HR 8701 – The Chiropractic Act of 2022 – Introduction of CIA Approved Health Insurance Legislation


FALLS CHURCH, VA, USA, August 12, 2022 / — In a major step forward for chiropractic, HR 8701, the Chiropractic Act of 2022 was introduced today by Congressman Bill Posey. This bill has the potential to make chiropractic more readily available to the millions of Americans who rely on Health Insurance. The International Association of Chiropractors (ICA) is proud to support this legislation. The entire US-based chiropractic profession has been asking for years to improve Medicare. HR 8701 provides the necessary solutions.

This is enacted legislation that can be passed quickly. It provides clear instructions for standard of care assessment and management services (examinations and radiological imaging as needed).

Three years ago, by passing the SUPPORT for Patients and Communities Act of 2018 (Public Law 115-271), Congress confirmed the need for changes to Medicare to remove barriers to nonopioid alternatives and non-pharmacological for acute and chronic pain. . The Center for Medicare and Medicare Services (CMS) has returned to Congress to remind them that they cannot make the necessary fixes to access chiropractic without congressional action. Medicare beneficiaries deserve legislation that can be signed into law as soon as it passes, which is exactly what can happen with HR 8701. Although chiropractic does more than treat back and neck pain, it is a first line of care for these symptoms and experts say that if chiropractic is the first line of care for low back pain, the patient is at least 50% less likely to end up with an opioid prescription. Chiropractic focuses on solving problems, not simply suppressing pain symptoms.

The Chiropractic Act of 2022
1. Provides specific instructions to CMS to cover what is standard of care – assessment and management services – specifically including examination and, if required, radiographic imaging services, while specifically excluding any expanding the scope of drug prescribing – an important clarification that Congress agrees with a majority of the chiropractic profession.
2. The bill streamlines the provision regarding the freedom of patients to contract privately for services so that all physicians as defined in Medicare (which includes chiropractors) can contract privately. This is commonly referred to as the exclusion clause. Chiropractors are the only physicians currently not included in this provision.
3. Eliminates remnants of antitrust discrimination against chiropractors that were in play in 1972 when chiropractic was included in Medicare.
4. This bill provides for rapid implementation so that Medicare beneficiaries can benefit from the changes as soon as possible.

Dr Selina Sigafoose Jackson, President of the ICA, said, “Today is a day that will go down in the record books of chiropractic history. Decades of work by so many CIA warriors have resulted in HR 8701. So proud of our Board of Directors, past and present, and the entire CIA team for making the introduction of this bill possible. Now my friends, let’s roll up our sleeves, and put- “We at work and get this done. Now is the time for Medicare patients to be respected through this legislation, to be able to choose chiropractic, and to be reimbursed fairly.”

CIA Executive Director Beth Clay said, “The CIA appreciates Congressman Bill Posey’s introduction of HR 8701, the Chiropractic Act of 2022. This bill is the solution to the obstacles access for Medicare beneficiaries who want to seek chiropractic care and be treated fairly. in the program to which they have contributed for decades. We look forward to quickly gaining support and seeing it enacted.

To learn more about how you can support this legislation and to read the bill, visit


Beth Clay
International Association of Chiropractors
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