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cca candidate political action committee Who’s going to stand up and protect your interests before the Legislature? The California Chiropractic Association, that’s who! every day to promote and protect California chiropractors and patient/practice member access to chiropractic care. Invest in your chiropractic profession — Back the CPAC! Contributions to CCA’s Candidate Action Committee (CPAC) strengthen CCA’s position as a major player at the Capitol by helping to elect candidates who support the chiropractic profession. Making a donation is easy and in your best interest! Call 916.648.2727 x136 with your credit card authorization or mail your check to: CCA CPAC 1451 River Park Dr., Suite 230 Sacramento, CA 95815-4521 Page 8 September/October 2011 www.calchiro.org
cca in action CCA Works To Protect Scope Of Practice CCA Wins Retraction from BCE and Reverses RHB The BCE’s retraction of chiropractic scope limitation letter and the RHB’s retraction of its DC x-ray enforcement practice - at CCA’s urging – makes reimbursement that otherwise would have been denied possible as well as upholds for all doctors of chiropractic their scope of practice and their patients to right to access chiropractic care. CCA Wins Retraction of DC Scope-Limiting BCE Letter CCA won retraction of a 2004 letter penned by then-state Board of Chiropractic Examiners’ (BCE) staff that misrepresented Section 302 of the BCE regulations relating to chiropractic scope of practice. The BCE has posted to its website a notice stating the letter does not represent BCE policy. The April 8, 2004, letter surfaced during CCA’s recent successful advocacy to have the State Compensation Insurance Fund reverse its policy prohibiting referrals to doctors of chiropractic for any post-operative treatment regardless of the circumstances. It was sent to SCIF in response to a request for clarification of the BCE’s interpretation of Section 302. The BCE’s letter incorrectly stated: • “…during most, if not all, chiropractic office visits manual manipulation should be provided to the patient.” • “For other conditions (i.e. post-surgical rehabilitation of knee), manual manipulation will not be incorporated into the treatment program at any point. This is perceived by the Board as being a violation of the scope of chiropractic practice.” This is an important victory of the chiropractic profession. If third-parties restrict your services using the BCE letter as a basis, direct those third parties to the BCE website. CCA thanks the BCE members for recognizing the impediments the BCE letter could have on patient access to chiropractic care and for its swift response to correct the situation. CCA Reverses RHB DC X-ray Limitation Moving swiftly, CCA prevailed successfully on the state Radiologic Health Branch (RHB) to reverse its enforcement practice of prohibiting certain x-rays to be taken by doctors of chiropractic. Two members contacted CCA becasuse they were told by RHB inspectors that doctors of chiropractic were not permitted to take chest x-rays as they were outside the chiropractic scope of practice; one was cited. CCA enlisted the assistance of CCA member Cliff Tao, DC, DACBR, a CCArecommended member of the RHB Radiologic Technology Certification Committee, to educate RHB officials on the chiropractic scope of practice. Given Dr. Tao’s credibility and knowledge, the RHB reversed its enforcement practice and rescinded the one member’s citation. As doctors know, doctors of chiropractic are permitted to take patient x-rays for diagnostic purposes without limitation. Section 302 (a)(6) of the chiropractic regulations states “…a duly licensed chiropractor may make use of X- ray and thermography equipment for the purposes of diagnosis but not for the purposes of treatment.” CCA members who have been cited or told by the RHB that they cannot take chest or other patient x-rays are urged to contact Bill Howe at CCA. CCA thanks Dr. Tao for his quick and professional assistance in resolving the situation with the RHB and the RHB for its DC enforcement practice reversal. Page 9
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