HB84INTRODUCED Page 0 HB84 MJL3111-1 By Representative Woods RFD: Boards, Agencies and Commissions First Read: 04-Feb-25 PFD: 06-Jan-25 1 2 3 4 5 6 MJL3111-1 01/06/2025 ZAK (L)ma 2024-3049 Page 1 PFD: 06-Jan-25 SYNOPSIS: Under existing law, notice of an election and ballots on which to vote for members of the Board of Chiropractic Examiners must be mailed to licensees thereof. This bill would allow other methods to be used in sending these notices and ballots. Under existing law, the Board of Chiropractic Examiners may issue a limited license to a student or recent graduate to engage in the practice of chiropractic under the supervision of a licensee. This bill would remove the board's authority to issue such a limited license and provide that a student practicing under the supervision of a licensee may not use a title indicating licensure. Under existing law, a licensee must provide evidence of completing 18 hours of continuing education within the preceding year to renew a license. This bill would provide that a licensee must provide evidence of completing professional education work in the number of hours and manner required by rule of the board. This bill would also make nonsubstantive, technical revisions to update the existing code language to current style. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 HB84 INTRODUCED Page 2 language to current style. A BILL TO BE ENTITLED AN ACT Relating to the Board of Chiropractic Examiners; to amend Sections 34-24-140, 34-24-145, and 34-24-165, Code of Alabama 1975, to permit board member election notices and ballots to be sent using multiple methods; to remove the board's authority to issue limited licenses; to prohibit students practicing under licensee supervision from using titles indicating licensure; to authorize the board to provide licensee continuing education requirements by rule; and to make nonsubstantive, technical revisions to update the existing code language to current style. BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: Section 1. Sections 34-24-140, 34-24-145 and 34-24-165, Code of Alabama 1975, are amended to read as follows: "§34-24-140 (a) There is created and established a State Board of Chiropractic Examiners. The board shall be composed of nine members. Eight members of the board shall be active licensed chiropractors elected as provided in this section. Seven of the elected members shall be elected one from each congressional district in this state except as otherwise provided in Section 34-24-141. Any candidate for or member of the board shall be a resident of the appropriate congressional 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 HB84 INTRODUCED Page 3 the board shall be a resident of the appropriate congressional district except one candidate for the board shall be elected from the state at large at-large. One elected member of the board shall be elected from the state at-large and shall be an African-American. (b) Each elected member of or candidate for the board shall meet all of the following qualifications: (1)A citizen and Being a resident of Alabama this state who has resided in this state for at least five years ;. (2) Being a graduate of a chartered chiropractic school or college, which that required actual attendance in the school as a prerequisite to graduation ;. (3) currently Currently engaged in the clinical practice of chiropractic and has been engaged in the clinical practice in this state for at least the five immediately preceding years;. (4) having Having renewed his or her license to practice chiropractic by September 30 of the year in which the an election shall take place ;. (5) Being of good moral character ;. (6) and must not be Not presently on probation relating to the practice of chiropractic in any state including this state. (b)(c) One member of the board shall be a consumer member appointed by the Governor. Neither the consumer member , nor his or her spouse , shall may be a chiropractor. The consumer member shall may not be an immediate family member of a chiropractor, nor shall may he or she be employed in the chiropractic field. 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 HB84 INTRODUCED Page 4 chiropractic field. (c)(d) The elected members of the board shall be elected as provided in this subsection. In August of any year that the term of a member of the board expires, the Board of Chiropractic Examiners board shall mail send a notice of the election of the board and the method of qualifying as a candidate to each active licensed chiropractor in the district where the vacancy occurs at according to his or her permanent mailing address. The election provided for in this section subsection shall be conducted by an independent agency such as a certified public accounting firm unless there is only one candidate for the board and in this situation, the board shall certify announce the results. The board shall set a period for candidates to qualify and the date for the ballots to be mailed sent. Candidates shall qualify by submitting their name to the executive director of the board during the qualifying period which shall be not less than 20 days nor more than 40 days after the notice is mailed sent. Not less than 14 days after the deadline for qualification, each licensed chiropractor shall be mailed sent a ballot for the appropriate congressional district where the vacancy is to be filled. In order to be counted, the ballots shall be returned by mail to the independent agency postmarked and time stamped not later than 14 business days after the ballots were mailed sent by the board independent agency . The results of the election shall be certified by the independent agency. The ballots shall be maintained for a period of six months by the independent agency. The candidate with a simple majority of the votes cast in each respective congressional district shall 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 HB84 INTRODUCED Page 5 the votes cast in each respective congressional district shall be elected to the board position for that congressional district. In the event no candidate in a district receives a majority of the votes, the board shall hold a run-off election in the same manner as provided in this subsection. The members of the board shall take office immediately upon at the first meeting of the board after the election and the executive director of the board shall set the date of the first meeting of the board after the election of the new board. (d)(e) Whenever a vacancy occurs on the board, whether by death, resignation of a member, or other cause, the vacancy shall be filled in the same manner as the original election or appointment for the remainder of the term of office. (e)(f)(1) The board may employ investigators, inspectors, attorneys, and any other agents, employees, and assistants as may from time to time be necessary, and may use any other means necessary to bring about and maintain a rigid administration and enforcement of state and federal law. (2) The board shall have the power to may issue subpoenas and compel the attendance of witnesses and the production of all necessary papers, books, records, documentary evidence and materials, or other evidence. Any person individual failing or refusing to appear or testify regarding any matter about which he or she may be lawfully questioned or to produce any papers, books, records, documentary evidence or materials, or other evidence in the matter to be heard, after having been required by order of the board or by a subpoena of the board to do so, upon application by the board to any circuit judge of this state, may be 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 HB84 INTRODUCED Page 6 by the board to any circuit judge of this state, may be ordered to comply therewith ; and, upon. Upon failure to comply with the order of the circuit judge, the court may compel obedience by attachment as for contempt as in case of disobedience of a similar order or subpoena issued by the court. The president and or secretary-treasurer of the board shall have authority to may issue subpoenas , and any board member shall have authority to may administer oaths to witnesses, or to take their affirmation. A subpoena or other process of paper may be served upon any person named therein, anywhere within the State of Alabama this state, by any officer authorized to serve subpoenas or other process or paper in civil actions, in the same manner as is prescribed by law for subpoenas issued out of the circuit courts of this state, the fees and mileage and other costs to be paid as the board directs. (f)(g) The board shall employ an executive director who shall be responsible for the administration of board policy. The executive director may be licensed to practice chiropractic in this state as provided in this article . (g)(h) The board shall publish annually a directory listing all permit holders and all persons licensed to practice chiropractic in Alabama this state. Copies of the directory shall be made available from the executive director at a cost set from time to time by rule of the board. (h)(i) The membership of the board shall be inclusive and reflect the racial, gender, geographic, urban/rural urban, rural, and economic diversity of the state. (i)(j) Each member of the board shall meet all 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 HB84 INTRODUCED Page 7 (i)(j) Each member of the board shall meet all qualifications to be a candidate for his or her seat on the board during his or her entire term. Any member who fails to continue to meet the qualifications for his or her seat shall forfeit his or her seat on the board and resign or the board seat shall be declared vacant by the board." "§34-24-145 (a) The State Board of Chiropractic Examiners is hereby authorized to may establish a preceptorship and extern program whereby chiropractic students enrolled in their last year at board-approved chiropractic colleges accredited by the Council of Chiropractic Education and recent chiropractic graduates of such schools colleges may be issued a limited license to practice chiropractic under the direct on-premises supervision of a sponsor licensed to practice chiropractic in the State of Alabama this state, and in the case of chiropractic students, also under the supervision of the school college. A sponsor may not supervise more than one student or graduate at one time. The limited license shall expire immediately upon the board issuing the results of the second licensure examination A student or graduate practicing chiropractic pursuant to this section may not use the title "chiropractic," "D.C.," or any word or title to induce the belief that he or she is engaged in the practice of chiropractic . (b) The State Board of Chiropractic Examiners shall prohibit the use of more than one limited license student or graduate to one sponsor licensed to practice chiropractic. (c)(b) The State Board of Chiropractic Examiners is empowered to establish board may adopt rules and regulations 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 HB84 INTRODUCED Page 8 empowered to establish board may adopt rules and regulations for the implementation of to implement this section, including, but not limited to, providing academic, professional, and character requirements for eligible participants, defining the permitted scope of practice of the limited licensee a student or graduate practicing chiropractic pursuant to this section , and requiring fees for participation. (d)(c) The State Board of Chiropractic Examiners board shall implement and perform all powers and duties transferred to it pursuant to Act 81-217, H. 213, 1981 Regular Session (Acts 1981, p. 271)." "§34-24-165 (a) Every license to practice chiropractic or permit to own a chiropractic practice shall be subject to renewal on September 30 of the year for which it is issued with a grace period from October 1 to December 31 of each year. Every person having a valid license or permit may on or before September 30 renew the license or permit for the ensuing year by the payment to the board of a fee of not more than four hundred dollars ($400), the exact amount to be fixed by rule of the board, adopted in accordance with the Alabama Administrative Procedure Act , subject to the condition that no increase or decrease in any one year shall exceed twenty-five dollars ($25). The license renewal shall be accompanied by satisfactory evidence that the person has completed during the preceding year a minimum of 18 hours of professional educational work approved by the board. The permit renewal shall be accompanied by satisfactory evidence that the primary 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 HB84 INTRODUCED Page 9 shall be accompanied by satisfactory evidence that the primary permit holder has completed the number of approved continuing education hours in the manner set forth and required by rule of the board. The board, for good and reasonable cause shown, may waive the education requirement. The secretary-treasurer or the executive director of the board shall notify each licensee or permit holder at least 30 days prior to September 30 of each year of the due date for renewal. In addition to the renewal fee, a late renewal penalty shall be assessed to any licensee or permit holder who fails to pay the renewal fee by September 30 of each year based on the following schedule: (1) For renewal during the month of October, one hundred dollars ($100). (2) For renewal during the month of November, two hundred dollars ($200). (3) For renewal during the month of December, three hundred dollars ($300). A chiropractor may continue to practice or a permit holder may continue to own a chiropractic practice until December 31 of the year for which a license or permit is issued subject to subsection (b). (b) The license renewal and permit renewal shall be accompanied by satisfactory evidence that the licensee or primary permit holder has completed the number of approved continuing education hours in the manner set forth and required by rule of the board. The board, for good and reasonable cause shown, may waive the education requirement. (b)(c) A chiropractor may continue to practice or a permit holder may continue to own a chiropractic practice 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 HB84 INTRODUCED Page 10 permit holder may continue to own a chiropractic practice until December 31 of the year for which a license or permit is issued. Any license issued pursuant to this chapter shall be automatically suspended if not renewed before January 1. Any chiropractor whose license is automatically suspended shall be reinstated if all conditions for renewal have been satisfied and upon payment of a reinstatement fee on or before January 31. Any chiropractor who seeks reinstatement due to nonrenewal after the above time January 31 shall comply with Section 34-24-176. (c)(d) Any licensee who is no longer in active practice may apply for retirement of his or her license by submitting an affidavit to that effect on a form supplied by the executive director. A licensee whose license is retired is excused from the professional education requirement specified in this article. The annual fee for maintenance of a retired license may not be more than one-half of the amount required by this article for an active license. Any license issued pursuant to this section shall be automatically suspended if not renewed before January 1. Any chiropractor whose license is automatically suspended shall be reinstated if all conditions for renewal have been satisfied and upon payment of a reinstatement fee on or before January 31. Any chiropractor who seeks reinstatement due to nonrenewal after the above time shall comply with Section 34-24-176. (d)(e) The board may waive or reduce annual registration and the payment of fees while any licensee is prevented from practicing chiropractic by reason of physical disability, temporary active duty with any of the Armed Forces 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 HB84 INTRODUCED Page 11 disability, temporary active duty with any of the Armed Forces of the United States, or while any licensee is completely retired from the practice of chiropractic. The waiver of fees shall be effective so long as the disability, temporary active duty, or complete retirement continues. (e)(f) The board shall make adopt rules and regulations as necessary and proper for effectuating or enforcing to enforce this article. (f)(g) In addition to other requirements established by law and for the purpose of determining suitability for reinstatement of a license to practice chiropractic, each individual seeking reinstatement shall submit a complete set of fingerprints to the board and the board shall submit the fingerprints provided by any such individual to the State Bureau of Investigations. The fingerprints shall be forwarded by the State Bureau of Investigations to the Federal Bureau of Investigation (FBI) for a national criminal history record check. Costs associated with conducting a criminal history background check shall be borne by the individual seeking reinstatement. The board shall keep information received pursuant to this section confidential, except that such information received and relied upon in denying reinstatement may be disclosed as may be necessary to support the denial. This requirement also shall apply in the same manner to any person who is not licensed as a chiropractor who applies for reinstatement of his or her permit pursuant to Section 34-24-123(b). (h) In addition to other requirements established by law and for the purposes of determining suitability for 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 HB84 INTRODUCED Page 12 law and for the purposes of determining suitability for renewal, the board, in its discretion, may require an individual seeking renewal of a license to practice chiropractic, the board may require an individual to submit a complete set of fingerprints to the board. The board shall submit the fingerprints provided by any such individual to the State Bureau of Investigations. The fingerprints shall be forwarded by the State Bureau of Investigations to the FBI for a national criminal history record check. Costs associated with conducting a criminal history background check shall be borne by the individual seeking renewal. The board shall keep information received pursuant this section confidential, except that such information received and relied upon in denying the renewal may be disclosed as may be necessary to support the denial. This requirement also shall apply in the same manner to any person who is not licensed as a chiropractor who applies for reinstatement or renewal of his or her permit pursuant to Section 34-24-123(b). (g)(i) The board shall also establish an inactive license for persons individuals who desire to be licensed in Alabama this state but who actually practice in another state. The annual fee for maintenance of an inactive license shall be one-half of the amount required by this section for an active license." Section 2. This act shall become effective immediately. 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332