Washington State House of Representatives Office of Program Research	BILL ANALYSIS
Health Care Committee

HB 2501

Brief Description:  Modifying provisions concerning chiropractics.

Sponsors:  Representatives Campbell, Cody, Ruderman, Linville, Armstrong, Conway, Darneille, Bush, Kirby, Miloscia, Simpson, Dunn and Casada.

Brief Summary of Bill

$Amends the Chiropractic Practice Act by removing the exclusions of herbal, animal, or botanic medicines in the rendering of dietary advice and nutritional supplementation.

$Allows extremity manipulation procedures to be billed separately from a spinal adjustment.

Hearing Date:  1/31/02

Staff:  John Welsh (786‑7133).

Background:

The practice of chiropractic generally deals with the diagnosis and treatment of the vertebral subluxation complex, articular dysfunction, and musculoskeletal disorders through the use of spinal adjustments, among other procedures and services.

It includes dietary advice and recommendation of nutritional supplementation except for medicines of herbal, animal, or botanical origin.

In addition, it includes extremity manipulation complementary and preparatory to a spinal adjustment to support correction of a vertebral subluxation complex, and is considered a part of a spinal adjustment and may not be billed separately from or in addition to a spinal adjustment.

Summary of Bill:

The rendering of dietary advice and recommendation of nutritional supplementation does not exclude medicines of herbal, animal, or botanical origins.

Extremity manipulation is considered as a separate procedure from a spinal adjustment, and may be billed separately or in addition to a spinal adjustment.

Appropriation:  None.

Fiscal Note:  Not Requested.

Effective Date:  Ninety days after adjournment of session in which bill is passed.