119-hr539

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 539 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 539

 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 license, and for other purposes.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 January 16, 2025

 Mr. Steube (for himself, Mr. Larson of Connecticut, Mr. Smith of 
 Nebraska, Mr. Boyle of Pennsylvania, Ms. Van Duyne, and Mr. Davis of 
 North Carolina) introduced the following bill; which was referred to 
the Committee on Energy and Commerce, and in addition to the Committee 
 on Ways and Means, for a period to be subsequently determined by the 
 Speaker, 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 license, and for other purposes.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Chiropractic Medicare Coverage 
Modernization Act of 2025''.

SEC. 2. FINDINGS; STATEMENT OF PURPOSE.

    (a) 

=== Findings ===
-Congress finds the following:

    (1) In 1972, coverage was established under the Medicare 
 program for beneficiaries to receive chiropractic care.

    (2) Unfortunately, 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 systems.

    (3) Today, due to positive evidence-based outcomes and cost 
 effectiveness of the services provided by doctors of 
 chiropractic, private coverage for chiropractic services has 
 evolved and State licensure for chiropractors has advanced to 
 meet patient needs and health outcomes.

    (4) This Act would bring Medicare chiropractic coverage 
 more in line with that provided with the Department of Veterans 
 Affairs, Department of Defense, the Federal Employee Health 
 Benefits Program, and private health insurance coverage.

    (b) 

=== 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 
action, including current service of ``manual manipulation of the spine 
to correct a subluxation'', as is legally authorized by the State in 
which such doctor performs such function or action.

SEC. 3. PROVIDING MEDICARE COVERAGE FOR ALL PHYSICIANS' SERVICES 
 FURNISHED BY DOCTORS OF CHIROPRACTIC WITHIN THE SCOPE OF 
 THEIR LICENSE.

    (a) In General.--

Section 1861

    (r)

    (5) of the Social Security Act (42 
U.S.C. 1395x

    (r)

    (5) ) is amended by striking ``a chiropractor who is 
licensed as such by the State (or in a State which does not license 
chiropractors as such, is legally authorized to perform the services of 
a chiropractor in the jurisdiction in which he performs such services), 
and who meets uniform minimum standards promulgated by the Secretary, 
but only for the purpose of sections 1861

    (s)

    (1) and 1861

    (s)

    (2)
        (A) and 
only with respect to treatment by means of manual manipulation of the 
spine (to correct a subluxation) 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 performed''.

    (b) Certain Coverage Limits.--

Section 1833 of the Social Security 
Act (42 U.S.C. 1395l) is amended by adding at the end the following new 
subsection:
 ``

    (ee) Limitation on Payment of Services Provided by Certain 
Doctors of Chiropractic.--Notwithstanding any other provision of this 
part, in the case of services of a doctor of chiropractic described in 

section 1861

    (r)

    (5) , payment may only be made under this part for such 
services if--
 ``

    (1) such services are furnished by a doctor of 
 chiropractic who is verified once, by a process designed by the 
 Secretary, as attending an educational documentation webinar, 
 or other similar electronic product, designed by the Secretary 
 or an updated modified version of such webinar, as designed by 
 the Secretary; or
 ``

    (2) such services are treatment by means of manual 
 manipulation of the spine to correct a subluxation.''.
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