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Federal Change to Essential Health Benefits Rule Creates More Challenges for States

Earlier this month, the Department of Health and Human Services (HHS) released a final rule regarding health insurance provisions related to the 2010 Affordable Care Act (Act).  Among the myriad of provisions contained in the rule were several that could have an impact on chiropractic coverage.  With the rule designed to give more power to the states in determining plan structure, chiropractic state associations will need to be vigilant in monitoring state action, especially the rule’s impact on states now being able to develop essential health benefits for plans that fall under the Act’s umbrella.


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Chiropractic's Quest for Full Physician Status in Medicare: A Brief History

October is National Chiropractic Health Month, a fitting designation as on Oct. 30, 1972, President Nixon signed into law H.R. 1, the Social Security Amendments of 1972, ending three years of deliberations on what would improve the program. What the president called "landmark legislation" included the significant and far-reaching provision of defining chiropractors as “physicians” in the Medicare program under Sec. 18619(r)(5) of the Social Security Act. Unfortunately, Centers for Medicare & Medicaid Services (CMS) regulators interpreted the law to define the physician status granted to chiropractors in a way that restricted their ability to participate meaningfully, on a level of basic parity.

Author: Jack Dusik
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