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Board lays out fee strategy and facility‑permit plan as chiropractic licensure declines
Summary
Staff recommended reestablishing fee floors and setting a 10‑year ceiling to stabilize board finances, proposed revising continuing‑education fees to reflect efficiency gains, and outlined data on satellite certificates (7,000 certificates tied to ~3,700 practice locations). The board also flagged a long‑term decline in active chiropractors.
Board staff asked the board to include a package of fee and licensing reforms in its sunset response to stabilize the program’s finances and improve oversight of practice locations.
Staff described the central elements of the proposal: reestablish baseline (floor) fee amounts based on projected 2027 costs, request a new ceiling designed to sustain the program for 10 years, and authorize staff to adjust fees through the regulation process as long as the board stays below the new cap. "My recommendation is actually to account for 2027 costs because that's when the bill would become effective…use that as your baseline and then project out 10 years to your max," staff said.
On continuing education (CE) fees, staff recommended lowering the course‑approval fee so it pays for the actual staff time required rather than rolling in overhead and inefficiency that they expect to eliminate through planned Connect improvements. Staff also presented licensing‑population data: about 7,000 active satellite certificates covering roughly 3,700 distinct practice locations, with some addresses used by many temporary examiners. That analysis informed discussion about moving from individual satellite certificates to a chiropractic facility permit model so that a single facility registration, rather than many temporary certificates, would be maintained and inspected.
The board also noted a longer‑term workforce concern: staff analysis showed a net loss of roughly 165 active licenses per year over the last 15 years. Board members supported the idea of a multi‑year study and inclusion of a forward‑looking strategic plan item to examine causes and potential policy responses to declining licensee numbers.
Next steps: staff will finalize sunset language with fee figures and proposed facility‑permit mechanics, return to the board for a formal vote, and prepare regulatory or statutory language for the 2027 effective baseline if the Legislature approves the fee authority.
