SENATE AMENDED
        PRIOR PRINTER'S NOS. 1632, 1677, 1853         PRINTER'S NO. 3763

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

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.
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     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.
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     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
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     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.                                   <--


















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