Arizona 2025 Regular Session

Arizona House Bill HB2877 Compare Versions

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11 REFERENCE TITLE: chiropractic assistants; scope of practice State of Arizona House of Representatives Fifty-seventh Legislature First Regular Session 2025 HB 2877 Introduced by Representative Liguori AN ACT AMending section 32-900, Arizona Revised Statutes; repealing section 32-930, Arizona Revised Statutes; amending title 32, chapter 8, article 2, Arizona Revised Statutes, by adding a new section 32-930; amending title 32, chapter 8, article 2, Arizona Revised Statutes, by adding sections 32-930.01, 32-930.02 and 32-930.03; amending sections 41-619.51, 41-1758 and 41-1758.01, Arizona Revised Statutes; relating to the state board of chiropractic examiners. (TEXT OF BILL BEGINS ON NEXT PAGE)
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6868 AMending section 32-900, Arizona Revised Statutes; repealing section 32-930, Arizona Revised Statutes; amending title 32, chapter 8, article 2, Arizona Revised Statutes, by adding a new section 32-930; amending title 32, chapter 8, article 2, Arizona Revised Statutes, by adding sections 32-930.01, 32-930.02 and 32-930.03; amending sections 41-619.51, 41-1758 and 41-1758.01, Arizona Revised Statutes; relating to the state board of chiropractic examiners.
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7878 Be it enacted by the Legislature of the State of Arizona: Section 1. Section 32-900, Arizona Revised Statutes, is amended to read: START_STATUTE32-900. Definitions In this chapter, unless the context otherwise requires: 1. "Advisory letter" means a nondisciplinary letter to notify a licensee or registrant that either: (a) While there is insufficient evidence to support disciplinary action, the board believes that continuation of the activities that led to the investigation may result in further board action against the licensee. (b) The violation is a minor or technical violation that is not of sufficient merit to warrant disciplinary action. (c) The violation is a minor or technical violation, and while the licensee has demonstrated substantial compliance through rehabilitation or remediation that has mitigated the need for disciplinary action, the board believes that repetition of the activities that led to the investigation may result in further board action against the licensee. 2. "Board" means the state board of chiropractic examiners. 3. "Certification" means that a doctor of chiropractic has been certified by the board in a specialty of chiropractic as provided by law. 4. "Chiropractic assistant" means an unlicensed a person who is registered pursuant to this chapter, who has completed an educational training program approved by the board, who assists in basic health care duties in the practice of chiropractic under the supervision of a doctor of chiropractic and who performs delegated duties commensurate with the chiropractic assistant's education and training but who does not evaluate, interpret, design or modify established treatment programs of chiropractic care or violate any statute. 5. "Direct supervision" means that a doctor of chiropractic is WITHin the same room or office suite when a chiropractic assistant or extern is providing clinical services, as delegated, and is available for consultation. 5. 6. "Doctor of chiropractic" or "chiropractor" means a natural person who holds a license to practice chiropractic pursuant to this chapter. 6. 7. "License" means a license to practice chiropractic. 7. 8. "Physical medicine modalities" means any physical agent applied to produce therapeutic change to biologic tissues, including thermal, acoustic, noninvasive light, mechanical or electric energy, hot or cold packs, ultrasound, galvanism, microwave, diathermy and electrical stimulation. 8. 9. "Therapeutic procedures" means the application of clinical skills and services, including therapeutic exercise, therapeutic activities, manual therapy techniques, massage and structural supports, to improve a patient's neuromusculoskeletal condition. END_STATUTE Sec. 2. Repeal Section 32-930, Arizona Revised Statutes, is repealed. Sec. 3. Title 32, chapter 8, article 2, Arizona Revised Statutes, is amended by adding a new section 32-930, to read: START_STATUTE32-930. Chiropractic assistants; registration; renewal; fingerprinting requirement; continuing competence training A. To be registered to practice as a chiropractic assistant, an applicant shall provide the following evidence satisfactory to the board that the applicant: 1. Has completed an application in the manner and form provided by the board. 2. Has paid all applicable fees relative to the registration process as established by the board in rule. 3. Is at least eighteen years of age. 4. Graduated from high school or the equivalent. 5. Completed the board-approved education program. 6. Has taken and passed the Arizona jurisprudence exam with a score of at least seventy-five percent. 7. Beginning January 1, 2026, has a valid fingerprint clearance card issued pursuant to section 41-1758.03. 8. Completed cardiopulmonary resuscitation training as prescribed in rule by the board. B. A chiropractic assistant shall comply with this chapter and the rules adopted pursuant to this chapter. If a chiropractic assistant violates any statute or board rule, the board may impose discipline consistent with this chapter. C. A chiropractic assistant may renew the person's registration in a time and manner established by the board in rule. The board shall establish in rule the annual renewal fee. The renewal period may not exceed two years. D. Registration renewal requires a chiropractic assistant to provide satisfactory evidence to the board of completion of continuing competence training. The board shall determine the number of credit hours, acceptable course content and approved providers for the continuing competence training. E. Registration as a chiropractic assistant is not required for individuals who perform administrative activities of a nonclinical nature. F. A person who is enrolled in an educational program recognized by the board that leads to a diploma or certification as a chiropractic assistant may provide clinical services under the supervision of a doctor of chiropractic to gain the necessary practical clinical experience for the diploma or certification. G. A person may not use the title "chiropractic assistant" or "C.A." or any other designation indicating registered status or hold the person out directly or indirectly as a chiropractic assistant unless the person is registered pursuant to this section. END_STATUTE Sec. 4. Title 32, chapter 8, article 2, Arizona Revised Statutes, is amended by adding sections 32-930.01, 32-930.02 and 32-930.03, to read: START_STATUTE32-930.01. Chiropractic assistants; scope of practice; supervision; disclosure A. A chiropractic assistant may perform clinical duties as directed by the supervising chiropractor, including the following: 1. Asepsis and infection control. 2. Taking patient histories and vital signs. 3. Performing first aid and cardiopulmonary resuscitation. 4. Preparing patients for procedures. 5. Assisting the supervising chiropractor with examinations and treatments. 6. Collecting and processing specimens. B. A chiropractic assistant who meets the education requirements for physical medicine modalities and therapeutic procedures pursuant to board rules may administer, under the direct supervision of a doctor of chiropractic who is certified in physical medicine modalities and therapeutic procedures, the following physical medical modalities and therapeutic procedures: 1. Whirlpool treatments. 2. Diathermy treatments. 3. Electronic galvanization stimulation treatments. 4. Ultrasound therapy. 5. Traction treatments. 6. Transcutaneous nerve stimulation unit treatments. 7. Hot and cold pack treatments. C. A chiropractic assistant who meets the education requirements for acupuncture pursuant to board rules may prepare and sterilize instruments and may remove acupuncture needles under the direct supervision of a doctor of chiropractic who is certified in acupuncture. D. A chiropractic assistant may not do any of the following: 1. Take an x-ray, unless the chiropractic assistant has a valid certificate issued pursuant to chapter 28 of this title authorizing the person to take x-rays. 2. Perform an independent examination of a patient. 3. Diagnose a patient. 4. Determine a regimen of patient care. 5. Change the regimen of patient care set by the supervising chiropractor. 6. Perform an adjustment, manipulation, manual therapy, nutritional instruction, counseling or another therapeutic service or procedure that requires individual licensure in this state. 7. Perform acupuncture by needle insertion. E. A chiropractic assistant may perform only clinical duties that are consistent with a supervising chiropractor's licensure and that are delegated by a supervising chiropractor and only while under the supervision of a doctor of chiropractic who is on the premises while supervising. The supervising chiropractor shall document the clinical duties delegated to a chiropractic assistant in the patient's medical record. F. A supervising chiropractor is responsible for all acts or omissions of the chiropractic assistant the doctor of chiropractic is supervising. G. A chiropractic assistant shall provide appropriate identification to a patient as to the chiropractic assistant's name and clinical classification. A chiropractic assistant shall display a copy of the chiropractic assistant's registration or current renewal card in a location accessible to the public's view at each place of practice. END_STATUTE START_STATUTE32-930.02. Chiropractic assistants; registration by endorsement To register as a chiropractic assistant by endorsement, an applicant shall provide evidence satisfactory to the board that the applicant: 1. Has complied with section 32-930, subsection A. 2. Has current practice privileges in good standing as a registered chiropractic assistant or the equivalent granted by at least one other jurisdiction in the United States whose requirements are substantially similar to or greater than the requirements under this chapter. 3. Has presented to the board current documentation that the practice privileges granted by the other jurisdiction as a registered chiropractic assistant or the equivalent have not been suspended, revoked or otherwise restricted for any reason except nonrenewal. END_STATUTE START_STATUTE32-930.03. Chiropractic assistants; prohibitions A. A person who has had a license to practice chiropractic or any other health care profession suspended, revoked or denied for any reason other than failing to meet education or licensing examination requirements in this or any other jurisdiction may not perform the clinical duties of a chiropractic assistant. B. A person who is licensed to practice chiropractic in this or any other jurisdiction may not be registered as a chiropractic assistant pursuant to this chapter and the rules adopted pursuant to this chapter.END_STATUTE Sec. 5. Section 41-619.51, Arizona Revised Statutes, is amended to read: START_STATUTE41-619.51. Definitions In this article, unless the context otherwise requires: 1. "Agency" means the supreme court, the department of economic security, the department of child safety, the department of education, the department of health services, the department of juvenile corrections, the department of emergency and military affairs, the department of public safety, the department of transportation, the state real estate department, the department of insurance and financial institutions, the Arizona game and fish department, the Arizona department of agriculture, the board of examiners of nursing care institution administrators and assisted living facility managers, the state board of dental examiners, the Arizona state board of pharmacy, the board of physical therapy, the state board of psychologist examiners, the board of athletic training, the board of occupational therapy examiners, the state board of podiatry examiners, the acupuncture board of examiners, the state board of technical registration, or the board of massage therapy, or the Arizona department of housing or the state board of chiropractic examiners. 2. "Board" means the board of fingerprinting. 3. "Central registry exception" means notification to the department of economic security, the department of child safety or the department of health services, as appropriate, pursuant to section 41-619.57 that the person is not disqualified because of a central registry check conducted pursuant to section 8-804. 4. "Expedited review" means an examination, in accordance with board rule, of the documents an applicant submits by the board or its hearing officer without the applicant being present. 5. "Good cause exception" means the issuance of a fingerprint clearance card to an employee pursuant to section 41-619.55. 6. "Person" means a person who is required to be fingerprinted pursuant to this article or who is subject to a central registry check and any of the following: (a) Section 3-314. (b) Section 8-105. (c) Section 8-322. (d) Section 8-463. (e) Section 8-509. (f) Section 8-802. (g) Section 8-804. (h) Section 15-183. (i) Section 15-503. (j) Section 15-512. (k) Section 15-534. (l) Section 15-763.01. (m) Section 15-782.02. (n) Section 15-1330. (o) Section 15-1881. (p) Section 17-215. (q) Section 28-3228. (r) Section 28-3413. (s) Section 32-122.02. (t) Section 32-122.05. (u) Section 32-122.06. (v) Section 32-823. (w) Section 32-930. (w) (x) Section 32-1232. (x) (y) Section 32-1276.01. (y) (z) Section 32-1284. (z) (aa) Section 32-1297.01. (aa) (bb) Section 32-1904. (bb) (cc) Section 32-1941. (cc) (dd) Section 32-1982. (dd) (ee) Section 32-2022. (ee) (ff) Section 32-2063. (ff) (gg) Section 32-2108.01. (gg) (hh) Section 32-2123. (hh) (ii) Section 32-2371. (ii) (jj) Section 32-3430. (jj) (kk) Section 32-3620. (kk) (ll) Section 32-3668. (ll) (mm) Section 32-3669. (mm) (nn) Section 32-3922. (nn) (oo) Section 32-3924. (pp) Section 32-4128. (oo) (qq) Section 32-4222. (qq) (rr) Section 36-113. (rr) (ss) Section 36-207. (ss) (tt) Section 36-411. (tt) (uu) Section 36-425.03. (uu) (vv) Section 36-446.04. (vv) (ww) Section 36-594.01. (ww) (xx) Section 36-594.02. (xx) (yy) Section 36-766.01. (yy) (zz) Section 36-882. (zz) (aaa) Section 36-883.02. (aaa) (bbb) Section 36-897.01. (bbb) (ccc) Section 36-897.03. (ccc) (ddd) Section 36-3008. (ddd) (eee) Section 41-619.53. (eee) (fff) Section 41-1964. (fff) (ggg) Section 41-1967.01. (ggg) (hhh) Section 41-1968. (hhh) (iii) Section 41-1969. (iii) (jjj) Section 41-2814. (jjj) (kkk) Section 41-4025. (kkk) (lll) Section 46-141, subsection A or B. (lll) (mmm) Section 46-321.END_STATUTE Sec. 6. Section 41-1758, Arizona Revised Statutes, is amended to read: START_STATUTE41-1758. Definitions In this article, unless the context otherwise requires: 1. "Agency" means the supreme court, the department of economic security, the department of child safety, the department of education, the department of health services, the department of juvenile corrections, the department of emergency and military affairs, the department of public safety, the department of transportation, the state real estate department, the department of insurance and financial institutions, the board of fingerprinting, the Arizona game and fish department, the Arizona department of agriculture, the board of examiners of nursing care institution administrators and assisted living facility managers, the state board of dental examiners, the Arizona state board of pharmacy, the board of physical therapy, the state board of psychologist examiners, the board of athletic training, the board of occupational therapy examiners, the state board of podiatry examiners, the acupuncture board of examiners, the state board of technical registration, the board of massage therapy, or the Arizona department of housing or the state board of chiropractic examiners. 2. "Division" means the fingerprinting division in the department of public safety. 3. "Electronic or internet-based fingerprinting services" means a secure system for digitizing applicant fingerprints and transmitting the applicant data and fingerprints of a person or entity submitting fingerprints to the department of public safety for any authorized purpose under this title. For the purposes of this paragraph, "secure system" means a system that complies with the information technology security policy approved by the department of public safety. 4. "Good cause exception" means the issuance of a fingerprint clearance card to an applicant pursuant to section 41-619.55. 5. "Person" means a person who is required to be fingerprinted pursuant to any of the following: (a) Section 3-314. (b) Section 8-105. (c) Section 8-322. (d) Section 8-463. (e) Section 8-509. (f) Section 8-802. (g) Section 15-183. (h) Section 15-503. (i) Section 15-512. (j) Section 15-534. (k) Section 15-763.01. (l) Section 15-782.02. (m) Section 15-1330. (n) Section 15-1881. (o) Section 17-215. (p) Section 28-3228. (q) Section 28-3413. (r) Section 32-122.02. (s) Section 32-122.05. (t) Section 32-122.06. (u) Section 32-823. (v) Section 32-930. (v) (w) Section 32-1232. (w) (x) Section 32-1276.01. (x) (y) Section 32-1284. (y) (z) Section 32-1297.01. (z) (aa) Section 32-1904. (aa) (bb) Section 32-1941. (bb) (cc) Section 32-1982. (cc) (dd) Section 32-2022. (dd) (ee) Section 32-2063. (ee) (ff) Section 32-2108.01. (ff) (gg) Section 32-2123. (gg) (hh) Section 32-2371. (hh) (ii) Section 32-3430. (ii) (jj) Section 32-3620. (jj) (kk) Section 32-3668. (kk) (ll) Section 32-3669. (ll) (mm) Section 32-3922. (mm) (nn) Section 32-3924. (nn) (oo) Section 32-4128. (oo) (pp) Section 32-4222. (pp) (qq) Section 36-113. (qq) (rr) Section 36-207. (rr) (ss) Section 36-411. (ss) (tt) Section 36-425.03. (tt) (uu) Section 36-446.04. (uu) (vv) Section 36-594.01. (vv) (ww) Section 36-594.02. (ww) (xx) Section 36-766.01. (xx) (yy) Section 36-882. (yy) (zz) Section 36-883.02. (zz) (aaa) Section 36-897.01. (aaa) (bbb) Section 36-897.03. (bbb) (ccc) Section 36-3008. (ccc) (ddd) Section 41-619.52. (ddd) (eee) Section 41-619.53. (eee) (fff) Section 41-1964. (fff) (ggg) Section 41-1967.01. (ggg) (hhh) Section 41-1968. (hhh) (iii) Section 41-1969. (iii) (jjj) Section 41-2814. (jjj) (kkk) Section 41-4025. (kkk) (lll) Section 46-141, subsection A or B. (lll) (mmm) Section 46-321. 6. "Rap back services" has the same meaning prescribed in section 41-1750. 7. "Vulnerable adult" has the same meaning prescribed in section 13-3623. END_STATUTE Sec. 7. Section 41-1758.01, Arizona Revised Statutes, is amended to read: START_STATUTE41-1758.01. Fingerprinting division; powers and duties A. The fingerprinting division is established in the department of public safety and shall: 1. Conduct fingerprint background checks for persons and applicants who are seeking licenses from state agencies, employment with licensees, contract providers and state agencies or employment or educational opportunities with agencies that require fingerprint background checks pursuant to sections 3-314, 8-105, 8-322, 8-463, 8-509, 8-802, 15-183, 15-503, 15-512, 15-534, 15-763.01, 15-782.02, 15-1330, 15-1881, 17-215, 28-3228, 28-3413, 32-122.02, 32-122.05, 32-122.06, 32-823, 32-930, 32-1232, 32-1276.01, 32-1284, 32-1297.01, 32-1904, 32-1941, 32-1982, 32-2022, 32-2063, 32-2108.01, 32-2123, 32-2371, 32-3430, 32-3620, 32-3668, 32-3669, 32-3922, 32-3924, 32-4128, 32-4222, 36-113, 36-207, 36-411, 36-425.03, 36-446.04, 36-594.01, 36-594.02, 36-766.01, 36-882, 36-883.02, 36-897.01, 36-897.03, 36-3008, 41-619.52, 41-619.53, 41-1964, 41-1967.01, 41-1968, 41-1969, 41-2814, and 41-4025, section 46-141, subsection A or B and section 46-321. 2. Issue fingerprint clearance cards. On issuance, a fingerprint clearance card becomes the personal property of the cardholder and the cardholder shall retain possession of the fingerprint clearance card. 3. On submission of an application for a fingerprint clearance card, collect the fees established by the board of fingerprinting pursuant to section 41-619.53 and deposit, pursuant to sections 35-146 and 35-147, the monies collected in the board of fingerprinting fund. 4. Inform in writing each person who submits fingerprints for a fingerprint background check of the right to petition the board of fingerprinting for a good cause exception pursuant to section 41-1758.03, 41-1758.04 or 41-1758.07. 5. If after conducting a state and federal criminal history records check the division determines that it is not authorized to issue a fingerprint clearance card to a person, inform the person in writing that the division is not authorized to issue a fingerprint clearance card. The notice shall include the criminal history information on which the denial was based. This criminal history information is subject to dissemination restrictions pursuant to section 41-1750 and Public Law 92-544. 6. Notify the person in writing if the division suspends, revokes or places a driving restriction notation on a fingerprint clearance card pursuant to section 41-1758.04. The notice shall include the criminal history information on which the suspension, revocation or placement of the driving restriction notation was based. This criminal history information is subject to dissemination restrictions pursuant to section 41-1750 and Public Law 92-544. 7. Administer and enforce this article. B. The fingerprinting division may contract for electronic or internet-based fingerprinting services through an entity or entities for the acquisition and transmission of applicant fingerprint and data submissions to the department, including identity verified fingerprints pursuant to section 15-106. The entity or entities contracted by the department of public safety may charge the applicant a fee for services provided pursuant to this article. The entity or entities contracted by the department of public safety shall comply with: 1. All information privacy and security measures and submission standards established by the department of public safety. 2. The information technology security policy approved by the department of public safety.END_STATUTE
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8080 Be it enacted by the Legislature of the State of Arizona:
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8282 Section 1. Section 32-900, Arizona Revised Statutes, is amended to read:
8383
8484 START_STATUTE32-900. Definitions
8585
8686 In this chapter, unless the context otherwise requires:
8787
8888 1. "Advisory letter" means a nondisciplinary letter to notify a licensee or registrant that either:
8989
9090 (a) While there is insufficient evidence to support disciplinary action, the board believes that continuation of the activities that led to the investigation may result in further board action against the licensee.
9191
9292 (b) The violation is a minor or technical violation that is not of sufficient merit to warrant disciplinary action.
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9494 (c) The violation is a minor or technical violation, and while the licensee has demonstrated substantial compliance through rehabilitation or remediation that has mitigated the need for disciplinary action, the board believes that repetition of the activities that led to the investigation may result in further board action against the licensee.
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9696 2. "Board" means the state board of chiropractic examiners.
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9898 3. "Certification" means that a doctor of chiropractic has been certified by the board in a specialty of chiropractic as provided by law.
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100100 4. "Chiropractic assistant" means an unlicensed a person who is registered pursuant to this chapter, who has completed an educational training program approved by the board, who assists in basic health care duties in the practice of chiropractic under the supervision of a doctor of chiropractic and who performs delegated duties commensurate with the chiropractic assistant's education and training but who does not evaluate, interpret, design or modify established treatment programs of chiropractic care or violate any statute.
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102102 5. "Direct supervision" means that a doctor of chiropractic is WITHin the same room or office suite when a chiropractic assistant or extern is providing clinical services, as delegated, and is available for consultation.
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104104 5. 6. "Doctor of chiropractic" or "chiropractor" means a natural person who holds a license to practice chiropractic pursuant to this chapter.
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106106 6. 7. "License" means a license to practice chiropractic.
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108108 7. 8. "Physical medicine modalities" means any physical agent applied to produce therapeutic change to biologic tissues, including thermal, acoustic, noninvasive light, mechanical or electric energy, hot or cold packs, ultrasound, galvanism, microwave, diathermy and electrical stimulation.
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110110 8. 9. "Therapeutic procedures" means the application of clinical skills and services, including therapeutic exercise, therapeutic activities, manual therapy techniques, massage and structural supports, to improve a patient's neuromusculoskeletal condition. END_STATUTE
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112112 Sec. 2. Repeal
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114114 Section 32-930, Arizona Revised Statutes, is repealed.
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116116 Sec. 3. Title 32, chapter 8, article 2, Arizona Revised Statutes, is amended by adding a new section 32-930, to read:
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118118 START_STATUTE32-930. Chiropractic assistants; registration; renewal; fingerprinting requirement; continuing competence training
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120120 A. To be registered to practice as a chiropractic assistant, an applicant shall provide the following evidence satisfactory to the board that the applicant:
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122122 1. Has completed an application in the manner and form provided by the board.
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124124 2. Has paid all applicable fees relative to the registration process as established by the board in rule.
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126126 3. Is at least eighteen years of age.
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128128 4. Graduated from high school or the equivalent.
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130130 5. Completed the board-approved education program.
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132132 6. Has taken and passed the Arizona jurisprudence exam with a score of at least seventy-five percent.
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134134 7. Beginning January 1, 2026, has a valid fingerprint clearance card issued pursuant to section 41-1758.03.
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136136 8. Completed cardiopulmonary resuscitation training as prescribed in rule by the board.
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138138 B. A chiropractic assistant shall comply with this chapter and the rules adopted pursuant to this chapter. If a chiropractic assistant violates any statute or board rule, the board may impose discipline consistent with this chapter.
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140140 C. A chiropractic assistant may renew the person's registration in a time and manner established by the board in rule. The board shall establish in rule the annual renewal fee. The renewal period may not exceed two years.
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142142 D. Registration renewal requires a chiropractic assistant to provide satisfactory evidence to the board of completion of continuing competence training. The board shall determine the number of credit hours, acceptable course content and approved providers for the continuing competence training.
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144144 E. Registration as a chiropractic assistant is not required for individuals who perform administrative activities of a nonclinical nature.
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146146 F. A person who is enrolled in an educational program recognized by the board that leads to a diploma or certification as a chiropractic assistant may provide clinical services under the supervision of a doctor of chiropractic to gain the necessary practical clinical experience for the diploma or certification.
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148148 G. A person may not use the title "chiropractic assistant" or "C.A." or any other designation indicating registered status or hold the person out directly or indirectly as a chiropractic assistant unless the person is registered pursuant to this section. END_STATUTE
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150150 Sec. 4. Title 32, chapter 8, article 2, Arizona Revised Statutes, is amended by adding sections 32-930.01, 32-930.02 and 32-930.03, to read:
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152152 START_STATUTE32-930.01. Chiropractic assistants; scope of practice; supervision; disclosure
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154154 A. A chiropractic assistant may perform clinical duties as directed by the supervising chiropractor, including the following:
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156156 1. Asepsis and infection control.
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158158 2. Taking patient histories and vital signs.
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160160 3. Performing first aid and cardiopulmonary resuscitation.
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162162 4. Preparing patients for procedures.
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164164 5. Assisting the supervising chiropractor with examinations and treatments.
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166166 6. Collecting and processing specimens.
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168168 B. A chiropractic assistant who meets the education requirements for physical medicine modalities and therapeutic procedures pursuant to board rules may administer, under the direct supervision of a doctor of chiropractic who is certified in physical medicine modalities and therapeutic procedures, the following physical medical modalities and therapeutic procedures:
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170170 1. Whirlpool treatments.
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172172 2. Diathermy treatments.
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174174 3. Electronic galvanization stimulation treatments.
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176176 4. Ultrasound therapy.
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178178 5. Traction treatments.
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180180 6. Transcutaneous nerve stimulation unit treatments.
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182182 7. Hot and cold pack treatments.
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184184 C. A chiropractic assistant who meets the education requirements for acupuncture pursuant to board rules may prepare and sterilize instruments and may remove acupuncture needles under the direct supervision of a doctor of chiropractic who is certified in acupuncture.
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186186 D. A chiropractic assistant may not do any of the following:
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188188 1. Take an x-ray, unless the chiropractic assistant has a valid certificate issued pursuant to chapter 28 of this title authorizing the person to take x-rays.
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190190 2. Perform an independent examination of a patient.
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192192 3. Diagnose a patient.
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194194 4. Determine a regimen of patient care.
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196196 5. Change the regimen of patient care set by the supervising chiropractor.
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198198 6. Perform an adjustment, manipulation, manual therapy, nutritional instruction, counseling or another therapeutic service or procedure that requires individual licensure in this state.
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200200 7. Perform acupuncture by needle insertion.
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202202 E. A chiropractic assistant may perform only clinical duties that are consistent with a supervising chiropractor's licensure and that are delegated by a supervising chiropractor and only while under the supervision of a doctor of chiropractic who is on the premises while supervising. The supervising chiropractor shall document the clinical duties delegated to a chiropractic assistant in the patient's medical record.
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204204 F. A supervising chiropractor is responsible for all acts or omissions of the chiropractic assistant the doctor of chiropractic is supervising.
205205
206206 G. A chiropractic assistant shall provide appropriate identification to a patient as to the chiropractic assistant's name and clinical classification. A chiropractic assistant shall display a copy of the chiropractic assistant's registration or current renewal card in a location accessible to the public's view at each place of practice. END_STATUTE
207207
208208 START_STATUTE32-930.02. Chiropractic assistants; registration by endorsement
209209
210210 To register as a chiropractic assistant by endorsement, an applicant shall provide evidence satisfactory to the board that the applicant:
211211
212212 1. Has complied with section 32-930, subsection A.
213213
214214 2. Has current practice privileges in good standing as a registered chiropractic assistant or the equivalent granted by at least one other jurisdiction in the United States whose requirements are substantially similar to or greater than the requirements under this chapter.
215215
216216 3. Has presented to the board current documentation that the practice privileges granted by the other jurisdiction as a registered chiropractic assistant or the equivalent have not been suspended, revoked or otherwise restricted for any reason except nonrenewal. END_STATUTE
217217
218218 START_STATUTE32-930.03. Chiropractic assistants; prohibitions
219219
220220 A. A person who has had a license to practice chiropractic or any other health care profession suspended, revoked or denied for any reason other than failing to meet education or licensing examination requirements in this or any other jurisdiction may not perform the clinical duties of a chiropractic assistant.
221221
222222 B. A person who is licensed to practice chiropractic in this or any other jurisdiction may not be registered as a chiropractic assistant pursuant to this chapter and the rules adopted pursuant to this chapter.END_STATUTE
223223
224224 Sec. 5. Section 41-619.51, Arizona Revised Statutes, is amended to read:
225225
226226 START_STATUTE41-619.51. Definitions
227227
228228 In this article, unless the context otherwise requires:
229229
230230 1. "Agency" means the supreme court, the department of economic security, the department of child safety, the department of education, the department of health services, the department of juvenile corrections, the department of emergency and military affairs, the department of public safety, the department of transportation, the state real estate department, the department of insurance and financial institutions, the Arizona game and fish department, the Arizona department of agriculture, the board of examiners of nursing care institution administrators and assisted living facility managers, the state board of dental examiners, the Arizona state board of pharmacy, the board of physical therapy, the state board of psychologist examiners, the board of athletic training, the board of occupational therapy examiners, the state board of podiatry examiners, the acupuncture board of examiners, the state board of technical registration, or the board of massage therapy, or the Arizona department of housing or the state board of chiropractic examiners.
231231
232232 2. "Board" means the board of fingerprinting.
233233
234234 3. "Central registry exception" means notification to the department of economic security, the department of child safety or the department of health services, as appropriate, pursuant to section 41-619.57 that the person is not disqualified because of a central registry check conducted pursuant to section 8-804.
235235
236236 4. "Expedited review" means an examination, in accordance with board rule, of the documents an applicant submits by the board or its hearing officer without the applicant being present.
237237
238238 5. "Good cause exception" means the issuance of a fingerprint clearance card to an employee pursuant to section 41-619.55.
239239
240240 6. "Person" means a person who is required to be fingerprinted pursuant to this article or who is subject to a central registry check and any of the following:
241241
242242 (a) Section 3-314.
243243
244244 (b) Section 8-105.
245245
246246 (c) Section 8-322.
247247
248248 (d) Section 8-463.
249249
250250 (e) Section 8-509.
251251
252252 (f) Section 8-802.
253253
254254 (g) Section 8-804.
255255
256256 (h) Section 15-183.
257257
258258 (i) Section 15-503.
259259
260260 (j) Section 15-512.
261261
262262 (k) Section 15-534.
263263
264264 (l) Section 15-763.01.
265265
266266 (m) Section 15-782.02.
267267
268268 (n) Section 15-1330.
269269
270270 (o) Section 15-1881.
271271
272272 (p) Section 17-215.
273273
274274 (q) Section 28-3228.
275275
276276 (r) Section 28-3413.
277277
278278 (s) Section 32-122.02.
279279
280280 (t) Section 32-122.05.
281281
282282 (u) Section 32-122.06.
283283
284284 (v) Section 32-823.
285285
286286 (w) Section 32-930.
287287
288288 (w) (x) Section 32-1232.
289289
290290 (x) (y) Section 32-1276.01.
291291
292292 (y) (z) Section 32-1284.
293293
294294 (z) (aa) Section 32-1297.01.
295295
296296 (aa) (bb) Section 32-1904.
297297
298298 (bb) (cc) Section 32-1941.
299299
300300 (cc) (dd) Section 32-1982.
301301
302302 (dd) (ee) Section 32-2022.
303303
304304 (ee) (ff) Section 32-2063.
305305
306306 (ff) (gg) Section 32-2108.01.
307307
308308 (gg) (hh) Section 32-2123.
309309
310310 (hh) (ii) Section 32-2371.
311311
312312 (ii) (jj) Section 32-3430.
313313
314314 (jj) (kk) Section 32-3620.
315315
316316 (kk) (ll) Section 32-3668.
317317
318318 (ll) (mm) Section 32-3669.
319319
320320 (mm) (nn) Section 32-3922.
321321
322322 (nn) (oo) Section 32-3924.
323323
324324 (pp) Section 32-4128.
325325
326326 (oo) (qq) Section 32-4222.
327327
328328 (qq) (rr) Section 36-113.
329329
330330 (rr) (ss) Section 36-207.
331331
332332 (ss) (tt) Section 36-411.
333333
334334 (tt) (uu) Section 36-425.03.
335335
336336 (uu) (vv) Section 36-446.04.
337337
338338 (vv) (ww) Section 36-594.01.
339339
340340 (ww) (xx) Section 36-594.02.
341341
342342 (xx) (yy) Section 36-766.01.
343343
344344 (yy) (zz) Section 36-882.
345345
346346 (zz) (aaa) Section 36-883.02.
347347
348348 (aaa) (bbb) Section 36-897.01.
349349
350350 (bbb) (ccc) Section 36-897.03.
351351
352352 (ccc) (ddd) Section 36-3008.
353353
354354 (ddd) (eee) Section 41-619.53.
355355
356356 (eee) (fff) Section 41-1964.
357357
358358 (fff) (ggg) Section 41-1967.01.
359359
360360 (ggg) (hhh) Section 41-1968.
361361
362362 (hhh) (iii) Section 41-1969.
363363
364364 (iii) (jjj) Section 41-2814.
365365
366366 (jjj) (kkk) Section 41-4025.
367367
368368 (kkk) (lll) Section 46-141, subsection A or B.
369369
370370 (lll) (mmm) Section 46-321.END_STATUTE
371371
372372 Sec. 6. Section 41-1758, Arizona Revised Statutes, is amended to read:
373373
374374 START_STATUTE41-1758. Definitions
375375
376376 In this article, unless the context otherwise requires:
377377
378378 1. "Agency" means the supreme court, the department of economic security, the department of child safety, the department of education, the department of health services, the department of juvenile corrections, the department of emergency and military affairs, the department of public safety, the department of transportation, the state real estate department, the department of insurance and financial institutions, the board of fingerprinting, the Arizona game and fish department, the Arizona department of agriculture, the board of examiners of nursing care institution administrators and assisted living facility managers, the state board of dental examiners, the Arizona state board of pharmacy, the board of physical therapy, the state board of psychologist examiners, the board of athletic training, the board of occupational therapy examiners, the state board of podiatry examiners, the acupuncture board of examiners, the state board of technical registration, the board of massage therapy, or the Arizona department of housing or the state board of chiropractic examiners.
379379
380380 2. "Division" means the fingerprinting division in the department of public safety.
381381
382382 3. "Electronic or internet-based fingerprinting services" means a secure system for digitizing applicant fingerprints and transmitting the applicant data and fingerprints of a person or entity submitting fingerprints to the department of public safety for any authorized purpose under this title. For the purposes of this paragraph, "secure system" means a system that complies with the information technology security policy approved by the department of public safety.
383383
384384 4. "Good cause exception" means the issuance of a fingerprint clearance card to an applicant pursuant to section 41-619.55.
385385
386386 5. "Person" means a person who is required to be fingerprinted pursuant to any of the following:
387387
388388 (a) Section 3-314.
389389
390390 (b) Section 8-105.
391391
392392 (c) Section 8-322.
393393
394394 (d) Section 8-463.
395395
396396 (e) Section 8-509.
397397
398398 (f) Section 8-802.
399399
400400 (g) Section 15-183.
401401
402402 (h) Section 15-503.
403403
404404 (i) Section 15-512.
405405
406406 (j) Section 15-534.
407407
408408 (k) Section 15-763.01.
409409
410410 (l) Section 15-782.02.
411411
412412 (m) Section 15-1330.
413413
414414 (n) Section 15-1881.
415415
416416 (o) Section 17-215.
417417
418418 (p) Section 28-3228.
419419
420420 (q) Section 28-3413.
421421
422422 (r) Section 32-122.02.
423423
424424 (s) Section 32-122.05.
425425
426426 (t) Section 32-122.06.
427427
428428 (u) Section 32-823.
429429
430430 (v) Section 32-930.
431431
432432 (v) (w) Section 32-1232.
433433
434434 (w) (x) Section 32-1276.01.
435435
436436 (x) (y) Section 32-1284.
437437
438438 (y) (z) Section 32-1297.01.
439439
440440 (z) (aa) Section 32-1904.
441441
442442 (aa) (bb) Section 32-1941.
443443
444444 (bb) (cc) Section 32-1982.
445445
446446 (cc) (dd) Section 32-2022.
447447
448448 (dd) (ee) Section 32-2063.
449449
450450 (ee) (ff) Section 32-2108.01.
451451
452452 (ff) (gg) Section 32-2123.
453453
454454 (gg) (hh) Section 32-2371.
455455
456456 (hh) (ii) Section 32-3430.
457457
458458 (ii) (jj) Section 32-3620.
459459
460460 (jj) (kk) Section 32-3668.
461461
462462 (kk) (ll) Section 32-3669.
463463
464464 (ll) (mm) Section 32-3922.
465465
466466 (mm) (nn) Section 32-3924.
467467
468468 (nn) (oo) Section 32-4128.
469469
470470 (oo) (pp) Section 32-4222.
471471
472472 (pp) (qq) Section 36-113.
473473
474474 (qq) (rr) Section 36-207.
475475
476476 (rr) (ss) Section 36-411.
477477
478478 (ss) (tt) Section 36-425.03.
479479
480480 (tt) (uu) Section 36-446.04.
481481
482482 (uu) (vv) Section 36-594.01.
483483
484484 (vv) (ww) Section 36-594.02.
485485
486486 (ww) (xx) Section 36-766.01.
487487
488488 (xx) (yy) Section 36-882.
489489
490490 (yy) (zz) Section 36-883.02.
491491
492492 (zz) (aaa) Section 36-897.01.
493493
494494 (aaa) (bbb) Section 36-897.03.
495495
496496 (bbb) (ccc) Section 36-3008.
497497
498498 (ccc) (ddd) Section 41-619.52.
499499
500500 (ddd) (eee) Section 41-619.53.
501501
502502 (eee) (fff) Section 41-1964.
503503
504504 (fff) (ggg) Section 41-1967.01.
505505
506506 (ggg) (hhh) Section 41-1968.
507507
508508 (hhh) (iii) Section 41-1969.
509509
510510 (iii) (jjj) Section 41-2814.
511511
512512 (jjj) (kkk) Section 41-4025.
513513
514514 (kkk) (lll) Section 46-141, subsection A or B.
515515
516516 (lll) (mmm) Section 46-321.
517517
518518 6. "Rap back services" has the same meaning prescribed in section 41-1750.
519519
520520 7. "Vulnerable adult" has the same meaning prescribed in section 13-3623. END_STATUTE
521521
522522 Sec. 7. Section 41-1758.01, Arizona Revised Statutes, is amended to read:
523523
524524 START_STATUTE41-1758.01. Fingerprinting division; powers and duties
525525
526526 A. The fingerprinting division is established in the department of public safety and shall:
527527
528528 1. Conduct fingerprint background checks for persons and applicants who are seeking licenses from state agencies, employment with licensees, contract providers and state agencies or employment or educational opportunities with agencies that require fingerprint background checks pursuant to sections 3-314, 8-105, 8-322, 8-463, 8-509, 8-802, 15-183, 15-503, 15-512, 15-534, 15-763.01, 15-782.02, 15-1330, 15-1881, 17-215, 28-3228, 28-3413, 32-122.02, 32-122.05, 32-122.06, 32-823, 32-930, 32-1232, 32-1276.01, 32-1284, 32-1297.01, 32-1904, 32-1941, 32-1982, 32-2022, 32-2063, 32-2108.01, 32-2123, 32-2371, 32-3430, 32-3620, 32-3668, 32-3669, 32-3922, 32-3924, 32-4128, 32-4222, 36-113, 36-207, 36-411, 36-425.03, 36-446.04, 36-594.01, 36-594.02, 36-766.01, 36-882, 36-883.02, 36-897.01, 36-897.03, 36-3008, 41-619.52, 41-619.53, 41-1964, 41-1967.01, 41-1968, 41-1969, 41-2814, and 41-4025, section 46-141, subsection A or B and section 46-321.
529529
530530 2. Issue fingerprint clearance cards. On issuance, a fingerprint clearance card becomes the personal property of the cardholder and the cardholder shall retain possession of the fingerprint clearance card.
531531
532532 3. On submission of an application for a fingerprint clearance card, collect the fees established by the board of fingerprinting pursuant to section 41-619.53 and deposit, pursuant to sections 35-146 and 35-147, the monies collected in the board of fingerprinting fund.
533533
534534 4. Inform in writing each person who submits fingerprints for a fingerprint background check of the right to petition the board of fingerprinting for a good cause exception pursuant to section 41-1758.03, 41-1758.04 or 41-1758.07.
535535
536536 5. If after conducting a state and federal criminal history records check the division determines that it is not authorized to issue a fingerprint clearance card to a person, inform the person in writing that the division is not authorized to issue a fingerprint clearance card. The notice shall include the criminal history information on which the denial was based. This criminal history information is subject to dissemination restrictions pursuant to section 41-1750 and Public Law 92-544.
537537
538538 6. Notify the person in writing if the division suspends, revokes or places a driving restriction notation on a fingerprint clearance card pursuant to section 41-1758.04. The notice shall include the criminal history information on which the suspension, revocation or placement of the driving restriction notation was based. This criminal history information is subject to dissemination restrictions pursuant to section 41-1750 and Public Law 92-544.
539539
540540 7. Administer and enforce this article.
541541
542542 B. The fingerprinting division may contract for electronic or internet-based fingerprinting services through an entity or entities for the acquisition and transmission of applicant fingerprint and data submissions to the department, including identity verified fingerprints pursuant to section 15-106. The entity or entities contracted by the department of public safety may charge the applicant a fee for services provided pursuant to this article. The entity or entities contracted by the department of public safety shall comply with:
543543
544544 1. All information privacy and security measures and submission standards established by the department of public safety.
545545
546546 2. The information technology security policy approved by the department of public safety.END_STATUTE