TMA Legislative News Hotline
Friday, April 8, 2011
Chiropractor Scope Bill: Believe it or not, the Senate Business and Commerce Committee passed SB 1001 by Sen. John Carona (R-Dallas) Wednesday. TMA opposed the bill. The measure would give the Texas Board of Chiropractic Examiners (TBCE) carte blanche authority to do whatever it wants — by rulemaking — without legislation or legal action from another state health licensure agency. No other state health licensure agency could sue or oppose a rule of the chiropractic board — even when it clearly is operating outside its legislative authority. Moreover, a new provision in the bill would prevent the TMB from taking legal action to stop an individual chiropractor from violating the Medical Practice Act if the chiropractic board says the chiropractor is practicing within his or her scope. This bill also would circumvent current insurance code provisions concerning nondiscrimination against nonphysicians, which would enable chiropractors to get paid for more services and also would increase utilization. In essence, TBCE trumps both TMB and the Texas Department of Insurance. And lastly, chiropractors could create partnerships and other professional organizations with physicians, thus circumventing current statutory law that sets out how these organizations are structured. TMA may be calling on you to help stop this bill.
Call your state senator today. Ask your senator for his or her commitment to vote “NO” when SB 1001 comes up for a vote on the Senate floor.
A copy of the Senate Finance Subcommittee on Fiscal Matters list of options for generating additional money for the Senate to add to its budget was leaked yesterday. The entire list is on the Texas Taxpayers and Research Association’s website. items on the list of interest to medicine include:
- Liquidate the tobacco settlement endowment funds ($590 million);
- Liquidate the permanent public health fund ($379 million); and
- Extend the small business exemption from the franchise tax—an item that costs the state an estimated $150 million.
Tell us your story. TMA wants to capture your story on video. Tell us why you decided to become a physician. What day did you leave your office or hospital and say to yourself, “Now, that’s why I became a physician”? Tell us what your profession means to you. Check out “physician moments” from some of your colleagues.
House panel consults doctors on permanent SGR fix (American Medical News)
Majority of Americans agree healthcare system needs an overhaul (Healthcare Finance News)
Developing an ACO: How to Manage Risk (Becker's Hospital Review)
Reforming Medicare for the real world (Chicago Tribune)