Medicare: Patient Access to Chiropractic

Medicare Patient Access to Chiropractic: H.R. 2654

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 (H.R. 2654) 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. 2654:

  • Provides patient access to all Medicare-covered benefits allowable under a chiropractor’s state licensure.
  • Requires that DCs complete a documentation webinar.
  • Appropriately defines a Doctor of Chiropractic (DC) as a “physician” in the Medicare program.
  • Is bipartisan legislation, introduced by 16 cosponsors from both political parties.


ACA Continues to Fight CMS Reduction in Physician Fee Schedule Reimbursement

As a founding member of the E/M Coalition, ACA recently signed a letter urging congressional leaders to include additional funds for the Physician Fee Schedule (PFS) in forthcoming legislation. This effort is an extension of work that ACA and our coalition partners started in late 2020 and which included the introduction of legislation to delay PFS cuts. 


H.R. 2654 Cosponsors and Bill Text (as updated by

House Reintroduces Bill to Modernize Medicare Chiropractic Coverage
April 20, 2021

ACA Open Letter to Congress

ACA Announces Legislative Priorities for 117th Congress
ACA Blogs, March 24, 2021

I'm Just a Bill, and I'll Be Back
ACA Blogs, December 30, 2020

Issues in Chiropractic Care: The Legislative Fight for Medicare Coverage
HealthcareDegree, Jan. 22, 2020

There is a wave gaining momentum in the chiropractic industry driven by ACA
Chiropractic Econonmics, Oct. 8, 2019

New bill will enhance seniors’ access to, coverage for drug-free care
The Columbus Dispatch, Aug. 25, 2019

Access to Chiropractic Care and the Cost of Spine Conditions Among Older Adults
American Journal of Managed Care, Aug. 9, 2019
Citizens Should Back Chiropractic Act
Albany Democrat-Herald, July 24, 2019
Help Increase Coverage of Chiropractic Services in Medicare: Support H.R. 3654
Chiropractic Economics, July 12, 2019
Support for Chiropractic in Medicare: A Letter to the U.S. Congress

Bill Introduced to Modernize Medicare Coverage of Chiropractic Services
July 9, 2019

Higgins & Reed Introduce Chiropractic Medicare Coverage Modernization Act of 2019
July 9, 2019

H.R. 3654 - 116th Congress
July 9, 2019

ACA Staff and Consultants Lay Groundwork for New Medicare Parity Bill
ACA Blogs, May 2019

"Bill to Expand Medicare's Chiropractic Coverage Brings Momentum to Historic Effort" (PDF)
The American Chiropractor, February 2019

1137545 - OUM Group Podiatrist Program Campaign


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.

June 2021