,i  #aaeth ,,congress  #b;d ,session    
,h4 ,r4 #gaeg  ,,in ,,the ,,house ,,of  
,,representatives  ,november #af1       
#bjah,mr4 ,paulsen introduced the       
following bill2 which was referred to   
the ,committee on ,energy and ,commerce1
 and in addition to the ,committee on   
,ways and ,means1 for a period to be    
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to provide   
,medicare coverage for all physicians'  
services furnished by doctors of        
chiropractic within the scope of their  
license1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,chiropractic ,patients' ,freedom of
 ,choice ,act of #bjah4  #b4 ,statement 
of purpose ,it is the purpose of this   
,act to expand recognition and coverage 
of a doctor of chiropractic as a        
physician under the ,medicare program in

 connection with the performance of any 
function or action1 including current   
service of manual manipulation of the   
spine to correct a subluxation as       
demonstrated to exist1 as is legally    
authorized by the ,state in which such  
doctor performs such function or action4
  #c4 ,providing ,medicare coverage for 
all physicians' services furnished by   
doctors of chiropractic within the scope
 of their license  7a7 ,in general      
,section #ahfa7r7 of the ,social        
,security ,act 7#db ,u4,s4,c4 #aciex7r77
 is amended by striking a chiropractor  
who is licensed as such by the ,state   
7or in a ,state which does not license  
chiropractors as such1 is legally       
authorized to perform the services of a 
chiropractor in the jurisdiction in     
which he performs such services71 and   
who meets uniform minimum standards     
promulgated by the ,secretary1 but only 
for the purpose of sections #ahfa7s77#a7
 and #ahfa7s77#b77;,a7 and only with    
respect to treatment by means of manual 

manipulation of the spine 7to correct a 
subluxation7 which he is legally        
authorized to perform by the ,state or  
jurisdiction in which such treatment is 
provided and inserting a doctor of      
chiropractic who is licensed as a doctor
 of chiropractic or a chiropractor by   
the ,state in which the function or     
action is performed and whose license   
provides legal authorization to perform 
such function or action in such ,state  
or in the jurisdiction in which the     
function or action is performed4  7b7   
,certain coverage limits ,section       
#ahcc7;aa7 of the ,social ,security ,act
 is amended by adding at the end the    
following3  7#aa7 ,limitation on payment
 ,notwithstanding any other provision of
 this part1 in the case of services of a
 chiropractor described in section      
#ahfa7r77#e7 whose pattern of billing   
for the most recent previous period for 
which data is available is determined   
under paragraph 7#a7 to be aberrant     
compared to peers1 payment may be made  

under this part only if such services   
are treatment by means of manual        
manipulation of the spine4  4