SECOND REGULAR SESSION
HOUSE BILL NO. 1641
91ST GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVES MONACO, PORTWOOD AND RIZZO (Co-sponsors).
Read 1st time January 24, 2002, and 1000 copies ordered printed.
TED WEDEL, Chief Clerk
AN ACT
To amend chapter 331, RSMo, by adding thereto one new section relating to the practice of chiropractic, with penalty provisions.
Section A. Chapter 331, RSMo, is amended by adding thereto one new section, to be known as section 331.015, to read as follows:
331.015. 1. For purposes of this section, the following terms shall mean:
(1) "Joint mobilization", a manual therapy to increase overall range of joint motion in which no sudden impulse or thrust is used and the patient's joint is not moved beyond its normal passive range of motion;
(2) "Spinal manipulation", a method of skillful and beneficial treatment whereby a health care provider uses a brief and sudden impulse or dynamic thrust to move a joint of a patient's spine beyond its normal passive range of motion, but without exceeding the limits of anatomical integrity. Spinal manipulation does not include the orthopedic reduction of fractures and dislocations.
2. No health care provider licensed in this state shall hold themselves out to the public as performing spinal manipulation unless such health care provider:
(1) Has received a minimum of four hundred hours of classroom instruction in spinal manipulation;
(2) Has received a minimum of eight hundred hours of supervised clinical training at a facility where spinal manipulation is a primary method of treatment; and
(3) Has the legal authority to differentially diagnose or if they do not have such authority and meet the conditions imposed in subdivisions (1) and (2) of this subsection, has received a prescription from a medical physician or referral from a chiropractic physician that expressly stipulates the type and manner of spinal manipulation.
3. Any person who violates the provisions of this section is guilty of the unlawful practice of chiropractic and is subject to the penalties provided for in section 331.080. A violation of this section shall be grounds for the offending health care provider's licensing board to suspend, revoke, or refuse to renew such provider's license or take other disciplinary action as provided by law.
4. The provisions of this section shall not restrict the scope of practice of osteopathic or medical physicians licensed
pursuant to chapter 334, RSMo, or chiropractic physicians licensed pursuant to this chapter or restrict physical
therapists licensed pursuant to chapter 334, RSMo, from performing joint mobilization as defined in subdivision (1)
of subsection 1 of this section.
Missouri House of Representatives