Chief Sponsor: Michael K. McKell

House Sponsor: Karen M. Peterson


8     General Description:
9          This bill amends the Chiropractic Physician Practice Act.
10     Highlighted Provisions:
11          This bill:
12          ▸     allows a chiropractic physician to use advanced imaging, including x-ray, for
13     diagnostic purposes.
14     Money Appropriated in this Bill:
15          None
16     Other Special Clauses:
17          None
18     Utah Code Sections Affected:
19     AMENDS:
20          58-73-601, as last amended by Laws of Utah 2004, Chapter 280

22     Be it enacted by the Legislature of the state of Utah:
23          Section 1. Section 58-73-601 is amended to read:
24          58-73-601. Scope of practice for a chiropractic physician.
25          (1) A chiropractic physician licensed under this chapter may engage in the practice of
26     chiropractic as defined in Section 58-73-102 in accordance with the following standards.
27          (2) A chiropractic physician may:
28          (a) examine, diagnose, and treat only within the scope of chiropractic as described in
29     this Subsection (2);

30          (b) (i) use x-ray for diagnostic purposes only; and
31          (ii) order, for diagnostic purposes only:
32          (A) ultrasound;
33          (B) magnetic resonance imaging; and
34          (C) computerized tomography;
35          (c) administer:
36          (i) physical agents, including light, heat, cold, water, air, sound, compression,
37     electricity, and electromagnetic radiation except gamma radiation; and
38          (ii) physical activities and devices, including:
39          (A) exercise with and without devices;
40          (B) joint mobilization;
41          (C) mechanical stimulation;
42          (D) postural drainage;
43          (E) traction;
44          (F) positioning;
45          (G) wound debridement, cleansing, and dressing changes;
46          (H) splinting;
47          (I) training in locomotion and other functional activities with and without assistance
48     devices; and
49          (J) correction of posture, body mechanics, and gait;
50          (d) administer the following topically applied medicinal agents, including steroids,
51     anesthetics, coolants, and analgesics for wound care and for musculoskeletal treatment,
52     including their use by iontophoresis or phonophoresis;
53          (e) treat pain incident to major or minor surgery, cancer, obstetrics, or x-ray therapy;
54          (f) utilize immobilizing appliances, casts, and supports for support purposes, but may
55     not set displaced bone fractures;
56          (g) inform the patient of possible side effects of medication and recommend referral to
57     the prescribing practitioner;

58          (h) provide instruction in the use of physical measures, activities, and devices for
59     preventive and therapeutic purposes;
60          (i) provide consulting, educational, and other advisory services for the purposes of
61     reducing the incidence and severity of physical disability, movement dysfunctions, bodily
62     malfunction, and pain;
63          (j) treat a human being to assess, prevent, correct, alleviate, and limit physical
64     disability, movement dysfunction, bodily malfunction, and pain resulting from disorders,
65     congenital and aging conditions, injury, and disease; and
66          (k) administer, interpret, and evaluate tests.
67          (3) A chiropractic physician may not:
68          (a) perform incisive surgery;
69          (b) administer drugs or medicines for which an authorized prescription is required by
70     law except as provided in Subsection (2)(d);
71          (c) treat cancer;
72          (d) practice obstetrics;
73          (e) prescribe or administer x-ray therapy; or
74          (f) set displaced fractures.
75          (4) A chiropractic physician shall assume responsibility for his examinations,
76     diagnoses, and treatment.
77          (5) Nothing in this section authorizes a chiropractic physician to prescribe, possess for
78     dispensing, dispense, purchase without a prescription written by a licensed and authorized
79     practitioner, or administer, except under Subsection (2)(d), a drug requiring a prescription to
80     dispense, under Title 58, Chapter 37, Utah Controlled Substances Act, or Title 58, Chapter
81     17b, Pharmacy Practice Act.
82          (6) Only primary health care providers licensed under this title as osteopathic
83     physicians, physicians and surgeons, naturopaths, and chiropractic physicians, may diagnose,
84     adjust, manipulate, or therapeutically position the articulation of the spinal column to the extent
85     permitted by their scopes of practice.