Introduced by Senator Mullin of Rutland District, Senator Collins of Franklin District, Senator White of Windham District and Senator Wilton of Rutland District
Subject: Professions and occupations; chiropractic
Statement of purpose: This bill proposes to amend the definition of chiropractic.
AN ACT RELATING TO THE PRACTICE OF CHIROPRACTIC
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. 26 V.S.A. § 521 is amended to read:
§ 521. DEFINITIONS
As used in this chapter:
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(2) “Adjustment” and “spinal manipulation” mean, and may be used alternately to mean, high velocity, low amplitude procedures.
(3) “Board” means the board of chiropractic created under section 527 of this title.
(3)(4) “The practice
of chiropractic” means the diagnosis of human ailments and diseases related to
subluxations, joint dysfunctions, neuromuscular and skeletal disorders for the
purpose of their detection, correction, or referral in order to restore
and maintain health, without providing drugs or performing surgery; the use of
physical and clinical examinations, conventional radiologic procedures and
interpretation, as well as the use of diagnostic imaging read and interpreted
by a person so licensed and clinical laboratory procedures to determine the
propriety of a regimen of chiropractic care; adjunctive therapies approved by
the board, by rule, to be used in conjunction with chiropractic treatment; and
treatment by adjustment or manipulation of the spine or other joints and
connected neuromusculoskeletal tissues and bodily articulations. (4)(5) “Chiropractor”
or “chiropractic physician” means a person licensed under this chapter. (5)(6) “Disciplinary
action” includes any action taken by the board against a person licensed under
this chapter or an applicant premised on a finding that the person has engaged
in unprofessional conduct. The term includes all sanctions of any kind,
including refusing to give an examination, refusing to grant or renew a
license, suspending or revoking a license, placing limitations or restrictions
upon a license, and issuing reprimands and warnings.
(7) “High velocity, low amplitude procedure” means:
(A) any single therapeutic maneuver that applies controlled forces and moments to specific joints and adjacent tissues to reduce subluxations, and influence joint and neurophysiological functions over brief intervals up to one‑fifth of a second;
(B) adapting intensity, leverage, direction, amplitude of motion, and speed of application based on the conditions of the local tissues and associated diagnoses. Motions obtained may extend beyond the voluntary range into the paraphysiologic space but remain within the anatomic bounds of the joint structures.
(8) “Joint mobilization” means the use of a series of smooth, slow, and cyclic oscillations of a joint within its physiologic range of motion for the purpose of increasing overall range of joint motion.
Sec. 2. 26 V.S.A. § 522 is amended to read:
§ 522. Prohibitions
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(d) No person may perform a spinal manipulation or spinal adjustment without being permitted by law to differentially diagnose, and after having received a minimum of 400 hours of classroom instruction in spinal manipulation or spinal adjustment, and a minimum of 800 hours of supervised clinical training at a facility where spinal manipulation or spinal adjustment is a primary method of treatment. A violation of this section is an unlawful practice of chiropractic and is subject to the penalties of this section or any other penalties provided by law.
(e) A person who violates the provisions of this section shall be imprisoned not more than one year or fined not more than $5,000.00 nor less than $500.00, or both.
The Vermont General Assembly
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