[{"_1":2,"_124":-5,"_125":-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",[32,76,88,100,112],{"_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",6496852,"mediaKeyId","5548772-8ba5661be63052757d44d3ba58186775","parentId",5548772,"title","Board approves clearer patient recordkeeping and retention rules, relaxes signature requirement for electronic records","audioSeconds",1262,"startMs",9153000,"endMs",10415000,"viewUrl","/Search/View?dp=1&key=5548772-8ba5661be63052757d44d3ba58186775&start=9153&end=10415","thumbnailUrl","https://assets.pipeline.soar.com/5548772-8ba5661be63052757d44d3ba58186775/thumbnail_9153000.jpg","articleUrl","/articles/6496852/California/Board-approves-clearer-patient-recordkeeping-and-retention-rules-relaxes-signature-requirement-for-electronic-records","mediaUrl","https://secure.pipeline.soar.com/6496852-287d243578fb40e4fb8a970c34291dc9/orig.mp4?Expires=1773627169&Signature=cOmqe1Q3f~cW8lnvXiGSoko1d8EfU~vfERVnFpfn3i9uVsRd95DppeVGXNXiSC6aEYXLEWJgcua6kSbj2wX9q9FC-lIMcvySKRyVYBCy~k82kLIZMkweUAtwcC1KI3u95GLZ2HQmIYdXPSUZ5a-UKkbvfsneIz2nVEjJXN0OZ146uhIveWxtFbhPqyObERenaTfYUTjMQ1QCwuhOeBH5Lfu3vb-cqmbraPMvlc-RpF~rwjvmu7xgxVhhSfsFB-uFMpPEVpDHL1IOQnPC0pYgHFldjhJDbg8~RZO6~pITprZ2Wy30wNS65CWI3M90djCngFDM1nN5CtwOK76wShq4Lw__&Key-Pair-Id=KUT5TJCACFTXG","author","Respiratory Care Board of California","date","2025-08-06T01:48:45.907Z","article","The Board of Calvert Grama voted Aug. 1 to begin rulemaking that updates and modernizes chiropractic patient recordkeeping and retention requirements, including new minimum standards for initial and subsequent visit documentation and procedures for practice closure or licensee incapacity.

Staff told the board the draft replaces an older, fragmented set of rules and clarifies expectations: patient files must include contemporaneous, legible entries that support diagnoses, services and clinical recommendations; initial visit documentation must include chief complaint, history and exam findings; subsequent visit notes must record treatment, response and a plan; and a complete patient file standard was specified.

The draft also requires practices to provide advance notice to patients and the board prior to licensee retirement, sale or closure, and to have a documented plan for record transfer or access in the event of incapacity or death.

Board members raised questions about electronic records and signatures. Some members noted that modern electronic health records do not always produce a wet signature and that electronic audit trails or a printed full name generated by the system often serve as evidence of responsibility for a record. After discussion the board approved an amendment to the draft: where the existing text required a full name and signature, the regulation will be revised so that the full name or an electronic signature/initials that identify the treating doctor are sufficient. Staff said the change appears in two related subsections and will be made in both places.

The motion — which included the amendment to replace the signature requirement language in the listed subsections — passed by roll call (Adams, Daniels, Cruz, Azzolino, Perez, Sweet voted yes).

Why this matters: Enforcement staff said unclear or inconsistent documentation has complicated investigations and disciplinary actions. The updated rule attempts to modernize requirements for electronic records while ensuring records clearly identify who provided care and what care was provided.

Ending: Staff will submit the amended draft to the DCA director and the agency for review and, if there are no adverse comments, the board will move the package into the formal 45‑day public comment process.","mediaType","Video","parentTitle","Board of Chiropractic Examiners - Licensing Committee Meeting - August 1, 2025","oneSentenceSummary","The board approved updated patient recordkeeping and retention regulations requiring contemporaneous, legible documentation and plans for record transfer on practice closure, and agreed to amend language so an electronic name or signature suffices for responsibility and ownership of notes.","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},6496858,"Board approves rulemaking to clarify renewal, restoration and require BLS for active licenses",413,8746000,9159000,"/Search/View?dp=1&key=5548772-8ba5661be63052757d44d3ba58186775&start=8746&end=9159","https://assets.pipeline.soar.com/5548772-8ba5661be63052757d44d3ba58186775/thumbnail_8746000.jpg","/articles/6496858/California/Board-approves-rulemaking-to-clarify-renewal-restoration-and-require-BLS-for-active-licenses","https://secure.pipeline.soar.com/6496858-532f14c9321ded9806f199d9f1f87e3d/orig.mp4?Expires=1773627169&Signature=iaFo3NdFYmYE-84~YOqznKh0H5Xh4wrCw~k00TdJrkTjFehbbicGw4huMvTz7XG5K5k~WWQknrM6kF3VVbmMWGo9kHC6Wswwr6UKiA83kcsNfumQjl9ljDbFN9OulHoz8rsZA4rkEN2gSM9hfahX7ZnTN0MYDPgd~Ri~vGy--zCZpEcJ9lt1uAsq57GvcV0Pv-JnQNsvlOB0qBplWGug2-ry4THsnPzYhXoy44zuOWsqq~dEvobs0o2p86lY4xCPPr45hBCZtZKBJNjZvOug9w3RSHTC5R6KVNN6jjB9uYlHVzCmvG6u2MoroNemtZtVbXOHG8y52pqq5s2B1TPvPw__&Key-Pair-Id=KUT5TJCACFTXG","The Board of Calvert Grama voted Aug. 1 to move forward with a regulatory package clarifying license renewal procedures, restoration and forfeiture definitions, and to require basic life support (BLS) certification for licensees holding active status.

Staff told members the proposal replaces regulatory forms previously embedded in text with plain-language regulatory requirements, which allows future non‑substantive form edits without a full rulemaking. The draft also extends the expiration window the board uses to categorize inactive credentials, adds clearer restoration steps for licenses that lapsed or were forfeited, and establishes BLS as a condition for active licensure in California.

Board counsel and staff explained the forms were being removed from the regulations so that small administrative updates (for example to a department address or form header) can be made without reopening a regulation. The package retains explicit standards for restoration: applicants seeking to reactivate after lapse or forfeiture would need to demonstrate continuing competency or meet specified testing or practice criteria, consistent with the board’s statutory authority.

After discussion, the board approved the motion to submit the proposed text to the Department of Consumer Affairs for agency review and, if there are no adverse comments, to begin the rulemaking process. Roll‑call votes recorded all members present voting yes (Adams, Daniels, Cruz, Azzolino, Perez, Sweet).

Why this matters: Rewriting renewal and restoration rules clarifies expectations for licensees who allow credentials to lapse and creates an explicit BLS requirement for maintaining active status — a step licensing staff say is intended to ensure basic emergency preparedness among practitioners.

Ending: Board staff will send the package to the DCA director and the Business, Consumer Services and Housing Agency for review and will notify stakeholders when the rule package posts for public comment.","The board authorized staff to begin rulemaking to clarify renewal rules, extend expiration windows, distinguish restoration versus forfeiture processes, and require basic life support certification for active status.",{"_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},6496863,"Public commenter presses board for faster CE distance-learning rule changes; DCA outlines agency reorganization and travel guidance",560,373000,933000,"/Search/View?dp=1&key=5548772-8ba5661be63052757d44d3ba58186775&start=373&end=933","https://assets.pipeline.soar.com/5548772-8ba5661be63052757d44d3ba58186775/thumbnail_373000.jpg","/articles/6496863/California/Public-commenter-presses-board-for-faster-CE-distance-learning-rule-changes-DCA-outlines-agency-reorganization-and-travel-guidance","https://secure.pipeline.soar.com/6496863-7489b95c930068fb8d3a0d924d40299a/orig.mp4?Expires=1773627169&Signature=dQfBWNZZ77LvVFX9dD64S0vS68w1kVhQPGC9ffNs1FSfpwybsB7xOOgGdvBZy6SrvNBvp-gOzLV0uDFnezKv6wkXCH1MGLH6w932pvbrfgs7sL9hTVIeIdfveAsU86Gl1vTvQueYzUWvCMdTgmAnNtC~L3AtI3LyvTmJKJbiwz5OKadYbnQ3Ec4fGNU~yHh22bQ3FwyZYayiLjZ68cGLN0v6hR8R2Gm6VUZj-9P2P9sashmXNxX2ibEpCiOjgZuSoWRcVc1zI2RNMr5dkR0GL2Sbp8e6BVHCErexaRZyyxnN6pHP8XmgWJNUc~~YMVdbnQihan1b9bAbuSIZExoEpQ__&Key-Pair-Id=KUT5TJCACFTXG","A public commenter urged the board Aug. 1 to accelerate changes to continuing-education (CE) rules that would permit distance-learning alternatives to in-person “live” hours, and Department of Consumer Affairs (DCA) legislative affairs staff described an agency reorganization, telework directives and new travel guidance that staff said will affect board operations.

Marcus Struts, who spoke during the public comment period, told the board he was “super frustrated with the slow unbelievably slow movement on the change of the CE rules and regs to change the live requirement to a option of live requirement for Zoom requirement, so for distance learning.” Struts said the effort began in October 2022, and he urged the board and staff to “establish a pathway to make changes on something this simple,” saying the delay was harming licensees who travel and pay high course fees.

“We are eagerly awaiting the big change of getting the fees that are a $116 per hour, for a CE course, and getting that situation rectified,” Struts told the board, asking the board to push the Department of Consumer Affairs or otherwise “put a fire under someone so someone gets moving.”

During staff presentations earlier in the meeting, Ian Gallaher of DCA’s Legislative Affairs Division briefed the board on several statewide items: Governor Newsom’s reorganization plan (splitting Business, Consumer Services and Housing into two agencies effective July 1, 2026), an executive order raising in‑office hybrid telework expectations (which was subsequently delayed in part by labor agreements), updated state travel guidance limiting out‑of‑state travel to mission‑critical activities, and the department’s annual report published this summer.

Gallaher said the two new agencies will become operative on July 1, 2026, and that DCA is coordinating workgroups to prepare the logistics for the transition. On telework, he noted an executive order initially requiring state employees to increase on‑site presence from two to four days per week in July 2025; labor agreements negotiated later delayed that requirement for much of the department for an additional year. On travel, Gallaher said all out‑of‑state travel must be justified as mission critical and routed through the DCA budget office at least eight weeks in advance.

Why this matters: Distance‑learning CE rules affect the cost and availability of continuing education for licensees; public complaints underscore practitioner frustration while staff say the rule package is nearly ready for public notice. Separately, the DCA reorganization and travel/telework policies affect board staffing, meeting logistics and budget planning ahead of the board’s upcoming sunset review.

Ending: Board staff said the distance‑learning regulatory package was drafted and approved by the DCA director and only awaited final agency signoff for public notice; the board affirmed it will continue to press for timely implementation and promised to update stakeholders when the package goes to public comment.","Public commenter Marcus Struts told the board he and other chiropractors are frustrated at delays to allow distance learning CE; the Department of Consumer Affairs (DCA) legislative affairs staff briefed the board on an agency split, telework changes and updated travel rules.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6496868,"State exam office endorses NBCE and readies California law exam changes",924,1768000,2692000,"/Search/View?dp=1&key=5548772-8ba5661be63052757d44d3ba58186775&start=1768&end=2692","https://assets.pipeline.soar.com/5548772-8ba5661be63052757d44d3ba58186775/thumbnail_1768000.jpg","/articles/6496868/California/State-exam-office-endorses-NBCE-and-readies-California-law-exam-changes","https://secure.pipeline.soar.com/6496868-efe315d64dfbcfc7387f541eed7a60f6/orig.mp4?Expires=1773627169&Signature=barUFdQB9IUsM3OvpmlK11L9BfTCfB1DL9WJkny-ApoAngHDCED6Up8FGvckSbo0Sg4~jywKcGt3Jq0f7mkVO2By5JzFbDPL0pKPAxRsMtATePCSZINm3wCmzpd2UMLY7CrNch9PFDRTMBxtCbu7f5IqEOkZYCAUXQRkr~I2vvDNJYMaY50w-LYzos-hbktOcMW4IHd91za7Gbs6I2qOfkfRMGFftGY1Y0GO66PUH1Au7~jGXblEuSkOKkCeQOTypSNnm0XAKL0PM0ZzOLepXLgXYrT9UWTSi~L6rNPl~-KWLTnc88p-wxeMHK4kv4opuBdkcLYIxUP5reuwQ3IamA__&Key-Pair-Id=KUT5TJCACFTXG","The Office of Professional Examination Services (OPES) told the board Aug. 1 that its review of national testing and a 2024 California occupational analysis supports continued use of the National Board of Chiropractic Examiners (NBCE) tests and updates the state law exam the board administers.

Amy Welch Gandy, OPES director, and test specialist Ganesh Kumar described a three-part national exam review: a psychometric evaluation, a linkage study comparing national and Californian practice analyses, and a determination of how well national and state examinations together cover California practice. OPES concluded the NBCE sections “meet psychometric standards” and recommended continuing to require NBCE components as part of California licensure.

“OPES supports the board’s continued use of the NBCE examination as part of licensure requirements in California,” Amy Welch Gandy said during the presentation.

OPES also described work on the California Chiropractic Law Examination (CCLE), which the office develops. Test specialists said OPES completed a California occupational analysis (OA) in 2024. The OA was sent to all licensed California chiropractors and drew a higher-than-typical response: staff reported distribution to roughly 10,325 licensees and 338 completed responses used for analysis (about a 3.3% raw response but larger effective dataset after data cleaning). OPES staff described that process as unusually extensive for a profession-specific OA.

Ganesh Kumar outlined steps OPES will use to update the CCLE: develop an outline from the OA, recruit diverse subject-matter experts (SMEs) to write and review items, pretest items in scored forms to collect statistical performance data, and set passing scores using a criterion-referenced method (currently the modified Angoff method). OPES said the updated CCLE outline will be implemented on examination forms starting in September 2025.

Board members pressed OPES on SME composition and confidentiality. OPES staff said their policy discourages but does not strictly bar board members and educators from SME panels because some national tests include board members; OPES asks for transparency if board members participate. The department’s policy also restricts board members from reviewing scored exams because of past confidentiality breaches. OPES said it will add sample CCLE items to the candidate handbook for the first time to help candidates prepare.

Board members expressed support for OPES’ work and appreciation for the OA’s scale and SME participation; several members noted the new CCLE will add a specific professional boundaries subsection that was not previously included.

Why this matters: The board depends on psychometrically valid exams to determine who may practice safely. OPES’ endorsement of the NBCE and its plans for the CCLE shape licensure pathways and candidate preparation, and the September 2025 CCLE timeline establishes near-term operational actions for licensing staff and test administration.

Ending: OPES will continue item development, monitor pretest performance, and consult SMEs for passing score setting; board staff and OPES will post sample CCLE items in candidate materials before live administrations.

","OPES found the National Board of Chiropractic Examiners (NBCE) meets psychometric standards for California licensure and outlined implementation steps for the new California Chiropractic Law Examination (CCLE) based on a 2024 occupational analysis.",{"_33":113,"_35":36,"_37":38,"_39":114,"_41":115,"_43":116,"_45":117,"_47":118,"_49":119,"_51":120,"_53":121,"_55":56,"_57":58,"_59":122,"_61":62,"_63":64,"_65":123,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6496872,"Board launches rulemaking to update approval standards for chiropractic degree programs",3066,5662000,8728000,"/Search/View?dp=1&key=5548772-8ba5661be63052757d44d3ba58186775&start=5662&end=8728","https://assets.pipeline.soar.com/5548772-8ba5661be63052757d44d3ba58186775/thumbnail_5662000.jpg","/articles/6496872/California/Board-launches-rulemaking-to-update-approval-standards-for-chiropractic-degree-programs","https://secure.pipeline.soar.com/6496872-80dc95231802e71e82797341a05f231a/orig.mp4?Expires=1773627169&Signature=RxZNQwXbVNhiocJnCiwFdTOtJ4QH1HcN~rz7D9S~G9ZE-7mglHB8sqIYOc5cxsJDI6d52PMJ6RajHp9nPOwbuE37Bjoa63KpNENKpYCnx-KoFs-31AL0KkhhcAByW6F15Q0LCPxYaPjErCyPU1HQr8fML-p348vXwfhFyoHZJw9xyCZjtAbKV2eWnIE02NXCpz-NutWhq7H3l8XnEG72QFQHlO96ildsvtcXrjynwM7votWLS3X~nLYmjAw0TRL4Xt~sDMqXuVHpMcwhQbinhyoJDUWRuOETCgiRxxNtixWOgS-IuUfBUIHzIDCBbuuOgqS5dV5ttKACIzErWK8KSQ__&Key-Pair-Id=KUT5TJCACFTXG","The Board of Calvert Grama voted on Aug. 1 to initiate rulemaking that would modernize how the board approves doctor of chiropractic degree programs, replacing detailed administrative mandates with competency-based requirements and clearer board authority to oversee programs.

The move follows multi-year stakeholder discussions and a revised draft developed with input from chiropractic schools and the Council on Chiropractic Education. Board members said the draft removes long-standing, overly prescriptive administrative requirements and shifts regulation toward measuring student outcomes and clinical competencies.

Board Executive Officer Kristen Walker told members the proposal “clarif[ies] definitions of various organizations and educational terms, specify[ies] the process for board approval of chiropractic programs, grant[s] the board authority to inspect and obtain records from programs, and update[s] educational and clinical competency requirements, including direct assessment programs and distance learning.”

The board’s licensing analyst, Amanda Apo, described the administrative rationale: earlier 2020 text had been returned as too vague, and the new draft reflects a reconciliation of input from the affected programs and the Council on Chiropractic Education’s 2025 accreditation standards.

Board members and staff said the revision aims to reduce duplication between board rules and program accreditation, add contemporary standards for student success and cultural competency, and provide clearer rules for clinical preceptorships and program oversight. Committee chair Dr. Daniels, who led stakeholder outreach, said schools were generally supportive and that the revisions represented “an initial step” after extensive consultations.

The board approved the motion to submit the proposed regulatory text to the Department of Consumer Affairs and the Business, Consumer Services and Housing Agency for review and, if no adverse comments are received, to begin the formal rulemaking process. During the motion the board added a single substantive edit to clarify one anatomy-related line: replacing “physical and virtual dissection or prosection” with wording to allow “physical or virtual or both” methods. Counsel noted that change was substantive and the board amended the text accordingly before voting.

Votes were taken by roll call. The motion passed unanimously on the recorded roll call (yes: Adams, Daniels, Cruz, Azzolino, Perez, Sweet). The board authorized the executive officer to make non-substantive edits and proceed to public notice, with the caveat that further technical cleanup could be done later in the rulemaking if needed.

Board staff said the package will go to agency review next; if approved it will be published for the standard 45-day public comment period. The board’s enforcement and licensing staff will continue work on implementation details, including the mechanics of preceptor approvals and transition-related guidance for programs and students.

Why this matters: The regulations govern what training is required to become licensed in the state. Supporters said the change will reduce administrative burdens on accredited programs and align California’s requirements with national accreditation while preserving the board’s oversight role. Opponents had argued earlier iterations were either too prescriptive or not protective enough; the board sought a middle path through stakeholder negotiation.

The board’s licensing staff will post the proposed text when the package clears agency review and will notify stakeholders of the public comment period.

Ending: The board’s vote advances a multi-year effort to modernize chiropractic education rules in California. Staff said further stakeholder outreach and small technical edits are expected as the text moves through the formal notice-and-comment process.","The Board of Calvert Grama voted to begin rulemaking to replace decades-old, prescriptive education rules with competency-focused standards for chiropractic degree approval, instructing staff to proceed with minor edits and agency review.","actionData","errors"]

Article not found

Board approves clearer patient recordkeeping and retention rules, relaxes signature requirement for electronic records

Board approves rulemaking to clarify renewal, restoration and require BLS for active licenses

Public commenter presses board for faster CE distance-learning rule changes; DCA outlines agency reorganization and travel guidance

State exam office endorses NBCE and readies California law exam changes

Board launches rulemaking to update approval standards for chiropractic degree programs