[{"_1":2,"_100":-5,"_101":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6523446,"mediaKeyId","5031092-b5c11fcb4eb63fcd7281023aa964002c","parentId",5031092,"title","Committee discusses AI risks and regulatory fit; staff to integrate AI considerations into informed‑consent, record‑keeping and supervision work","audioSeconds",1205,"startMs",3636000,"endMs",4841000,"viewUrl","/Search/View?dp=1&key=5031092-b5c11fcb4eb63fcd7281023aa964002c&start=3636&end=4841","thumbnailUrl","https://assets.pipeline.soar.com/5031092-b5c11fcb4eb63fcd7281023aa964002c/thumbnail_3636000.jpg","articleUrl","/articles/6523446/California/Committee-discusses-AI-risks-and-regulatory-fit-staff-to-integrate-AI-considerations-into-informedconsent-recordkeeping-and-supervision-work","mediaUrl","https://secure.pipeline.soar.com/6523446-68faab274a796cab34728ac375f30725/orig.mp4?Expires=1771187844&Signature=ADIRTcTSGmKBCrjglQfnwKbCjthAatrB0kPPa9xBw3Wx8PHVYv6tW371jxyyJLj3DKgrxTYjWnAaL2ncAl471KxVVvGQtZVWS6oHGNHRkUKEpy5r~AKqG2dgoUi8zmOwUcLzTuAhWfuWsmvtvHZYtMQS5QtDt0NiSjSIggk7ZSxVPGTb0TTbDVBRDykA3a3kUleXDetQpBhWHhVP3jZYEIv1Z-IsNEr0-OmKA~8xwOwHD52ePtzlRiug-l~Pf4QIXxFxSaFtgKyaNUiY5grr6HssvXQzdYv5h2Nb12HmrICt1mdeAs2SstaIJlJ5rWtYsWQf90XvQfKhRwPWPcFbUw__&Key-Pair-Id=KUT5TJCACFTXG","author","Respiratory Care Board of California","date","2025-06-19T21:21:25Z","article","The Board of Chiropractic Examiners Licensing Committee discussed the implications of artificial intelligence (AI) and other emerging technologies for chiropractic education, clinical practice and regulation during a June 13, 2025 meeting.

The conversation matters because the use of AI can affect patient privacy, the content and accuracy of medical records, informed consent, clinical decision‑making and equitable access to care; the committee framed its role around provider responsibility and public safety.

Miss Walker, licensing staff, summarized risks and opportunities: privacy of patient data, equity and access to technologies, licensee familiarity with tools, and the potential for misuse. \"One of the concerns ... is it's going to be around, more so, privacy for patients and their information, equity and access...\" Walker said, then gave an example of how AI could be misused for profiteering if a practitioner relied on biased or unethical prompts.

Committee members focused on enforcement‑oriented, provider‑centric approaches rather than technology‑specific mandates. Doctor Daniels said responsibility for AI outputs rests with the practitioner and raised the broader question of whether AI use could shift the standard of care. \"Who is responsible for the output?... If I am a chiropractor and I use AI and it gives me a diagnosis... Am I responsible if something goes wrong?\" Daniels asked.

The discussion covered several regulatorially relevant topics:
- Informed consent and transparency: Committee members emphasized that consent must be meaningful and should include disclosure if AI is used as a scribe, decision support or record generator.
- Record keeping and auditability: Staff asked whether records created or assisted by AI should be explicitly flagged and how to ensure documentation is auditable for enforcement reviews.
- Provider competency and supervision: The committee raised whether California should require or encourage AI literacy training and how supervision rules should account for AI assistants or AI‑supported staff actions.
- Equity and access: Members warned that if AI becomes a de facto standard of care but is unaffordable for smaller practices, disparities could widen.

Miss Fockers and Miss Cruz urged focusing regulation on the provider–patient relationship rather than on specific AI products. \"For me, the conversation as far as the board's role in this is either designing a regulation that really is specific to accountability and informed consent... but not regulating what they can and can't use,\" Miss Cruz said.

Staff and the enforcement committee said AI considerations could be integrated into ongoing regulation projects for telehealth, informed consent, record keeping and supervision rather than immediately drafting a new standalone AI regulation. Staff also noted a federal legislative provision under discussion (referred to in the meeting as HR 1) that could affect states’ authority to regulate AI; staff said they would monitor federal developments and prepare guidance that builds on existing telehealth and record‑keeping proposals.

No final regulatory changes were adopted. Committee members asked staff to (1) raise AI and virtual‑care topics with chiropractic schools to learn how curricula address AI competency; (2) draft regulatory language options that integrate AI considerations into informed consent, record-keeping and supervision rules; and (3) track national exam and telehealth developments relevant to AI.

Ending: Staff will return to the committee with proposed language and recommendations for integrating AI considerations into existing regulatory projects and will coordinate outreach to educational programs so the board can evaluate potential curriculum changes.","mediaType","Video","parentTitle","Board of Chiropractic Examiners - Licensing Committee Meeting - June 13, 2025","oneSentenceSummary","The Board of Chiropractic Examiners Licensing Committee discussed the implications of artificial intelligence (AI) and other emerging technologies for chiropractic education, clinical practice and regulation during a June 13, 2025 meeting.","taxTitle","Respiratory Care Board of California, Boards and Commissions, Executive, California","taxId",76751,"location","California","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6523454,"Board staff reports faster license processing, pilot Connect adoption and first temporary military-spouse license",853,165000,1018000,"/Search/View?dp=1&key=5031092-b5c11fcb4eb63fcd7281023aa964002c&start=165&end=1018","https://assets.pipeline.soar.com/5031092-b5c11fcb4eb63fcd7281023aa964002c/thumbnail_165000.jpg","/articles/6523454/California/Board-staff-reports-faster-license-processing-pilot-Connect-adoption-and-first-temporary-military-spouse-license","https://secure.pipeline.soar.com/6523454-0ee0e50669258b55468e340e57adad45/orig.mp4?Expires=1771187844&Signature=P0dYDo2AmHE3biQv7vqXfI~CtRDv9mzU18-8qH3jQIqK8G74b9DcvY1RR41hIwcvbzLFftQs~NZ~WgLyXdZejGWzpNsBQLoAvRxxT2BB5h3gICoSewO5j-5WtwG000Kn3SwgwPgG3gvmIo~wD0afGb-rSTgJT64utxNxIZr-PxixfRPjeHIFVGOysFd4jM53omE3ZWcy64AGxGyvc34eVGLMq6-8H6NxS2KqPTk1GlCgB3KzQGMpGJBeYzX6OPlF4cyxSblrkKSnZ~EJwhfKjwf2C0oFUhkKwOB6-Sw3GVurRFNnuXrIZd9gqeEHUz4dGNsDtlqODU18Yj8MKlytrw__&Key-Pair-Id=KUT5TJCACFTXG","The Board of Chiropractic Examiners Licensing Committee heard a licensing-program update on June 13, 2025, including staffing additions, faster license turnaround, progress on national exam validation and program accreditation, and early adoption figures for the state’s Connect online licensing system.

The update matters because the licensing program’s processing times and rules affect how quickly new and transferring chiropractors can begin practice in California and how the board monitors out-of-state programs and national exams.

Licensing staff reported three recent hires and internal reorganizing intended to cut application processing times. \"Amanda Oppo recently accepted our lead licensing and CE analyst position. She started in that role effective June 2,\" said Miss Walker, a licensing-program staff member, who gave the report. Walker also said Shelly Anderson begins as a licensing technician and Jose Diaz will join as an administration and licensing manager in mid-July.

Walker told the committee the program issued its first temporary DC license under the 2023 authority that allows temporary licenses for military spouses. \"We've gotten 1 application ... and that applicant passed the CCLE and was recently issued that license,\" Walker said. She described steady volumes of new DC licenses and satellite certificates and said staff has reduced processing time for initial licenses to same-day or next-business-day once all documentation is provided.

On satellite certificates and other secondary approvals, Walker said current turnaround is about 10 days and staff’s internal target had been 14 days; the longer-term goal is to cut that to 1–3 business days. The committee heard an independent public comment from Brian Ota, who said his employer’s campus-based chiropractic team needs flexibility to work at multiple campus locations and asked the committee to consider a campus- or area-limited license or a mobile chiropractic license. \"Sometimes our chiropractors need to work in an alternate location than the one that's listed on their satellite license,\" Ota said. The committee said staff and licensing have already discussed the matter and would consider placing it on a future agenda if Ota provided contact information.

Staff also summarized national and program-level monitoring. Walker reported the DCA Office of Professional Examination Services (OPES) completed an occupational analysis for chiropractic in California and is finishing a validation report of the national exam (parts 1–4 and physiotherapy) expected in July; OPES is scheduled to present to the board at the August 1 meeting. On accreditation, Walker said the Council on Chiropractic Education (CCE) granted initial accreditation to Campbellsville University (Kentucky) earlier this year, and Kaiser University (Florida) remains on probation with CCE because of licensing-exam success-rate noncompliance; Kaiser’s next report to CCE is due in December.

The committee discussed legislation touching licensing. Walker said the most impactful introduced bill this year, SB 687 (on animal chiropractic), is not moving in 2025 and will be revisited in 2026. She described a pending bill to prioritize certain applicants (referred to in discussion as AB 742) and said implementation would have modest staffing and IT costs. \"There'd be a few thousand dollars in staff time to make those edits and then a few thousand dollars in IT costs for us to modify the application,\" Walker said when asked about cost impacts.

Staff reported adoption rates for the department’s Connect online system: about 90% of brand‑new applicants use Connect and licensee adoption has risen to roughly 50% from about 30% a year earlier; staff’s goal is roughly 75% adoption among licensees. Walker said Connect improvements and cashiering/testing of a paper‑to‑Connect workflow are in progress and that new AI tools (Microsoft Copilot) are arriving at the department for staff business‑process use.

The committee postponed approval of an item to the September 5 meeting to allow members more time to review materials and to accommodate ongoing conversations. The committee also asked staff to follow up on satellite-certificate options and to accept public contact information for potential future agenda placement.

Looking ahead, staff said several regulation packages remain in the pipeline, including curriculum requirement text and edits to renewal and restoration language; those items are planned for the August 1 meeting. OPES’s validation report and board engagement on exam development are also scheduled for August.

For now, staff emphasized the licensing program’s reduced processing times and continuing work on satellite certificates, Connect adoption and regulatory text. The committee did not take any formal final rulemaking actions at the meeting.

Ending: Staff will return to the committee with proposed regulatory text and with concept papers on satellite/multi-site licensing and on the upcoming OPES validation report; committee members asked staff to circulate materials in advance so members can raise details at the August and September meetings.","The Board of Chiropractic Examiners Licensing Committee heard a licensing-program update on June 13, 2025, including staffing additions, faster license turnaround, progress on national exam validation and program accreditation, and early adoption figures for the state’s Connect online licensing system.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6523451,"Committee begins exploring reciprocity and temporary-license concepts to speed licensing for out‑of‑state chiropractors",1600,1700000,3300000,"/Search/View?dp=1&key=5031092-b5c11fcb4eb63fcd7281023aa964002c&start=1700&end=3300","https://assets.pipeline.soar.com/5031092-b5c11fcb4eb63fcd7281023aa964002c/thumbnail_1700000.jpg","/articles/6523451/California/Committee-begins-exploring-reciprocity-and-temporary-license-concepts-to-speed-licensing-for-outofstate-chiropractors","https://secure.pipeline.soar.com/6523451-644f662d450d935f06496d0b4ff5f693/orig.mp4?Expires=1771187844&Signature=CJ0FY3WL26V07szmIeti03TDNENqXuhp-p6KMl2POvk7Hrd03d-j~AkIkwLXAVE4mIu892MRFh1FRimq3DX-u7miSaOO0TuuLht4vxMZd9tWS9groK3GzioKidEaoILHCfFV-PronftCzzifMJ8n4~4LCStbTinBXb3wVRSMSNmgw0qj5QTwGORmrqMFq8aK1r~Dn6xn2gcfZXxU7zxc3SumeEEf5QBPlmxgU4Cw9uCCzPr4rOSQvyS-7lzZPtOTSptd77pLErSs3j4M3XOZSjXvZwYXPpOSomPDkIBbxnK9hlIqcogX6qdInJdRIZoPCImT5TU2GM6nYgRnNeCBZg__&Key-Pair-Id=KUT5TJCACFTXG","The Board of Chiropractic Examiners Licensing Committee opened a detailed discussion on June 13, 2025, about possible pathways for doctor of chiropractic (DC) licensure by reciprocity or endorsement and whether a temporary or probationary practice option could help applicants from other states begin work in California while completing any state‑specific curriculum requirements.

The issue matters because California’s curriculum and clinical‑hours requirements differ from other states, and current board policy generally requires primary‑source verification (degree, NBCE results and curriculum) for new licensees; committee members said that process can be redundant for experienced out‑of‑state licensees and can delay access to care.

Miss Walker, licensing staff, presented the background and asked whether the committee would consider accepting another state’s endorsement in lieu of direct primary‑source verification from a chiropractic college and the NBCE. \"The current reciprocity requires the same level of documentation to be submitted as the initial license application,\" Walker said, adding that reciprocity now only exempts older licensees missing parts of the NBCE that did not exist when they were licensed.

Committee members raised multiple concerns. Doctor Daniels said public safety requires confirming curriculum and clinical hours and that differences in scope of practice across states could leave gaps: \"We want to streamline reciprocity so that we can make it easier for physicians to come here,\" Daniels said, \"but we also want to ensure public safety.\" Miss Cruz agreed on the need to balance streamlined entry with maintaining California standards.

Legal and practical verification questions also surfaced. Sabina, staff member, noted that state endorsements certify a licensee’s record but cautioned that boards and staff can make human errors and that different states vary in what they disclose about pending investigations or informal inquiries. \"We really need to make sure we double check to make sure you don't have any very specific California requirements that you wanna make sure your licensees absolutely take,\" Sabina said, noting some California course requirements are not part of CCE standards.

The committee discussed potential models to reduce barriers:
- Accepting another state’s license endorsement as a gateway to a temporary license that allows supervised or limited practice while applicants complete California‑specific course equivalencies or make‑up clinical hours; staff pointed to the department’s existing temporary DC license program for military spouses as a model.
- Creating a time‑limited provisional or probationary license that includes transparent public notification of any California-specific requirements the licensee still needs to satisfy.
- Using experience (e.g., a specified number of years in active practice) to offset certain curriculum deficits for some applicants.

\"From the discussion, I'm kind of seeing the parallels between what we're already doing with military spouses and then potentially expanding it a bit,\" Miss Fockers, a committee member, said. Committee members asked staff to prepare a conceptual proposal for a temporary or expedited endorsement pathway and to bring examples from other states and boards, including models that use supervised practice, course equivalencies, or temporary practice allowances.

The committee also weighed a potential future change at the national level: centralized national exam part 4 moving to a single location and the possibility that some states might decouple from the national exam and adopt their own state‑specific practical assessments. Staff cautioned that if other states begin using different, state‑specific exams, California would need to engage OPES to validate those exams — a potentially costly process — before accepting them for reciprocity.

No regulatory language was adopted; staff was directed to draft a concept paper and return with model options and legal considerations for committee review.

Ending: Staff will prepare a concept paper that outlines temporary/provisional license options, suggested criteria (experience thresholds, required course equivalencies), verification mechanisms and potential legal or implementation costs, and will present examples from other states at a future meeting.","Committee members discussed models for licensure by endorsement/reciprocity, limits posed by California curriculum requirements, verification risks when accepting other states’ endorsements, and a potential temporary/probationary license approach modeled on the military‑spouse temporary license.","actionData","errors"]

Article not found

Committee discusses AI risks and regulatory fit; staff to integrate AI considerations into informed‑consent, record‑keeping and supervision work

Board staff reports faster license processing, pilot Connect adoption and first temporary military-spouse license

Committee begins exploring reciprocity and temporary-license concepts to speed licensing for out‑of‑state chiropractors