5 SUBCHAPTER B 6 GENERAL REGULATION 7 Section 521. License required. 8 It shall be unlawful after the effective date of this act for 9 any person in this Commonwealth to engage in the practice of 10 chiropractic or indicate in any manner whatsoever the ability to 11 practice chiropractic unless licensed under the provisions of 12 this act, except that any person licensed or legally authorized 13 to practice chiropractic in this Commonwealth under any other 14 act shall thereafter continue to possess the same rights and 15 privileges with respect to the practice of chiropractic without 16 being required to be licensed anew under the provisions of this 17 act, and as fully as if he were licensed under the provisions of 18 this act; and to that extent, he shall be exempt from any 19 penalties under this act. 20 Section 522. Radiologic procedures; EDUCATION AND TRAINING <-- 21 REQUIRED. 22 (a) Education and training required SUPERVISION; EDUCATIONAL <-- 23 REQUIREMENTS.--On and after January 1, 1987, no auxiliary 24 personnel shall perform radiologic procedures in the office ON <-- 25 THE PREMISES of a chiropractor unless any such personnel PERSON <-- 26 is under the direct supervision of a chiropractor who is on the 27 premises at the time the X-ray of the patient is taken and 28 unless any such personnel PERSON has passed an examination <-- 29 approved by the board and administered in accordance with 30 section 812.1 of the act of April 9, 1929 (P.L.177, No.175), 19850H1362B3763 - 24 -
1 known as The Administrative Code of 1929. Such examination shall <-- 2 include the following subjects: 3 (1) Radiation physics. 4 (2) Radiation biology. 5 (3) Radiation health and safety protection. 6 (4) X-ray films and radiographic film quality. 7 (5) Radiographic techniques. 8 (6) Dark room and processing techniques. 9 (b) Limitations.--No chiropractic office shall utilize for 10 radiologic procedures more than one such auxiliary personnel per 11 chiropractor practicing in that office at any one particular 12 time. 13 (c) Regulations 14 (B) EXCLUSION.--The board shall, by regulation, provide for <-- 15 the exclusion of an auxiliary personnel from performing 16 radiologic procedures if the continued performance of radiologic 17 procedures by the auxiliary personnel is determined by the board 18 to pose a threat to the health, safety or welfare of the public. 19 (C) PENALTY.--IT SHALL BE UNLAWFUL UNDER THIS ACT TO <-- 20 KNOWINGLY PERMIT RADIOLOGIC PROCEDURES TO BE PERFORMED IN 21 VIOLATION OF THIS SECTION OR IN VIOLATION OF THE REGULATIONS 22 PROMULGATED OR ORDERS ISSUED IN ACCORDANCE WITH THIS SECTION. 23 (D) EDUCATION AND TESTING.--NO AUXILIARY PERSONNEL WHO HAS 24 OR OBTAINS A LICENSE, CERTIFICATE OR REGISTRATION ISSUED BY, OR 25 ON BEHALF OF, A BOARD WITHIN THE BUREAU OF PROFESSIONAL AND 26 OCCUPATIONAL AFFAIRS SHALL BE REQUIRED TO UNDERGO ANY ADDITIONAL 27 EDUCATION OR TESTING PURSUANT TO THIS SECTION IF RADIOLOGIC 28 PROCEDURES WERE INCLUDED IN THE EDUCATION OR THE EXAMINATION 29 WHICH HE OR SHE WAS REQUIRED TO COMPLETE SUCCESSFULLY IN ORDER 30 TO BE ELIGIBLE FOR SUCH LICENSE, CERTIFICATE OR REGISTRATION. 19850H1362B3763 - 25 -
1 Section 523. Reporting of multiple licensure. 2 Any licensed chiropractor of this Commonwealth who is also 3 licensed to practice chiropractic in any other state, territory, <-- 4 POSSESSION or country shall report this information to the board 5 on the biennial registration application. Any disciplinary 6 action taken in other states must SUCH OTHER JURISDICTION SHALL <-- 7 be reported to the board on the biennial registration 8 application OR WITHIN 90 DAYS OF FINAL DISPOSITION, WHICHEVER IS <-- 9 SOONER. Multiple licensure will SHALL be noted on the <-- 10 chiropractor's record and such state, territory, POSSESSION or <-- 11 country will SHALL be notified BY THE BOARD of any disciplinary <-- 12 actions taken against said chiropractor in this Commonwealth. 13 Section 524. Display of certificate. 14 Every holder of a license granted by the board under this act 15 shall display the license in a conspicuous place in the office 16 where such person practices chiropractic. 17 Section 525. Doctor of Chiropractic and abbreviation. 18 Any person who has a valid license in accordance with this 19 act may practice chiropractic and use the title "Doctor of 20 Chiropractic" and the abbreviation "DC." 21 Section 526. Relationship with other branches of the healing 22 arts. 23 (A) IN GENERAL.--This act shall not apply either directly or <-- 24 indirectly, by intent or purpose, to affect the practice of any 25 other branch of the healing arts by any person duly licensed by 26 the department to engage in such practice. 27 (B) REPRESENTATION AS A LICENSED PHYSICAL THERAPIST.--A <-- 28 CHIROPRACTOR SHALL NOT HOLD HIMSELF OUT IN ANY MANNER TO BE A 29 LICENSED PHYSICAL THERAPIST UNLESS HE IS DULY LICENSED UNDER THE 30 ACT OF OCTOBER 10, 1975 (P.L.383, NO.110), KNOWN AS THE PHYSICAL 19850H1362B3763 - 26 -
1 THERAPY PRACTICE ACT. 2 SECTION 527. REVOKED LICENSES; REINSTATEMENT; REPORTS TO THE 3 BOARD. 4 (A) SURRENDER OF LICENSE.--THE BOARD SHALL REQUIRE A PERSON 5 WHOSE LICENSE HAS BEEN SUSPENDED OR REVOKED TO RETURN THE 6 LICENSE IN SUCH MANNER AS THE BOARD DIRECTS. A PERSON WHO FAILS 7 TO DO SO COMMITS A MISDEMEANOR OF THE THIRD DEGREE. 8 (B) REINSTATEMENT AFTER FELONY CONVICTION.--ANY PERSON WHOSE 9 LICENSE HAS BEEN SUSPENDED OR REVOKED BECAUSE OF A FELONY 10 CONVICTION UNDER THE ACT OF APRIL 14, 1972 (P.L.233, NO.64), 11 KNOWN AS THE CONTROLLED SUBSTANCE, DRUG, DEVICE AND COSMETIC 12 ACT, OR SIMILAR LAW OF ANOTHER JURISDICTION, MAY APPLY FOR 13 REINSTATEMENT AFTER A PERIOD OF AT LEAST TEN YEARS HAS ELAPSED 14 FROM THE DATE OF CONVICTION. THE BOARD MAY REINSTATE THE LICENSE 15 IF THE BOARD IS SATISFIED THAT THE PERSON HAS MADE SIGNIFICANT 16 PROGRESS IN PERSONAL REHABILITATION SINCE THE CONVICTION SUCH 17 THAT HIS REINSTATEMENT SHOULD NOT BE EXPECTED TO CREATE A 18 SUBSTANTIAL RISK OF HARM TO THE HEALTH AND SAFETY OF HIS 19 PATIENTS OR THE PUBLIC OR A SUBSTANTIAL RISK OF FURTHER CRIMINAL 20 VIOLATIONS AND IF THE PERSON MEETS ALL OTHER LICENSING 21 QUALIFICATIONS OF THIS ACT, INCLUDING THE EXAMINATION 22 REQUIREMENT. 23 (C) REPORTS TO THE BOARD.--AN ATTORNEY RESPONSIBLE FOR 24 REPRESENTING THE COMMONWEALTH IN DISCIPLINARY MATTERS BEFORE THE 25 BOARD SHALL NOTIFY THE BOARD IMMEDIATELY UPON RECEIVING 26 NOTIFICATION OF AN ALLEGED VIOLATION OF THIS ACT. THE BOARD 27 SHALL MAINTAIN CURRENT RECORDS OF ALL REPORTS OF ALLEGED 28 VIOLATIONS AND PERIODICALLY REVIEW THE RECORDS FOR THE PURPOSE 29 OF DETERMINING THAT EACH ALLEGED VIOLATION HAS BEEN RESOLVED IN 30 A TIMELY MANNER. 19850H1362B3763 - 27 -
1 CHAPTER 7 2 PENALTY PROVISIONS 3 Section 701. Practice of chiropractic without license 4 prohibited. 5 (a) Offense defined.--It shall be unlawful for any person 6 to: 7 (1) Engage or attempt to engage in the practice of 8 chiropractic or to hold himself out as a practitioner of 9 chiropractic unless he has first fulfilled the requirements 10 of this act and has been licensed by the board. 11 (2) Practice or hold himself out as a practitioner of 12 spinal adjustment or manipulation, spinal mobilization or 13 manipulation of articulations of the human body for 14 therapeutic benefit unless he has first fulfilled the 15 requirements of this act and has been licensed by the board 16 or unless he has been licensed or certified in accordance 17 with another act of this Commonwealth. 18 (b) Penalty.--A person who violates this section commits a 19 misdemeanor of the third degree and shall, upon conviction, for 20 a first offense, be sentenced to a fine not to exceed $1,000, or 21 to imprisonment for not more than six months, or both. A second 22 offense shall be subject to a fine not to exceed $2,000, or 23 imprisonment for a term of six months to one year, or both. 24 Section 702. Violation of other provisions. 25 A person commits a misdemeanor of the third degree and, upon 26 conviction, shall be sentenced to pay a fine of not more than 27 $500, or to imprisonment for not more than six months, or both, 28 if he commits any act declared unlawful by any other provision 29 of this act, other than section 701, or if he: 30 (1) Makes misleading, deceptive, untrue or fraudulent 19850H1362B3763 - 28 -
1 representations in the practice of chiropractic. 2 (2) Practices fraud or deceit in obtaining a license to 3 practice chiropractic. 4 (3) Displays gross incompetence, negligence or 5 misconduct in carrying on the practice of chiropractic. 6 (4) Makes a false or deceptive biennial registration 7 with the board. 8 (5) Violates a lawful regulation promulgated by the 9 board or a lawful order of the board previously entered in a 10 disciplinary proceeding. 11 (6) Knowingly aids, assists, procures or advises any 12 unlicensed person to practice chiropractic, contrary to this 13 act or regulations of the board. 14 (7) Commits immoral or unprofessional conduct. 15 Unprofessional conduct shall include any departure from, or 16 failure to conform to, the standards of acceptable and 17 prevailing chiropractic practice. Actual injury to a patient 18 need not be established. 19 (8) Solicits any engagement to perform professional 20 services by any direct, in-person or uninvited soliciting 21 through the use of coercion, duress, compulsion, 22 intimidation, threats, overreaching or harassing conduct. 23 (9) Fails to perform any statutory obligation placed 24 upon a licensed chiropractor. 25 (10) Submits intentionally to any third-party payor a 26 claim for a service or treatment which was not actually 27 provided to a patient. 28 (11) Knowingly permits radiologic procedures to be <-- 29 performed in violation of section 522 or in violation of the 30 regulations promulgated in orders issued in accordance with 19850H1362B3763 - 29 -
1 section 522. 2 (12) Unconditionally guarantees that a cure will result 3 from the performance of chiropractic treatment. 4 (13) Holds oneself out as a specialist in the 5 development, treatment or health of children. 6 Section 703. Civil penalty. 7 In addition to any other civil remedy or criminal penalty 8 provided for in this act, the board, by a vote of the majority 9 of the maximum number of the authorized membership of the board 10 as provided by law or by a vote of the majority of the duly 11 qualified and confirmed membership or a minimum of four members, 12 whichever is greater, may levy a civil penalty of up to $1,000 13 on any current licensee who violates any provision of this act 14 or on any person who practices chiropractic without being 15 properly licensed to do so under this act. The board shall levy 16 this penalty only after affording the accused party the 17 opportunity for a hearing, as provided in Title 2 of the 18 Pennsylvania Consolidated Statutes (relating to administrative 19 law and procedure). 20 Section 704. Fines and penalties. 21 All fines and civil penalties imposed in accordance with this 22 chapter shall be paid into the Professional Licensure 23 Augmentation Account. 24 CHAPTER 11 25 MISCELLANEOUS PROVISIONS 26 Section 1101. Fees. 27 (a) Adoption.--The board shall, by regulation, fix the fees 28 required for examination, licensure, renewal of licenses and 29 limited licenses. 30 (b) Insufficient revenue.--If the revenues raised by fees, 19850H1362B3763 - 30 -
1 fines and civil penalties imposed pursuant to this act are not 2 sufficient to meet expenditures over a two-year period, the 3 board shall increase those fees by regulation so that the 4 projected revenues will meet or exceed projected expenditures. 5 (c) Increase by bureau.--If the bureau determines that the 6 fees established by the board pursuant to subsections (a) and 7 (b) are inadequate to meet the minimum enforcement efforts 8 required by this act, then the bureau, after consultation with 9 the board, shall increase the fees by regulation so that 10 adequate revenues are raised to meet the required enforcement 11 effort. 12 (d) Review.--Any regulation proposed under this section 13 shall be subject to the act of June 25, 1982 (P.L.633, No.181), 14 known as the Regulatory Review Act. 15 Section 1102. Current members of board. 16 Persons who are members of the State Board of Chiropractic <-- 17 Examiners on the effective date of this act, pursuant to the act 18 of August 10, 1951 (P.L.1182, No.264), known as the Chiropractic 19 Registration Act of 1951, shall serve on the State Board of 20 Chiropractic Examiners as provided for in this act until their 21 current terms would have expired or until their successors are 22 duly appointed and qualified but no longer than six months after 23 the expiration of their terms. 24 THE PRESENTLY CONFIRMED MEMBERS OF THE STATE BOARD OF <-- 25 CHIROPRACTIC EXAMINERS CONSTITUTED UNDER SECTION 461 OF THE ACT 26 OF APRIL 9, 1929 (P.L.177, NO.175), KNOWN AS THE ADMINISTRATIVE 27 CODE OF 1929, AS OF THE EFFECTIVE DATE OF THIS ACT, SHALL 28 CONTINUE TO SERVE AS BOARD MEMBERS UNTIL THEIR PRESENT TERMS OF 29 OFFICE EXPIRE, PROVIDED THAT ANY PRESENT BOARD MEMBER WHOSE TERM 30 HAS EXPIRED ON OR BEFORE THE EFFECTIVE DATE OF THIS ACT SHALL 19850H1362B3763 - 31 -
1 SERVE UNTIL A SUCCESSOR HAS BEEN APPOINTED AND QUALIFIED, BUT NO 2 LONGER THAN SIX MONTHS AFTER THE EFFECTIVE DATE OF THIS ACT. 3 Section 1103. Current licensees. 4 Any person who holds a valid license issued by the State 5 Board of Chiropractic Examiners under the act of August 10, 1951 6 (P.L.1182, No.264), known as the Chiropractic Registration Act 7 of 1951, prior to the effective date of this amendatory act <-- 8 shall, on and after the effective date hereof, be deemed to be 9 licensed by the State Board of Chiropractic Examiners as <-- 10 provided for in this act. 11 Section 1104. Existing regulations. 12 Each rule, regulation or fee of the board in effect on the 13 effective date of this act shall remain in effect after such 14 date until REPEALED OR amended by the board, provided that the <-- 15 board shall immediately initiate the repeal or amendment of any 16 rule or regulation which is inconsistent with the provisions of 17 this act. 18 Section 1105. Reestablishment of agency. 19 This act, with respect to the State Board of Chiropractic 20 Examiners, shall constitute the legislation required to 21 reestablish an agency pursuant to the act of December 22, 1981 22 (P.L.508, No.142), known as the Sunset Act. 23 Section 1106. Repeals. 24 (a) Absolute repeals.--The following acts and parts of acts 25 are repealed: 26 Section 461 of the act of April 9, 1929 (P.L.177, No.175), 27 known as The Administrative Code of 1929. 28 Act of August 10, 1951 (P.L.1182, No.264), known as the 29 Chiropractic Registration Act of 1951. 30 (b) General repeals.--All other acts and parts of acts are 19850H1362B3763 - 32 -
1 repealed insofar as they are inconsistent with this act. 2 Section 1107. Effective date. 3 This act shall take effect January 1, 1986, or immediately, <-- 4 whichever is later IMMEDIATELY. <-- E30L63JAM/19850H1362B3763 - 33 -