Pennsylvania HB 1106: An Act amending the act of December 16, 1986 (P.L.1646, No.188), known as the Chiropractic Practice Act, in preliminary provisions, further providing for definitions; in licensure and regulation, further providing for refusal, suspension or revocation of license and for reporting of multiple licensure; providing for certified chiropractic assistants; in supportive personnel, further providing for supportive personnel; in penalty provisions, further providing for violation of other provisions and for civil penalty; and making an editorial change.

Bill Text

PRIOR PRINTER'S NO. 1231 PRINTER'S NO. 3278
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1106
Session of
2025
INTRODUCED BY BOROWSKI, BRENNAN, CERRATO, FREEMAN, GIRAL, HILL-
EVANS, JAMES, LAWRENCE, MADDEN, MALAGARI, MALONEY, MULLINS,
O'MARA, PIELLI, SANCHEZ, RADER, SCHMITT, STRUZZI, PICKETT,
BENNINGHOFF, KAUFFMAN, E. NELSON, GILLEN, WEBSTER, VENKAT,
MAJOR, COOK, TOMLINSON, PROKOPIAK, GUZMAN, PROBST, MUNROE,
KOSIEROWSKI, DALEY, MARKOSEK, M. MACKENZIE, CEPEDA-FREYTIZ
AND TAKAC, APRIL 3, 2025
AS REPORTED FROM COMMITTEE ON PROFESSIONAL LICENSURE, HOUSE OF
REPRESENTATIVES, AS AMENDED, APRIL 27, 2026
AN ACT
Amending the act of December 16, 1986 (P.L.1646, No.188),
entitled "An act providing for the licensing of chiropractors
and the regulation of the practice of chiropractic;
establishing the State Board of Chiropractic in the
Department of State and providing for its powers and duties;
providing for the supervision of colleges of chiropractic,
for the examination of applicants, for enforcement and for
disciplinary actions; providing penalties; and making
repeals," IN PRELIMINARY PROVISIONS, FURTHER PROVIDING FOR
DEFINITIONS; IN LICENSURE AND REGULATION, FURTHER PROVIDING
FOR REFUSAL, SUSPENSION OR REVOCATION OF LICENSE AND FOR
REPORTING OF MULTIPLE LICENSURE; providing for certified
chiropractic assistants; in supportive personnel, further
providing for supportive personnel; IN PENALTY PROVISIONS,
FURTHER PROVIDING FOR VIOLATION OF OTHER PROVISIONS AND FOR
CIVIL PENALTY; and making an editorial change.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. The act of December 16, 1986 (P.L.1646, No.188),
known as the Chiropractic Practice Act, is amended by adding a
chapter to read:
SECTION 1. SECTION 102 OF THE ACT OF DECEMBER 16, 1986
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(P.L.1646, NO.188), KNOWN AS THE CHIROPRACTIC PRACTICE ACT, IS
AMENDED BY ADDING DEFINITIONS TO READ:
SECTION 102. DEFINITIONS.
THE FOLLOWING WORDS AND PHRASES WHEN USED IN THIS ACT SHALL
HAVE THE MEANINGS GIVEN TO THEM IN THIS SECTION UNLESS THE
CONTEXT CLEARLY INDICATES OTHERWISE:
* * *
"CERTIFIED CHIROPRACTIC ASSISTANT." AN INDIVIDUAL WHO HAS
MET ALL OF THE REQUIREMENTS OF THIS ACT AND IS CERTIFIED AS A
CHIROPRACTIC ASSISTANT IN ACCORDANCE WITH CHAPTER 5-A.
* * *
"DIRECT ON-PREMISES SUPERVISION." SUPERVISION CONDUCTED
WHILE BEING PHYSICALLY PRESENT IN AN OFFICE SUITE OR FACILITY,
BUT NOT NECESSARILY IN THE SAME ROOM, AND BEING IMMEDIATELY
AVAILABLE.
* * *
"THERAPEUTIC EXERCISE." A THERAPEUTIC PROCEDURE OF USING
EXERCISE TO DEVELOP STRENGTH, ENDURANCE, RANGE OF MOTION AND
FLEXIBILITY.
SECTION 2. SECTION 506 HEADING AND (A)(1), (3), (7), (8) AND
(13) OF THE ACT ARE AMENDED AND SUBSECTION (A) IS AMENDED BY
ADDING A PARAGRAPH TO READ:
SECTION 506. REFUSAL, SUSPENSION OR REVOCATION OF LICENSE OR
CERTIFICATE.
(A) REASONS ENUMERATED.--THE BOARD MAY REFUSE TO ISSUE A
LICENSE OR CERTIFICATE OR MAY SUSPEND OR REVOKE A LICENSE OR
CERTIFICATE FOR ANY OF THE FOLLOWING REASONS:
(1) FAILING TO DEMONSTRATE THE QUALIFICATIONS OR
STANDARDS FOR A LICENSE OR CERTIFICATE CONTAINED IN THIS ACT
OR REGULATIONS OF THE BOARD.
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* * *
(3) PRACTICING FRAUD OR DECEIT IN OBTAINING A LICENSE TO
PRACTICE CHIROPRACTIC OR A CERTIFICATE TO PRACTICE AS A
CHIROPRACTIC ASSISTANT.
* * *
(7) HAVING A LICENSE TO PRACTICE CHIROPRACTIC OR A
CERTIFICATE TO PRACTICE AS A CHIROPRACTIC ASSISTANT
SUSPENDED, REVOKED OR REFUSED OR RECEIVING OTHER DISCIPLINARY
ACTION BY THE PROPER CHIROPRACTIC LICENSING AUTHORITY OF
ANOTHER STATE, TERRITORY, POSSESSION OR COUNTRY.
(8) BEING UNABLE TO PRACTICE CHIROPRACTIC WITH
REASONABLE SKILL AND SAFETY TO PATIENTS BY REASON OF ILLNESS,
DRUNKENNESS, EXCESSIVE USE OF DRUGS, NARCOTICS, CHEMICALS OR
ANY OTHER TYPE OF MATERIAL, OR AS A RESULT OF ANY MENTAL OR
PHYSICAL CONDITION. IN ENFORCING THIS PARAGRAPH, THE BOARD
SHALL, UPON PROBABLE CAUSE, HAVE AUTHORITY TO COMPEL A
CHIROPRACTOR OR CERTIFIED CHIROPRACTIC ASSISTANT TO SUBMIT TO
A MENTAL OR PHYSICAL EXAMINATION BY PHYSICIANS APPROVED BY
THE BOARD. FAILURE OF A CHIROPRACTOR OR CERTIFIED
CHIROPRACTIC ASSISTANT TO SUBMIT TO SUCH EXAMINATION WHEN
DIRECTED BY THE BOARD, UNLESS SUCH FAILURE IS DUE TO
CIRCUMSTANCES BEYOND HIS CONTROL, SHALL CONSTITUTE AN
ADMISSION OF THE ALLEGATIONS AGAINST HIM, CONSEQUENT UPON
WHICH A DEFAULT AND FINAL ORDER MAY BE ENTERED WITHOUT THE
TAKING OF TESTIMONY OR PRESENTATION OF EVIDENCE. A
CHIROPRACTOR AFFECTED UNDER THIS PARAGRAPH SHALL AT
REASONABLE INTERVALS BE AFFORDED AN OPPORTUNITY TO
DEMONSTRATE THAT HE CAN RESUME A COMPETENT PRACTICE OF
CHIROPRACTIC WITH REASONABLE SKILL AND SAFETY TO PATIENTS. A
CERTIFIED CHIROPRACTIC ASSISTANT AFFECTED UNDER THIS
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PARAGRAPH SHALL, AT REASONABLE INTERVALS,