Medicare: Patient Access to Chiropractic

Medicare: Patient Access to Chiropractic

 

Update: ACA Plans to Reintroduce Medicare Bill in 2021

The Chiropractic Medicare Coverage Modernization Act was introduced in July 2019. Through the tireless efforts and support of ACA members, partners and supporters, 91 congressional cosponsors were signed on to H.R. 3654.

While the 116th Congress ended before action was taken on the bill, as the 117th Congress begins in January 2021 ACA’s government relations team is working to ensure that the bill will be reintroduced. The new bill will have a new number but will benefit from the momentum gained during the past 18 months.

More details about the process are available in this post on the ACA Blog.

Join us at Engage 2021 for an update on advocacy efforts.


Legislation championed by ACA to increase Medicare coverage of chiropractic services has been introduced in the U.S. House of Representatives.

The Chiropractic Medicare Coverage Modernization Act of 2019 (H.R. 3654) would allow Medicare beneficiaries access to the chiropractic profession’s broad-based, non-drug approach to pain management, which includes manual manipulation of the spine and extremities, evaluation and management services, diagnostic imaging and utilization of other non-drug approaches that have become an important strategy in national efforts to stem the epidemic of prescription opioid overuse and abuse.

H.R. 3654:

  • Appropriately defines a Doctor of Chiropractic (DC) as a “physician” in the Medicare program.
  • Provides patient access to all Medicare-covered benefits allowable under a chiropractor’s state licensure.
  • Requires that DCs complete a documentation webinar.
  • Is bipartisan legislation, introduced by Reps. Brian Higgins (D-N.Y.) and Tom Reed (R-N.Y.).

H.R. 8702 and S. 5007:

Also, ACA is part of a coalition of more than fifty other provider groups supporting H.R. 8702 and S. 5007, which would ensure that payments to doctors of chiropractic remain at current 2020 levels through 2022. CMS released the final MFPS rule on Dec. 1, 2020. Click here (PDF - pages 1660-1661 of posted rule) for the estimated impact on total allowed charges by specialty, as posted by CMS.

Read our coalition's position here (PDF).

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Background

To best serve their senior patients, chiropractic physicians must be allowed to practice and be reimbursed to the fullest extent of their licensure, training and competencies. Medicare parity is ACA's top legislative and regulatory priority.

Since the chiropractic profession was first included in Medicare in 1972, Doctors of Chiropractic (DC) and their patients have been burdened by arbitrary limitations that lack any scientific or sound policy justification.

Research demonstrating positive patient outcomes and cost effectiveness resulting from chiropractic care have advanced private coverage and state licensures to meet patient needs.

The federal Medicare program, which serves as a model for private insurance plans, currently serves more than 55 million individuals. Various projections forecast the number of people age 65 or older increasing by about one-third over the next decade. Chiropractic inclusion in the Medicare program was established in 1972 and has seen little change since then, other than elimination of the X-ray requirement in 1997.

Medicare Timeline through 2019

Download as PDF

January 2021