,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #eci  ,,in ,,the ,,house ,,of   
,,representatives  ,january #af1        
#bjbe,mr4 ,steube 7for himself1 ,mr4    
,larson of ,connecticut1 ,mr4 ,smith of 
,nebraska1 ,mr4 ,boyle of ,pennsylvania1
 ,ms4 ,van ,duyne1 and ,mr4 ,davis of   
,north ,carolina7 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 ,medicare ,coverage   
,modernization ,act of #bjbe4  #b4      

,findings2 ,statement of purpose  7a7   
,findings ,congress finds the following3
 7#a7 ,in #aigb1 coverage was           
established under the ,medicare program 
for beneficiaries to receive            
chiropractic care4  7#b7 ,unfortunately1
 the antiquated statute restricts       
beneficiaries to one service in a       
chiropractic clinic and ,medicare       
chiropractic coverage has not kept up   
with private sector coverage and other  
,federal health delivery systems4  7#c7 
,today1 due to positive evidence-based  
outcomes and cost effectiveness of the  
services provided by doctors of         
chiropractic1 private coverage for      
chiropractic services has evolved and   
,state licensure for chiropractors has  
advanced to meet patient needs and      
health outcomes4  7#d7 ,this ,act would 
bring ,medicare chiropractic coverage   
more in line with that provided with the
 ,department of ,veterans ,affairs1     
,department of ,defense1 the ,federal   
,employee ,health ,benefits ,program1   

and private health insurance coverage4  
7b7 ,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 subluxation1 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 #ahfa7r77#e7 of the
 ,social ,security ,act 7#db ,u4,s4,c4  
#aciex7r77#e77 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 #ahcc 
of the ,social ,security ,act 7#db      
,u4,s4,c4 #aciel7 is amended by adding  
at the end the following new subsection3
  7ee7 ,limitation on payment of        
services provided by certain doctors of 
chiropractic ,notwithstanding any other 

provision of this part1 in the case of  
services of a doctor of chiropractic    
described in section #ahfa7r77#e71      
payment may only be made under this part
 for such services if-- 7#a7 such       
services are furnished by a doctor of   
chiropractic who is verified once1 by a 
process designed by the ,secretary1 as  
attending an educational documentation  
webinar1 or other similar electronic    
product1 designed by the ,secretary or  
an updated modified version of such     
webinar1 as designed by the ,secretary2 
or  7#b7 such services are treatment by 
means of manual manipulation of the     
spine to correct a subluxation4  4