TCA Legislative (My Texas Doctor)
TCA’s agenda for the 83rd Legislative session intends to accomplish the following:
- to make immediate gains for our profession and its members;
- to lay the foundation for future specific policy initiatives leveraging technology and the strength of our members and their patients;
- to build our grassroots coalition and strategic partnerships with allied healthcare professionals; and,
- to force the TMA to play defense.
These objectives are represented by one or more of the following legislative proposals approved by the TCA Legislative Committee. The following is a brief description of each individual agenda item.
TCA Legislative Goals
- A bill to introduce diagnosis specifically (also differential diagnosis) into our practice act where it needs to be:The Practice Act Governing Doctor’s of Chiropractic Medicine does not include specific references to diagnosis and differential diagnosis. This omission creates confusion about the authority and role of a chiropractor in patient assessment.
- A bill to allow us to practice up to the level of our education:The institutions which train and teach Chiropractic Medicine offer comprehensive education in physical medicine comparable to that of traditional schools of medicine. Two of the leading international educational centers for Chiropractic Medicine are in Texas. However, Texas currently dramatically limits the practice of Chiropractic Medicine to an extraordinarily small subset of what Chiropractors are taught and trained to do. This bill would allow a Chiropractor’s practice to be more closely aligned with sor her level of education.
- A bill to strengthen and specify our delegation authority:Currently, it is unclear when and under what controls a Chiropractor may delegate certain treatment services to trained members of his or her staff. This legislation is designed to make delegation authority clear and support reimbursement for delegated services. It also clarifies appropriate reimbursement when the Chiropractor is not present in the room where services are being provided.
- A bill to broaden available chiropractic services to our entire scope of practice within Medicaid:Medicaid does not cover the current scope of practice for Doctors of Chiropractic Medicine. This limitation is restricting cost effective options for Medicaid services.
- A bill to limit the time frame in which an insurance carrier can perform post treatment audits:Currently, there is no limitation as to when an insurance carrier can perform post treatment audits. This bill will limit post treatment audits to a period not longer than one year after the services have been billed and paid by the insurance carrier.
- A bill to mandate that Doctors of Chiropractic Medicine are paid at the same or a greater rate as any other medical professional providing the same service to include the necessary redefinition of physical medicine:This bill will address the disparity in reimbursement Doctors of Chiropractic Medicine face when they provide certain services that can also be provided in other settings. For example, Physical Therapists are reimbursed at a higher rate for certain services that can be provided by either Physical Therapists or Chiropractors.
- A bill to give Chiropractors the ability to prescribe handicap placards:Chiropractors do not currently have the ability to prescribe handicap placards. This limitation does not mesh with Chiropractors ability to determine the nature and extent of physical conditions or injuries that would justify a handicap placard.
- A bill to allow Chiropractors to control Professional Associations and Professional Corporations when those Associations and Corporations also have MDs and DOs as members:Currently, a Chiropractor cannot control Professional Associations and Professional Corporations where the membership includes MDs and DO’s.
- A bill to allow Chiropractors to regain physician status:Historically, Chiropractors have held or maintained physician status. In Texas Chiropractors are denied the right to use the title of Physician.
- A constitutional amendment that clarifies the scope of practice for Doctors of Chiropractic Medicine and the application and regulation of that definition by the State of Texas and Texas State Agencies and Boards.This amendment would establish the constitutionality of the current scope of practice in Texas by Doctors of Chiropractic Medicine and the related definitions utilized by the Board to regulate its practice.