Maryland 2025 Regular Session

Maryland Senate Bill SB52 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	WES MOORE, Governor Ch. 22
2	1
3		-	– 1 –
4		-	Chapter 22
5		-	(Senate Bill 52)
6	2
7		-	AN ACT concerning
	3	+	EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW.
	4	+	[Brackets] indicate matter deleted from existing law.
	5	+	Underlining indicates amendments to bill.
	6	+	Strike out indicates matter stricken from the bill by amendment or deleted from the law by
	7	+	amendment.
	8	+	sb0052
8	9
9		-	Health Occupations – State Board of Chiropractic Examiners – Revisions
	10	+	SENATE BILL 52
	11	+	J2 5lr0925
	12	+	(PRE–FILED) CF HB 514
	13	+	By: Senator Augustine
	14	+	Requested: September 24, 2024
	15	+	Introduced and read first time: January 8, 2025
	16	+	Assigned to: Finance
	17	+	Committee Report: Favorable with amendments
	18	+	Senate action: Adopted
	19	+	Read second time: February 11, 2025
10	20
11		-	FOR the purpose of altering certain provisions of law governing the State Board of
12		-	Chiropractic Examiners and the practice of chiropractic in the State related to Board
13		-	membership, licensure of chiropractors, the discipline of chiropractors, and the
14		-	denial of licenses to applicants; authorizing the Board to inspect chiropractor offices
15		-	under certain circumstances; requiring the Board to require a licensee or applicant
16		-	to submit to an examination by a health care provider under certain circumstances;
17		-	and generally relating to the Maryland Chiropractic Act.
	21	+	CHAPTER ______
18	22
19		-	BY repealing and reenacting, with amendments,
20		-	Article – Health Occupations
21		-	Section 3–101, 3–202(a) and (b), 3–205, 3–301(d), 3–302(c) and (d), 3–303(a),
22		-	3–304(c), 3–305.1, 3–311, 3–313(29) and (30), and 3–314(a)
23		-	Annotated Code of Maryland
24		-	(2021 Replacement Volume and 2024 Supplement)
	23	+	AN ACT concerning 1
25	24
26		-	BY repealing
27		-	Article – Health Occupations
28		-	Section 3–302(e), 3–304(d) and (e), and 3–402
29		-	Annotated Code of Maryland
30		-	(2021 Replacement Volume and 2024 Supplement)
	25	+	Health Occupations – State Board of Chiropractic Examiners – Revisions 2
31	26
32		-	BY adding to
33		-	Article – Health Occupations
34		-	Section 3–304(d) through (g), 3–313(31) through (33), and 3–318
35		-	Annotated Code of Maryland
36		-	(2021 Replacement Volume and 2024 Supplement)
	27	+	FOR the purpose of altering certain provisions of law governing the State Board of 3
	28	+	Chiropractic Examiners and the practice of chiropractic in the State related to Board 4
	29	+	membership, licensure of chiropractors, the discipline of chiropractors, and the 5
	30	+	denial of licenses to applicants; authorizing the Board to inspect chiropractor offices 6
	31	+	under certain circumstances; requiring the Board to require a licensee or applicant 7
	32	+	to submit to an examination by a health care provider under certain circumstances; 8
	33	+	and generally relating to the Maryland Chiropractic Act. 9
37	34
38		-	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND,
39		-	That the Laws of Maryland read as follows:
	35	+	BY repealing and reenacting, with amendments, 10
	36	+	Article – Health Occupations 11
	37	+	Section 3–101, 3–202(a) and (b), 3–205, 3–301(d), 3–302(c) and (d), 3–303(a), 12
	38	+	3–304(c), 3–305.1, 3–311, 3–313(29) and (30), and 3–314(a) 13
	39	+	Annotated Code of Maryland 14
	40	+	(2021 Replacement Volume and 2024 Supplement) 15
40	41
41		-	Article – Health Occupations
	42	+	BY repealing 16
	43	+	Article – Health Occupations 17
	44	+	Section 3–302(e), 3–304(d) and (e), and 3–402 18
	45	+	Annotated Code of Maryland 19
	46	+	(2021 Replacement Volume and 2024 Supplement) 20
42	47
43		-	~~3–101.~~
	48	+	BY adding to 21 2 SENATE BILL 52
44	49
45		-	(a) In this title the following words have the meanings indicated.
46	50
47		-	(b) “Board” means the State Board of Chiropractic Examiners.
	51	+	Article – Health Occupations 1
	52	+	Section 3–304(d) through (g), 3–313(31) through (33), and 3–318 2
	53	+	Annotated Code of Maryland 3
	54	+	(2021 Replacement Volume and 2024 Supplement) 4
48	55
49		-	(c) “Chiropractor” means an individual who practices chiropractic. Ch. 22 2025 LAWS OF MARYLAND
	56	+	SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 5
	57	+	That the Laws of Maryland read as follows: 6
50	58
51		-	~~– 2~~ –
	59	+	Article – Health Occupations 7
52	60
53		-	(d) “Direct supervision” means supervision provided by a supervising
54		-	chiropractor who is personally present or immediately available where the procedures are
55		-	performed to give aid, direction, and instruction when certain procedures or activities are
56		-	performed.
	61	+	3–101. 8
57	62
58		-	[(e) “Extern license” means a license to practice chiropractic under the direct
59		-	supervision of a Board–approved licensed chiropractor.]
	63	+	(a) In this title the following words have the meanings indicated. 9
60	64
61		-	[(f)] (E) “License” means, unless the context requires otherwise, a license
62		-	granted by the Board:
	65	+	(b) “Board” means the State Board of Chiropractic Examiners. 10
63	66
64		-	(1) ~~To practice~~ chiropractic~~; or~~
	67	+	(c) “Chiropractor” means an individual who practices chiropractic. 11
65	68
66		-	(2) To practice chiropractic with the right to practice physical therapy.
	69	+	(d) “Direct supervision” means supervision provided by a supervising 12
	70	+	chiropractor who is personally present or immediately available where the procedures are 13
	71	+	performed to give aid, direction, and instruction when certain procedures or activities are 14
	72	+	performed. 15
67	73
68		-	[(g)] (F) “Licensed chiropractor” means, unless the context requires otherwise,
69		-	a chiropractor who is licensed by the Board to practice chiropractic or to practice
70		-	chiropractic with the right to practice physical therapy.
	74	+	[(e) “Extern license” means a license to practice chiropractic under the direct 16
	75	+	supervision of a Board–approved licensed chiropractor.] 17
71	76
72		-	[(h)] (G) (1) “Practice chiropractic” means to use a drugless system of health
73		-	care based on the principle that interference with the transmission of nerve impulses may
74		-	cause disease.
	77	+	[(f)] (E) “License” means, unless the context requires otherwise, a license 18
	78	+	granted by the Board: 19
75	79
76		-	(2) “Practice chiropractic” includes the diagnosing and locating of
77		-	misaligned or displaced vertebrae and, through the manual manipulation and adjustment
78		-	of the spine and other skeletal structures, treating disorders of the human body.
	80	+	(1) To practice chiropractic; or 20
79	81
80		-	(3) Except as otherwise provided in this title, “practice chiropractic” does
81		-	not include the use of drugs or surgery, or the practice of osteopathy, obstetrics, or any
82		-	other branch of medicine.
	82	+	(2) To practice chiropractic with the right to practice physical therapy. 21
83	83
84		-	(4) The definition of “practice chiropractic” does not prohibit a chiropractor
85		-	from selecting diet and hygiene measures for an individual.
	84	+	[(g)] (F) “Licensed chiropractor” means, unless the context requires otherwise, 22
	85	+	a chiropractor who is licensed by the Board to practice chiropractic or to practice 23
	86	+	chiropractic with the right to practice physical therapy. 24
86	87
87		-	[(i)] (H) “Practice physical therapy” has the meaning stated in § 13–101 of this
88		-	article.
	88	+	[(h)] (G) (1) “Practice chiropractic” means to use a drugless system of health 25
	89	+	care based on the principle that interference with the transmission of nerve impulses may 26
	90	+	cause disease. 27
89	91
90		-	(I) “~~PRECEPTORSHIP~~ ” ~~MEANS AN ORGANIZED S YSTEM~~ OF ~~CLINICAL~~
91		-	~~EXPERIENCE THAT ALLO WS A STUDENT ENROLLED I N A CHIROPRACTIC PRO GRAM~~
92		-	OF ~~STUDY TO BE PAIRE D WITH A CLINICAL PR ECEPTOR FOR~~ THE ~~PURP OSE~~ OF
93		-	~~ATTAINING SPECIFIC L EARNING OBJECTIVES .~~
	92	+	(2) “Practice chiropractic” includes the diagnosing and locating of 28
	93	+	misaligned or displaced vertebrae and, through the manual manipulation and adjustment 29
	94	+	of the spine and other skeletal structures, treating disorders of the human body. 30
	95	+	SENATE BILL 52 3
94	96
95		-	3–202.
96		-	WES MOORE, Governor Ch. 22
97	97
98		-	– 3 –
99		-	(a) (1) The Board consists of 7 members.
	98	+	(3) Except as otherwise provided in this title, “practice chiropractic” does 1
	99	+	not include the use of drugs or surgery, or the practice of osteopathy, obstetrics, or any 2
	100	+	other branch of medicine. 3
100	101
101		-	(2) Of the 7 members:
	102	+	(4) The definition of “practice chiropractic” does not prohibit a chiropractor 4
	103	+	from selecting diet and hygiene measures for an individual. 5
102	104
103		-	(i) 5 shall be licensed chiropractors; and
	105	+	[(i)] (H) “Practice physical therapy” has the meaning stated in § 13–101 of this 6
	106	+	article. 7
104	107
105		-	(ii) 2 shall be consumer members.
	108	+	(I) “PRECEPTORSHIP ” MEANS AN ORGANIZED S YSTEM OF CLINICAL 8
	109	+	EXPERIENCE THAT ALLO WS A STUDENT ENROLLED I N A CHIROPRACTIC PRO GRAM 9
	110	+	OF STUDY TO BE PAIRE D WITH A CLINICAL PR ECEPTOR FOR THE PURP OSE OF 10
	111	+	ATTAINING SPECIFIC L EARNING OBJECTIVES . 11
106	112
107		-	(3) (i) The Governor shall appoint the chiropractor members, with the
108		-	advice of the Secretary, and with the advice and consent of the Senate, from [a]:
	113	+	3–202. 12
109	114
110		-	1. A list of qualified individuals submitted to the Governor
111		-	by the Maryland Chiropractic Association; OR
	115	+	(a) (1) The Board consists of 7 members. 13
112	116
113		-	2. THE INDIVIDUALS WHO P ROVIDE A STATEMENT O F
114		-	NOMINATION SIGNED BY AT LEAST 15 20 CHIROPRACTORS LICENS ED IN THE STATE.
	117	+	(2) Of the 7 members: 14
115	118
116		-	(ii) The number of names on the list SUBMITTED UNDER
117		-	SUBPARAGRAPH (I)1 OF THIS PARAGRAPH shall be [five] THREE times the number of
118		-	vacancies.
	119	+	(i) 5 shall be licensed chiropractors; and 15
119	120
120		-	(iii) The list SUBMITTED UNDER SUBP ARAGRAPH (I)1 OF THIS
121		-	PARAGRAPH shall include the name of the incumbent member unless the incumbent
122		-	declines renomination.
	121	+	(ii) 2 shall be consumer members. 16
123	122
124		-	(4) The Governor shall appoint the ~~consumer~~ members with the ~~advice of~~
125		-	the Secretary, and with the advice and consent of the Senate.
	123	+	(3) (i) The Governor shall appoint the chiropractor members, with the 17
	124	+	advice of the Secretary, and with the advice and consent of the Senate, from [a]: 18
126	125
127		-	(b) Each chiropractor member of the Board shall be:
	126	+	1. A list of qualified individuals submitted to the Governor 19
	127	+	by the Maryland Chiropractic Association; OR 20
128	128
129		-	(1) A resident of this State;
	129	+	2. THE INDIVIDUALS WHO P ROVIDE A STATEMENT O F 21
	130	+	NOMINATION SIGNED BY AT LEAST 15 20 CHIROPRACTORS LICENS ED IN THE STATE. 22
130	131
131		-	(2) A licensed chiropractor of integrity and ability who is in active practice;
132		-	AND
	132	+	(ii) The number of names o n the list SUBMITTED UNDER 23
	133	+	SUBPARAGRAPH (I)1 OF THIS PARAGRAPH shall be [five] THREE times the number of 24
	134	+	vacancies. 25
133	135
134		-	(3) [A graduate of a resident course in chiropractic; and
	136	+	(iii) The list SUBMITTED UNDER SUBP ARAGRAPH (I)1 OF THIS 26
	137	+	PARAGRAPH shall include the name of the incumbent member unless the incumbent 27
	138	+	declines renomination. 28
135	139
136		-	(4)~~] An individual who has practiced chiropractic in this State for at least 5~~
137		-	~~consecutive years~~.
	140	+	(4) The Governor shall appoint the consumer members with the advice of 29
	141	+	the Secretary, and with the advice and consent of the Senate. 30
138	142
139		-	~~3–205.~~
	143	+	(b) Each chiropractor member of the Board shall be: 31 4 SENATE BILL 52
140	144
141		-	(a) In addition to the powers set forth elsewhere in this title, the Board may:
142	145
143		-	(1) Adopt rules and regulations to carry out the provisions of this title; Ch. 22 2025 LAWS OF MARYLAND
144	146
145		-	~~– 4 –~~
	147	+	(1) A resident of this State; 1
146	148
147		-	(2) ~~Summon witnesses,~~ ~~administer oaths,~~ ~~take affidavits,~~ and ~~take~~
148		-	~~testimony about matters that relate to the duties of the Board; [and]~~
	149	+	(2) A licensed chiropractor of integrity and ability who is in active practice; 2
	150	+	AND 3
149	151
150		-	(3) In accordance with the State budget, authorize payment of fees and
151		-	travel expenses of witnesses who testify in any proceeding before the Board; AND
	152	+	(3) [A graduate of a resident course in chiropractic; and 4
152	153
153		-	(4) EXCEPT FOR AN OFFICE OF A CHIROPRACTOR IN A HOSPITAL,
154		-	RELATED INSTITUTION , FREESTANDING MEDICAL FACILITY, OR FREESTANDING
155		-	BIRTHING CENTER , CONDUCT AN UNANNOUNC ED INSPECTION OF THE OFFICE OF A
156		-	CHIROPRACTOR AGAINST WHOM A COMPLAINT HAS BEEN FILED WITH THE BOARD
157		-	REGARDING A VIOLATIO N OF THE CENTERS FOR DISEASE CONTROL AND
158		-	PREVENTION’S GUIDELINES ON STAN DARD PRECAUTIONS AND RELATED
159		-	GUIDELINES IN REGULA TIONS ADOPTED BY THE BOARD TO DETERMINE
160		-	COMPLIANCE WITH THE GUIDELINES AT THAT O FFICE.
	154	+	(4)] An individual who has practiced chiropractic in this State for at least 5 5
	155	+	consecutive years. 6
161	156
162		-	~~(b) In addition to the duties set forth elsewhere in this title, the Board shall:~~
	157	+	3–205. 7
163	158
164		-	(1) ~~Adopt an official seal;~~
	159	+	(a) In addition to the powers set forth elsewhere in this title, the Board may: 8
165	160
166		-	(2) ~~File reports~~ of ~~its activities as required by the Secretary~~;
	161	+	(1) Adopt rules and regulations to carry out the provisions of this title; 9
167	162
168		-	(3) Assist in prosecutions under this title; [and]
	163	+	(2) Summon witnesses, administer oaths, take affidavits, and take 10
	164	+	testimony about matters that relate to the duties of the Board; [and] 11
169	165
170		-	(4) Investigate an alleged violation of this title; AND
	166	+	(3) In accordance with the State budget, authorize payment of fees and 12
	167	+	travel expenses of witnesses who testify in any proceeding before the Board; AND 13
171	168
172		-	(5) ADOPT REGULATIONS GOV ERNING PRECEPTORSHIPS .
	169	+	(4) EXCEPT FOR AN OFFICE OF A CHIROPRACTOR IN A HOSPITAL, 14
	170	+	RELATED INSTITUTION , FREESTANDING MEDICAL FACILITY, OR FREESTANDING 15
	171	+	BIRTHING CENTER , CONDUCT AN UNANNOUNC ED INSPECTION OF THE OFFICE OF A 16
	172	+	CHIROPRACTOR AGAINST WHOM A COMPLAINT HAS BEEN FILED WITH THE BOARD 17
	173	+	REGARDING A VIOLATIO N OF THE CENTERS FOR DISEASE CONTROL AND 18
	174	+	PREVENTION’S GUIDELINES ON STAN DARD PRECAUTIONS AND RELATED 19
	175	+	GUIDELINES IN REGULA TIONS ADOPTED BY THE BOARD TO DETERMINE 20
	176	+	COMPLIANCE WITH THE GUIDELINES AT THAT OFFICE. 21
173	177
174		-	~~3–301.~~
	178	+	(b) In addition to the duties set forth elsewhere in this title, the Board shall: 22
175	179
176		-	(d) ~~This section does not apply to:~~
	180	+	(1) Adopt an official seal; 23
177	181
178		-	(1) A student of chiropractic ENGAGED IN A PRECEPT ORSHIP while
179		-	under the direct supervision of a BOARD–APPROVED licensed chiropractor engaged in an
180		-	educational program[:
	182	+	(2) File reports of its activities as required by the Secretary; 24
181	183
182		-	(i) Sponsored] SPONSORED by a [college] PROGRAM accredited by
183		-	the Council on Chiropractic Education, AN EQUIVALENT ENTITY RECOGNIZED BY THE
184		-	U.S. DEPARTMENT OF EDUCATION OR ANOTHER ENTITY THAT ACCREDITS
185		-	PROGRAMS OFFERING IN STRUCTION IN CHIROPR ACTIC, OR AN EQUIVALENT
186		-	FOREIGN AGENCY THAT ACCREDIT S PROGRAMS OFFERING INSTRUCTION IN
187		-	CHIROPRACTIC ; [and
	184	+	(3) Assist in prosecutions under this title; [and] 25
188	185
189		-	(ii) ~~Approved by the Board~~;~~] or WES MOORE, Governor Ch. 22~~
	186	+	(4) Investigate an alleged violation of this title; AND 26
190	187
191		-	– 5 –
	188	+	(5) ADOPT REGULATIONS GOV ERNING PRECEPTORSHIP S. 27
192	189
193		-	~~(2) An individual licensed to practice chiropractic in any other state or a~~
194		-	~~foreign country while that individual makes a clinical demonstration before:~~
	190	+	3–301. 28
	191	+	SENATE BILL 52 5
195	192
196		-	(i) A chiropractic association;
197	193
198		-	(ii) ~~A chiropractic convention;~~ or
	194	+	(d) This section does not apply to: 1
199	195
200		-	(iii) A chiropractic [college] PROGRAM .
	196	+	(1) A student of chiropractic ENGAGED IN A PRECEPT ORSHIP while 2
	197	+	under the direct supervision of a BOARD–APPROVED licensed chiropractor engaged in an 3
	198	+	educational program[: 4
201	199
202		-	3–302.
	200	+	(i) Sponsored] SPONSORED by a [college] PROGRAM accredited by 5
	201	+	the Council on Chiropractic Education, AN EQUIVALENT ENTITY RECOGNIZED BY THE 6
	202	+	U.S. DEPARTMENT OF EDUCATION OR ANOTHER EN TITY THAT ACCREDITS 7
	203	+	PROGRAMS OFFERING IN STRUCTION IN CHIROPR ACTIC, OR AN EQUIVALENT 8
	204	+	FOREIGN AGENCY THAT ACCREDITS PROGRAMS O FFERING INSTRUCTION IN 9
	205	+	CHIROPRACTIC ; [and 10
203	206
204		-	(c) ~~Except as otherwise provided in this title,~~ the ~~applicant [shall~~] ~~MUST:~~
	207	+	(ii) Approved by the Board;] or 11
205	208
206		-	(1) ~~[(i) Hold~~ a ~~bachelor’s degree from a college or university approved by~~
207		-	~~an accrediting agency of the United States Department of Education;~~ ~~and~~
	209	+	(2) An individual licensed to practice chiropractic in any other state or a 12
	210	+	foreign country while that individual makes a clinical demonstration before: 13
208	211
209		-	(ii) Have completed satisfactorily college courses required by the
210		-	Board; and
	212	+	(i) A chiropractic association; 14
211	213
212		-	(2) (i)] Be a graduate of a [school of] chiropractic PROGRAM OF STUDY
213		-	that [has been approved by the Board under § 3–402 of this title] WAS, AT THE TIME OF
214		-	THE APPLICANT ’S GRADUATION , ACCREDITED BY THE COUNCIL ON CHIROPRACTIC
215		-	EDUCATION, AN EQUIVALENT ENTITY RECOGNIZED BY THE U.S. DEPARTMENT OF
216		-	EDUCATION OR ANOTHER ENTITY THAT ACCREDITS PROGR AMS OFFERING
217		-	INSTRUCTION IN CHIRO PRACTIC, OR AN EQUIVALENT FOR EIGN AGENCY THAT
218		-	ACCREDITS PROGRAMS O FFERING INSTRUCTION IN CHIROPRACTIC ; or
	214	+	(ii) A chiropractic convention; or 15
219	215
220		-	[(ii) 1.] (2) (I) Be licensed in another state for at least 2
221		-	years; and
	216	+	(iii) A chiropractic [college] PROGRAM . 16
222	217
223		-	[2.] (II) Be a graduate of a [school of] chiropractic
224		-	PROGRAM OF STUDY :
	218	+	3–302. 17
225	219
226		-	[A.] 1. That has been [approved] ACCREDITED by the
227		-	Council on Chiropractic Education, AN EQUIVALENT ENTITY RECOGNIZED BY THE U.S.
228		-	DEPARTMENT OF EDUCATION OR ANOTHER ENTITY THAT ACCREDITS PROGRAMS
229		-	OFFERING INSTRUCTION IN CHIROPRACTIC , OR AN EQUIVALENT FOR EIGN AGENCY
230		-	THAT ACCREDITS PROGRAMS O FFERING INSTRUCTION IN CHIROPRACTIC within 4
231		-	years after the applicant graduated from that [school] CHIROPRACTIC PROGRAM OF
232		-	STUDY; and
	220	+	(c) Except as otherwise provided in this title, the applicant [shall] MUST: 18
233	221
234		-	[B.] 2. That the Board determines had standards
235		-	comparable to an [approved school] ACCREDITED CHIROPRAC TIC PROGRAM OF STUDY
236		-	at the time the applicant graduated. Ch. 22 2025 LAWS OF MARYLAND
	222	+	(1) [(i) Hold a bachelor’s degree from a college or university approved by 19
	223	+	an accrediting agency of the United States Department of Education; and 20
237	224
238		-	– 6 –
	225	+	(ii) Have completed satisfactorily college courses required by the 21
	226	+	Board; and 22
239	227
240		-	(d) An applicant shall be entitled to a license to practice chiropractic with the
241		-	right to practice physical therapy if the applicant[:
	228	+	(2) (i)] Be a graduate of a [school of] chiropractic PROGRAM OF STUDY 23
	229	+	that [has been approved by the Board under § 3–402 of this title] WAS, AT THE TIME OF 24
	230	+	THE APPLICANT ’S GRADUATION , ACCREDITED BY THE COUNCIL ON CHIROPRACTIC 25
	231	+	EDUCATION, AN EQUIVALENT ENTITY RECOGNIZED BY THE U.S. DEPARTMENT OF 26
	232	+	EDUCATION OR ANOTHER ENTITY THAT ACCREDITS PROGR AMS OFFERING 27
	233	+	INSTRUCTION IN CHIRO PRACTIC, OR AN EQUIVALENT FOR EIGN AGENCY THAT 28
	234	+	ACCREDITS PROGRAMS O FFERING INSTRUCTION IN CHIROPRACTIC ; or 29
242	235
243		-	(1) Satisfies] SATISFIES the requirements [of this section and §§ 3–303
244		-	and 3–304(e)(2) of this subtitle;
	236	+	[(ii) 1.] (2) (I) Be licensed in another state for at least 2 30
	237	+	years; and 31
	238	+	6 SENATE BILL 52
245	239
246		-	(2) Was licensed as a chiropractor on or before June 1, 1949; or
247	240
248		-	(3) Was enrolled at an approved college of chiropractic on June 1, 1949, and
249		-	later was graduated by that college and licensed] TO PRACTICE CHIROPRA CTIC AND ANY
250		-	ADDITIONAL REQUIREME NTS ESTABLISHED BY T HE BOARD IN REGULATIONS .
	241	+	[2.] (II) Be a graduate of a [school of] chiropractic 1
	242	+	PROGRAM OF STUDY : 2
251	243
252		-	[(e) An applicant may not be required under subsection (c)(1)(i) of this section to
253		-	hold a bachelor’s degree if the applicant:
	244	+	[A.] 1. That has been [approved] ACCREDITED by the 3
	245	+	Council on Chiropractic Education, AN EQUIVALENT ENTITY RECOGNIZED BY THE U.S. 4
	246	+	DEPARTMENT OF EDUCATION OR ANOTHER ENTITY THAT ACCREDITS PROGR AMS 5
	247	+	OFFERING INSTRUCTION IN CHIROPRACTIC , OR AN EQUIVALENT FOR EIGN AGENCY 6
	248	+	THAT ACCREDITS PROGRAMS O FFERING INSTRUCTION IN CHIROPRACTIC within 4 7
	249	+	years after the applicant graduated from that [school] CHIROPRACTIC PROGRAM OF 8
	250	+	STUDY; and 9
254	251
255		-	(1) Graduated from a school of chiropractic before July 1, 1999; and
	252	+	[B.] 2. That the Board determines had standards 10
	253	+	comparable to an [approved school] ACCREDITED CHIROPRAC TIC PROGRAM OF STUDY 11
	254	+	at the time the applicant graduated. 12
256	255
257		-	(2) ~~Meets~~ the ~~educational requirements in place at the time of the~~
258		-	applicant~~’s graduation from a school of chiropractic.]~~
	256	+	(d) An applicant shall be entitled to a license to practice chiropractic with the 13
	257	+	right to practice physical therapy if the applicant[: 14
259	258
260		-	3–303.
	259	+	(1) Satisfies] SATISFIES the requirements [of this section and §§ 3–303 15
	260	+	and 3–304(e)(2) of this subtitle; 16
261	261
262		-	(a) To apply for a license, an applicant shall submit to the Board at least 45 days
263		-	before an examination:
	262	+	(2) Was licensed as a chiropractor on or before June 1, 1949; or 17
264	263
265		-	(1) An application on the form the Board requires that includes
266		-	information of the applicant’s:
	264	+	(3) Was enrolled at an approved college of chiropractic on June 1, 1949, and 18
	265	+	later was graduated by that college and licensed] TO PRACTICE CHIROPRA CTIC AND ANY 19
	266	+	ADDITIONAL REQUIREME NTS ESTABLISHED BY T HE BOARD IN REGULATIONS . 20
267	267
268		-	(i) Educational history;
	268	+	[(e) An applicant may not be required under subsection (c)(1)(i) of this section to 21
	269	+	hold a bachelor’s degree if the applicant: 22
269	270
270		-	(ii) ~~Experience in health care~~;
	271	+	(1) Graduated from a school of chiropractic before July 1, 1999; and 23
271	272
272		-	(~~iii~~) ~~[Hours and courses]~~ ~~COURSES taken during chiropractic~~
273		-	~~studies;~~
	273	+	(2) Meets the educational requirements in place at the time of the 24
	274	+	applicant’s graduation from a school of chiropractic.] 25
274	275
275		-	~~(iv) Training or studies in related fields; and~~
	276	+	3–303. 26
276	277
277		-	(v) [Clinical] PRECEPTORSHIP experience;
	278	+	(a) To apply for a license, an applicant shall submit to the Board at least 45 days 27
	279	+	before an examination: 28
278	280
279		-	(2) ~~Certified transcripts~~ that ~~demonstrate compliance with the [college~~
280		-	~~credit] requirements~~ of ~~§ 3–302 of this subtitle;~~
	281	+	(1) An application on the form the Board requires that includes 29
	282	+	information of the applicant’s: 30
281	283
282		-	(3) Proof of any degrees or certification alleged;
283		-	WES MOORE, Governor Ch. 22
	284	+	(i) Educational history; 31
284	285
285		-	– 7 –
286		-	(4) Satisfactory evidence of good moral character;
	286	+	(ii) Experience in health care; 32 SENATE BILL 52 7
287	287
288		-	(5) An application fee set by the Board; and
289	288
290		-	(6) Satisfactory evidence of having completed a State and national criminal
291		-	history records check in accordance with § 3–302.1 of this subtitle.
292	289
293		-	3–304.
	290	+	(iii) [Hours and courses] COURSES taken during chiropractic 1
	291	+	studies; 2
294	292
295		-	(c) ~~The Board shall[:~~
	293	+	(iv) Training or studies in related fields; and 3
296	294
297		-	(1) Notify] NOTIFY each qualified applicant of the time and place of
298		-	examination[; and
	295	+	(v) [Clinical] PRECEPTORSHIP experience; 4
299	296
300		-	(2) ~~Publish in a newspaper of general circulation~~ the ~~time and place of each~~
301		-	~~examination, at least 30 days before the examination].~~
	297	+	(2) Certified transcripts that demonstrate compliance with the [college 5
	298	+	credit] requirements of § 3–302 of this subtitle; 6
302	299
303		-	[(d) (1) The Board shall develop written evaluation criteria to be used to
304		-	identify minimum competency on the oral or clinical portions of the examination.
	300	+	(3) Proof of any degrees or certification alleged; 7
305	301
306		-	(2) Except as otherwise provided in this section, the Board shall determine
307		-	the subjects, scope, method, and form for examinations given under this title.
	302	+	(4) Satisfactory evidence of good moral character; 8
308	303
309		-	(3) ~~Until~~ the ~~grading of all examinations is completed:~~
	304	+	(5) An application fee set by the Board; and 9
310	305
311		-	(i) ~~The examination papers~~ of ~~each applicant shall be identified only~~
312		-	~~by a number;~~ ~~and~~
	306	+	(6) Satisfactory evidence of having completed a State and national criminal 10
	307	+	history records check in accordance with § 3–302.1 of this subtitle. 11
313	308
314		-	(ii) The name of the applicant to whom an examination paper
315		-	belongs may not be disclosed to any member of the Board.
	309	+	3–304. 12
316	310
317		-	(4) The examination shall include a written practical or oral section on
318		-	clinical subjects, including:
	311	+	(c) The Board shall[: 13
319	312
320		-	(i) Chiropractic principles;
	313	+	(1) Notify] NOTIFY each qualified applicant of the time and place of 14
	314	+	examination[; and 15
321	315
322		-	(ii) Chiropractic technique and practice;
	316	+	(2) Publish in a newspaper of general circulation the time and place of each 16
	317	+	examination, at least 30 days before the examination]. 17
323	318
324		-	(iii) Hygiene;
	319	+	[(d) (1) The Board shall develop written evaluation criteria to be used to 18
	320	+	identify minimum competency on the oral or clinical portions of the examination. 19
325	321
326		-	(iv) Neurology;
	322	+	(2) Except as otherwise provided in this section, the Board shall determine 20
	323	+	the subjects, scope, method, and form for examinations given under this title. 21
327	324
328		-	(v) ~~Orthopedics;~~
	325	+	(3) Until the grading of all examinations is completed: 22
329	326
330		-	(vi) ~~Physical diagnosis;~~
331		-	~~Ch.~~ 22 ~~2025 LAWS OF MARYLAND~~
	327	+	(i) The examination papers of each applicant shall be identified only 23
	328	+	by a number; and 24
332	329
333		-	~~– 8 –~~
334		-	~~(vii) Roentgenology;~~
	330	+	(ii) The name of the applicant to whom an examination paper 25
	331	+	belongs may not be disclosed to any member of the Board. 26
335	332
336		-	(viii) Symptomatology; and
	333	+	(4) The examination shall include a written practical or oral section on 27
	334	+	clinical subjects, including: 28 8 SENATE BILL 52
337	335
338		-	(ix) Physical therapy, as defined in § 13–101 of this article.
339	336
340		-	(e) (1) Except as otherwise provided in this title, an applicant qualifies for a
341		-	license to practice chiropractic only if the applicant answers correctly at least:
342	337
343		-	(i) 60 percent of the questions in each subsection of the examination
344		-	other than the subsection on physical therapy; and
	338	+	(i) Chiropractic principles; 1
345	339
346		-	(ii) 75 percent of all of the questions on the examination other than
347		-	those on physical therapy.
	340	+	(ii) Chiropractic technique and practice; 2
348	341
349		-	(2) Except as otherwise provided in this title, an applicant qualifies for a
350		-	license to practice chiropractic with the right to practice physical therapy only if the
351		-	applicant answers correctly at least:
	342	+	(iii) Hygiene; 3
352	343
353		-	(i) 60 percent of the questions in each subsection of the examination;
354		-	and
	344	+	(iv) Neurology; 4
355	345
356		-	(ii) ~~75 percent of all of the questions on the examination.]~~
	346	+	(v) Orthopedics; 5
357	347
358		-	(D) ~~(1) THE BOARD–ADMINISTERED EXAMINA TION SHALL INCLUDE :~~
	348	+	(vi) Physical diagnosis; 6
359	349
360		-	(I) THE GENERAL LAWS AND REGULATIONS OF THE STATE ON
361		-	THE PRACTICE OF CHIR OPRACTIC; AND
	350	+	(vii) Roentgenology; 7
362	351
363		-	(II) ~~THE LAWS~~ AND ~~REGULATI ONS ON INFECT ION CONTROL.~~
	352	+	(viii) Symptomatology; and 8
364	353
365		-	(2) AN APPLICANT QUALIFIE S FOR A LICENSE TO P RACTICE
366		-	CHIROPRACTIC ONLY IF THE APPLICANT ANSWER S CORRECTLY AT LEAST 75% OF
367		-	ALL THE QUESTIONS ON THE BOARD–ADMINISTERED EXAMINA TION.
	354	+	(ix) Physical therapy, as defined in § 13–101 of this article. 9
368	355
369		-	(E) (1) AN APPLICANT ~~SHALL PA Y TO THE BOARD AN EXAMINATION FEE~~
370		-	~~SET BY~~ THE ~~BOARD.~~
	356	+	(e) (1) Except as otherwise provided in this title, an applicant qualifies for a 10
	357	+	license to practice chiropractic only if the applicant answers correctly at least: 11
371	358
372		-	(2) THE ~~PAYMENT~~ OF ~~ONE EX AMINATION FEE ENTITL ES AN~~
373		-	~~APPLICANT TO TAKE TH E BOARD–ADMINISTERED EXAMINA TION TWICE.~~
	359	+	(i) 60 percent of the questions in each subsection of the examination 12
	360	+	other than the subsection on physical therapy; and 13
374	361
375		-	(F) IF AN APPLICANT FAILS THE BOARD–ADMINISTERED EXAMINA TION
376		-	TWICE, THE APPLICANT MAY RE TAKE THE EXAMINATION IF THE APPLICANT PAYS
377		-	THE APPROPRIATE FEE .
378		-	WES MOORE, Governor Ch. 22
	362	+	(ii) 75 percent of all of the questions on the examination other than 14
	363	+	those on physical therapy. 15
379	364
380		-	– 9 –
381		-	(G) IN ADDITION TO THE WR ITTEN EXAMINATION AD MINISTERED BY THE
382		-	BOARD, AN APPLICANT SHALL T AKE AND PASS ALL APP LICABLE SECTIONS OF THE
383		-	NATIONAL EXAMINATION ADMINISTERED BY :
	365	+	(2) Except as otherwise provided in this title, an applicant qualifies for a 16
	366	+	license to practice chiropractic with the right to practice physical therapy only if the 17
	367	+	applicant answers correctly at least: 18
384	368
385		-	(1) THE ~~NATIONAL BOARD~~ OF ~~CHIROPRACTIC EXAMINERS OR ITS~~
386		-	~~SUCCESSOR ENTITY ;~~
	369	+	(i) 60 percent of the questions in each subsection of the examination; 19
	370	+	and 20
387	371
388		-	(2) AN EQUIVALENT NATIONA L CHIROPRACTIC TESTI NG ENTITY
389		-	APPROVED BY THE BOARD; OR
	372	+	(ii) 75 percent of all of the questions on the examination.] 21
390	373
391		-	(2) (3) AN EQUIVALENT FOREIGN CHIROPRACTIC TESTING ENTITY
392		-	APPROVED BY THE BOARD.
	374	+	(D) (1) THE BOARD–ADMINISTERED EXAMINA TION SHALL INCLUDE : 22
393	375
394		-	3–305.1.
	376	+	(I) THE GENERAL LAWS AND REGULATIONS OF THE STATE ON 23
	377	+	THE PRACTICE OF CHIR OPRACTIC; AND 24
395	378
396		-	(a) The ~~Board may grant[, as appropriate,~~ ~~an extern]~~ ~~A TEMPORARY license to~~
397		-	~~an individual who meets the requirements of this section.~~
	379	+	(II) THE LAWS AND REGULATI ONS ON INFECTION CON TROL. 25
	380	+	SENATE BILL 52 9
398	381
399		-	(b) To qualify for [an extern] A TEMPORARY license, an applicant [shall be an
400		-	individual seeking to participate in a chiropractic externship who] SHALL:
401	382
402		-	(1) [Submits] SUBMIT an application provided by the Board;
	383	+	(2) AN APPLICANT QUALIFIE S FOR A LICENSE TO P RACTICE 1
	384	+	CHIROPRACTIC ONLY IF THE APPLICANT ANSWER S CORRECTLY AT LEAST 75% OF 2
	385	+	ALL THE QUESTIONS ON THE BOARD–ADMINISTERED EXAMINA TION. 3
403	386
404		-	(2) ~~[Has] HAVE graduated from~~ an ~~accredited chiropractic [college]~~
405		-	~~PROGRAM OF STUDY ;~~
	387	+	(E) (1) AN APPLICANT SHALL PA Y TO THE BOARD AN EXAMINATION FEE 4
	388	+	SET BY THE BOARD. 5
406	389
407		-	(3) [Has] HAVE begun the process of applying to the Board for a license to
408		-	practice chiropractic, but [who has] not met [certain] requirements[, specified in
409		-	regulation,] to qualify for a license;
	390	+	(2) THE PAYMENT OF ONE EX AMINATION FEE ENTITL ES AN 6
	391	+	APPLICANT TO TAKE TH E BOARD–ADMINISTERED EXAMINA TION TWICE. 7
410	392
411		-	(4) ~~(I) [Has~~ ~~taken and passed~~ the ~~examination of the National Board of~~
412		-	~~Chiropractic Examiners;] HAVE BEEN LICENSED IN ANOTHER STATE FOR AT LEAST 2~~
413		-	~~YEARS PRECEDING~~ THE ~~APPLICATION IN THE STATE;~~ OR
	393	+	(F) IF AN APPLICANT FAILS THE BOARD–ADMINISTERED EXAMINA TION 8
	394	+	TWICE, THE APPLICANT MAY RE TAKE THE EXAMINATION IF THE APPLICANT PAY S 9
	395	+	THE APPROPRIATE FEE . 10
414	396
415		-	(II) ~~HAVE GRADUATED FROM A N ACCREDITED CHIROPR ACTIC~~
416		-	~~PROGRAM~~ OF ~~STUDY WIT HIN 6 MONTHS PRECEDING~~ THE ~~APPLICATION IN THE~~
417		-	~~STATE;~~
	397	+	(G) IN ADDITION TO THE WR ITTEN EXAMINATION AD MINISTERED BY THE 11
	398	+	BOARD, AN APPLICANT SHALL T AKE AND PASS ALL APP LICABLE SECTIONS OF THE 12
	399	+	NATIONAL EXAMINATION ADMINISTERED BY : 13
418	400
419		-	(5) HAVE SUBMITTED WRIT TEN, VERIFIED EVIDENCE TH AT THE
420		-	APPLICANT HAS SUBMIT TED A CRIMINAL HISTO RY RECORDS CHECK IN
421		-	ACCORDANCE WITH § 3–302.1 OF THIS SUBTITLE;
422		-	Ch. 22 2025 LAWS OF MARYLAND
	401	+	(1) THE NATIONAL BOARD OF CHIROPRACTIC EXAMINERS OR ITS 14
	402	+	SUCCESSOR ENTITY ; 15
423	403
424		-	– 10 –
425		-	(6) [Agrees] AGREE to practice under the direct supervision of a
426		-	Board–approved supervisor who is a licensed chiropractor while the [extern] TEMPORARY
427		-	license is in effect; and
	404	+	(2) AN EQUIVALENT NATIONA L CHIROPRACTIC TESTI NG ENTITY 16
	405	+	APPROVED BY THE BOARD; OR 17
428	406
429		-	[(6)] (7) [Pays] PAY the TEMPORARY license fee set by the Board.
	407	+	(2) (3) AN EQUIVALENT FOREIGN CHIROPRACTIC TESTING ENTITY 18
	408	+	APPROVED BY THE BOARD. 19
430	409
431		-	~~(c) The applicant shall be of good moral character~~.
	410	+	3–305.1. 20
432	411
433		-	[(d) (1) The term of an extern license is the lesser of:
	412	+	(a) The Board may grant[, as appropriate, an extern] A TEMPORARY license to 21
	413	+	an individual who meets the requirements of this section. 22
434	414
435		-	(i) ~~The duration of the individual’s participation in the chiropractic~~
436		-	externship~~; or~~
	415	+	(b) To qualify for [an extern] A TEMPORARY license, an applicant [shall be an 23
	416	+	individual seeking to participate in a chiropractic externship who] SHALL: 24
437	417
438		-	(ii) 6 months from the date of the Board’s approval of the externship
439		-	application.
	418	+	(1) [Submits] SUBMIT an application provided by the Board; 25
440	419
441		-	(2) The term of an extern license shall terminate on the earlier of:
	420	+	(2) [Has] HAVE graduated from an accredited chiropractic [college] 26
	421	+	PROGRAM OF STUDY ; 27
442	422
443		-	(i) The date the individual’s chiropractic externship terminates; or
	423	+	(3) [Has] HAVE begun the process of applying to the Board for a license to 28
	424	+	practice chiropractic, but [who has] not met [certain] requirements[, specified in 29
	425	+	regulation,] to qualify for a license; 30
	426	+	10 SENATE BILL 52
444	427
445		-	(ii) The date the individual is licensed by the Board to practice
446		-	chiropractic without the direct supervision of a Board–approved licensed chiropractor.]
447	428
448		-	(D) (1) ~~UNLESS~~ THE BOARD ~~SUSPENDS OR REV OKES A TEMPORARY~~
449		-	~~LICENSE, EACH TEMPORARY LICEN SE EXPIRES 6 MONTHS AFTER THE DAT E OF~~
450		-	~~ISSUE.~~
	429	+	(4) (I) [Has taken and passed the examination of the National Board of 1
	430	+	Chiropractic Examiners;] HAVE BEEN LICENSED IN ANOTHER STATE FOR AT LEAST 2 2
	431	+	YEARS PRECEDING THE APPLICATION IN THE STATE; OR 3
451	432
452		-	(2) (I) SUBJECT TO SUBPARAGRA PH (II) OF THIS PARAGRAPH , A
453		-	TEMPORARY LICENSE MA Y BE EXTENDED EVERY 90 DAYS.
	433	+	(II) HAVE GRADUATED FROM A N ACCREDITED CHIROPR ACTIC 4
	434	+	PROGRAM OF STUDY WIT HIN 6 MONTHS PRECEDING THE APPLICATION IN THE 5
	435	+	STATE; 6
454	436
455		-	(II) THE TOTAL LENGTH OF R ENEWAL MAY NOT EXCEE D 12
456		-	MONTHS FROM THE DATE THE ORIGINAL TEMPORA RY LICENSE WAS ISSUE D.
	437	+	(5) HAVE SUBMITTED WRITTEN , VERIFIED EVIDENCE TH AT THE 7
	438	+	APPLICANT HAS SUBMIT TED A CRIMINAL HISTO RY RECORDS CHECK IN 8
	439	+	ACCORDANCE WITH § 3–302.1 OF THIS SUBTITLE; 9
457	440
458		-	3–311.
	441	+	(6) [Agrees] AGREE to practice under the direct supervision of a 10
	442	+	Board–approved supervisor who is a licensed chiropractor while the [extern] TEMPORARY 11
	443	+	license is in effect; and 12
459	444
460		-	(a) The Board shall place a licensee on inactive status, if the licensee submits to
461		-	the Board:
	445	+	[(6)] (7) [Pays] PAY the TEMPORARY license fee set by the Board. 13
462	446
463		-	(1) An application for inactive status on the form required by the Board;
464		-	and
	447	+	(c) The applicant shall be of good moral character. 14
465	448
466		-	(2) The ~~inactive status fee set by~~ the ~~Board.~~
	449	+	[(d) (1) The term of an extern license is the lesser of: 15
467	450
468		-	(b) ~~A licensee on inactive status may reactivate~~ the ~~license [at any time] if~~ the
469		-	~~licensee: WES MOORE, Governor Ch. 22~~
	451	+	(i) The duration of the individual’s participation in the chiropractic 16
	452	+	externship; or 17
470	453
471		-	– 11 –
	454	+	(ii) 6 months from the date of the Board’s approval of the externship 18
	455	+	application. 19
472	456
473		-	(1) Complies with the continuing education AND CARDIOPULMONARY
474		-	RESUSCITATION (CPR) requirements in effect for the renewal period in which the
475		-	licensee seeks to reactivate the license; and
	457	+	(2) The term of an extern license shall terminate on the earlier of: 20
476	458
477		-	(2) ~~Pays~~ the ~~[reinstatement] REACTIVATION fee set by~~ the ~~Board.~~
	459	+	(i) The date the individual’s chiropractic externship terminates; or 21
478	460
479		-	3–313.
	461	+	(ii) The date the individual is licensed by the Board to practice 22
	462	+	chiropractic without the direct supervision of a Board–approved licensed chiropractor.] 23
480	463
481		-	Subject to the hearing provisions of § 3–315 of this subtitle, the Board may deny a
482		-	license to any applicant, reprimand any licensee, place any licensee on probation, with or
483		-	without conditions, or suspend or revoke a license, or any combination thereof, if the
484		-	applicant or licensee:
	464	+	(D) (1) UNLESS THE BOARD SUSPENDS OR REV OKES A TEMPORARY 24
	465	+	LICENSE, EACH TEMPORARY LICEN SE EXPIRES 6 MONTHS AFTER THE DAT E OF 25
	466	+	ISSUE. 26
485	467
486		-	(29) ~~Fails~~ to ~~submit to~~ a ~~criminal history records check in accordance with §~~
487		-	~~3–302~~.~~1 of this subtitle; [or]~~
	468	+	(2) (I) SUBJECT TO SUBPARAGRA PH (II) OF THIS PARAGRAPH , A 27
	469	+	TEMPORARY LICENSE MA Y BE EXTENDED EVERY 90 DAYS. 28
488	470
489		-	(30) Fails to comply with any Board order;
	471	+	(II) THE TOTAL LENGTH OF R ENEWAL MAY NOT EXCEE D 12 29
	472	+	MONTHS FROM THE DATE THE ORIGINAL TEMPORA RY LICENSE WAS ISSUE D. 30
	473	+	SENATE BILL 52 11
490	474
491		-	(31) DOES AN ACT THAT IS I NCONSISTENT WITH GEN ERALLY
492		-	ACCEPTED PROFESSIONA L STANDARDS IN THE P RACTICE OF CHIROPRAC TIC;
493	475
494		-	(32) FAILS TO COOPERATE WI TH A LAWFUL INVESTIG ATION
495		-	CONDUCTED BY THE BOARD; OR
	476	+	3–311. 1
496	477
497		-	(33) EXCEPT IN AN EMERGENC Y LIFE–THREATENING SITUATIO N
498		-	WHERE IT IS NOT FEAS IBLE OR PRACTICABLE , FAILS TO COMPLY WITH THE CENTERS
499		-	FOR DISEASE CONTROL AND PREVENTION’S GUIDELI NES ON STANDARD
500		-	PRECAUTIONS .
	478	+	(a) The Board shall place a licensee on inactive status, if the licensee submits to 2
	479	+	the Board: 3
501	480
502		-	3–314.
	481	+	(1) An application for inactive status on the form required by the Board; 4
	482	+	and 5
503	483
504		-	(a) If after a hearing under § 3–315 of this subtitle the Board finds that there are
505		-	grounds under § 3–313 of this subtitle to REPRIMAND ANY LICENS EE, PLACE ANY
506		-	LICENSEE ON PROBATIO N, OR suspend or revoke a license, the Board may impose a
507		-	penalty not exceeding $5,000 for each violation:
	484	+	(2) The inactive status fee set by the Board. 6
508	485
509		-	(1) ~~Instead of REPRIMANDING~~ THE ~~LIC ENSEE,~~ ~~PLACING~~ THE ~~LICENSEE~~
510		-	~~ON PROBATION , OR suspending OR REVOKING the license; or~~
	486	+	(b) A licensee on inactive status may reactivate the license [at any time] if the 7
	487	+	licensee: 8
511	488
512		-	(2) In addition to REPRIMANDING THE LIC ENSEE, PLACING THE
513		-	LICENSEE ON PROBATION , OR suspending or revoking the license.
	489	+	(1) Complies with the continuing education AND CARDIOPULMONARY 9
	490	+	RESUSCITATION (CPR) requirements in effect for the renewal period in which the 10
	491	+	licensee seeks to reactivate the license; and 11
514	492
515		-	3–318.
516		-	Ch. 22 2025 LAWS OF MARYLAND
	493	+	(2) Pays the [reinstatement] REACTIVATION fee set by the Board. 12
517	494
518		-	– 12 –
519		-	(A) IF THE BOARD, WHILE REVIEWING AN A PPLICATION FOR LICEN SURE OR
520		-	INVESTIGATING AN ALL EGATION BROUGHT AGAI NST A LICENSEE UNDER THIS TITLE,
521		-	HAS REASON TO BELIEV E AND OBJECTIVE EVID ENCE THAT THE APPLICANT OR
522		-	LICENSEE MAY CAUSE H ARM TO INDIVIDUALS A FFECTED BY THE APPLI CANT’S OR
523		-	LICENSEE’S PRACTICE OF CHIROP RACTIC, THE BOARD SHALL REQUIRE T HE
524		-	APPLICANT OR LICENSE E TO SUBMIT TO AN AP PROPRIATE EXAMINATIO N BY A
525		-	HEALTH CARE PROVIDER DESIGNATED BY THE BOARD.
	495	+	3–313. 13
526	496
527		-	(B) IN RETURN FOR THE PRI VILEGE TO PRACTICE C HIROPRACTIC IN THE
528		-	STATE, THE APPLICANT OR LIC ENSEE IS DEEMED TO H AVE:
	497	+	Subject to the hearing provisions of § 3–315 of this subtitle, the Board may deny a 14
	498	+	license to any applicant, reprimand any licensee, place any licensee on probation, with or 15
	499	+	without conditions, or suspend or revoke a license, or any combination thereof, if the 16
	500	+	applicant or licensee: 17
529	501
530		-	(1) ~~CONSENTED~~ TO SUBMIT ~~T O AN EXAMINATION UND ER THIS~~
531		-	~~SECTION, IF REQUESTED BY THE BOARD IN WRITING~~ ; ~~AND~~
	502	+	(29) Fails to submit to a criminal history records check in accordance with § 18
	503	+	3–302.1 of this subtitle; [or] 19
532	504
533		-	(2) WAIVED ANY CLAIM OF P RIVILEGE AS TO THE T ESTIMONY OR
534		-	EXAMINATION REPORTS OF THE EXAMINING HEA LTH CARE PROFESSIONA L.
	505	+	(30) Fails to comply with any Board order; 20
535	506
536		-	(C) THE FAILURE OR REFUSA L OF THE APPLICANT O R LICENSEE TO SUBMIT
537		-	TO AN EXAMINATION RE QUIRED UNDER SUBSECT ION (B) OF THIS SECTION IS P RIMA
538		-	FACIE EVIDENCE OF TH E APPLICANT’S OR LICENSEE ’S INABILITY TO PRACT ICE
539		-	CHIROPRACTIC COMPETE NTLY UNLESS THE BOARD FINDS THAT THE FAILURE OR
540		-	REFUSAL WAS BEYOND T HE CONTROL OF THE LI CENSEE.
	507	+	(31) DOES AN ACT THAT IS I NCONSISTENT WITH GEN ERALLY 21
	508	+	ACCEPTED PROFESSIONA L STANDARDS IN THE P RACTICE OF CHIROPRAC TIC; 22
541	509
542		-	(D) ~~THE BOARD SHALL PAY THE C OST OF ANY EXAMINATI ON MADE UNDER~~
543		-	~~THIS SECTION.~~
	510	+	(32) FAILS TO COOPERATE WI TH A LAWFUL INVESTIG ATION 23
	511	+	CONDUCTED BY THE BOARD; OR 24
544	512
545		-	[3–402.
	513	+	(33) EXCEPT IN AN EMERGENC Y LIFE–THREATENING SITUATIO N 25
	514	+	WHERE IT IS NOT FEAS IBLE OR PRACTICABLE , FAILS TO COMPLY WITH THE CENTERS 26
	515	+	FOR DISEASE CONTROL AND PREVENTION’S GUIDELI NES ON STANDARD 27
	516	+	PRECAUTIONS . 28
546	517
547		-	(a) The Board shall approve those schools of chiropractic that provide a
548		-	curriculum, teaching standards, and facilities that the Board determines are adequate to
549		-	prepare a license applicant to practice chiropractic under this title.
	518	+	3–314. 29
550	519
551		-	(b) To be approved under this section, a school shall offer a program that:
	520	+	(a) If after a hearing under § 3–315 of this subtitle the Board finds that there are 30
	521	+	grounds under § 3–313 of this subtitle to REPRIMAND ANY LICENS EE, PLACE ANY 31 12 SENATE BILL 52
552	522
553		-	(1) Is 4 academic years that total at least 4,000 60–minute hours of
554		-	resident study; and
555	523
556		-	(2) Leads to a degree of Doctor of Chiropractic.
	524	+	LICENSEE ON PROBATIO N, OR suspend or revoke a license, the Board may impose a 1
	525	+	penalty not exceeding $5,000 for each violation: 2
557	526
558		-	(c) The ~~Board may inspect any school of chiropractic to determine whether it~~
559		-	~~meets~~ the ~~standards required by this section.~~
	527	+	(1) Instead of REPRIMANDING THE LIC ENSEE, PLACING THE LICENSEE 3
	528	+	ON PROBATION , OR suspending OR REVOKING the license; or 4
560	529
561		-	(d) The ~~Board may approve a school in another state on~~ the ~~recommendation of:~~
562		-	~~WES MOORE~~, ~~Governor~~ Ch. 22
	530	+	(2) In addition to REPRIMANDING THE LIC ENSEE, PLACING THE 5
	531	+	LICENSEE ON PROBATIO N, OR suspending or revoking the license. 6
563	532
564		-	– 13 –
565		-	(1) The chiropractic licensing authority of that state; or
	533	+	3–318. 7
566	534
567		-	(2) The Council on Chiropractic Education.]
	535	+	(A) IF THE BOARD, WHILE REVIEWING AN A PPLICATION FOR LICEN SURE OR 8
	536	+	INVESTIGATING AN ALL EGATION BROUGHT AGAI NST A LICENSEE UNDER THIS TITLE, 9
	537	+	HAS REASON TO BELIEVE AND OBJECTIVE EVIDENCE T HAT THE APPLICANT OR 10
	538	+	LICENSEE MAY CAUSE H ARM TO INDIVIDUALS A FFECTED BY THE APPLI CANT’S OR 11
	539	+	LICENSEE’S PRACTICE OF CHIROP RACTIC, THE BOARD SHALL REQUIRE T HE 12
	540	+	APPLICANT OR LICENSE E TO SUBMIT TO AN AP PROPRIATE EXAMINATIO N BY A 13
	541	+	HEALTH CARE PROVIDER DESIGNATED BY THE BOARD. 14
568	542
569		-	~~SECTION 2.~~ ~~AND BE IT FURTHER ENACTED,~~ ~~That this Act shall take effect July~~
570		-	1, ~~2025.~~
	543	+	(B) IN RETURN FOR THE PRI VILEGE TO PRACTICE C HIROPRACTIC IN THE 15
	544	+	STATE, THE APPLICANT OR LIC ENSEE IS DEEMED TO H AVE: 16
571	545
572		-	Approved by the Governor, April 8, 2025.
	546	+	(1) CONSENTED TO SUBMIT T O AN EXAMINATION UND ER THIS 17
	547	+	SECTION, IF REQUESTED BY THE BOARD IN WRITING ; AND 18
	548	+
	549	+	(2) WAIVED ANY CLAIM OF P RIVILEGE AS TO THE T ESTIMONY OR 19
	550	+	EXAMINATION REPORTS OF THE EXAMINING HEA LTH CARE PROFESSIONA L. 20
	551	+
	552	+	(C) THE FAILURE OR REFUSA L OF THE APPLICANT OR LIC ENSEE TO SUBMIT 21
	553	+	TO AN EXAMINATION RE QUIRED UNDER SUBSECT ION (B) OF THIS SECTION IS P RIMA 22
	554	+	FACIE EVIDENCE OF TH E APPLICANT’S OR LICENSEE ’S INABILITY TO PRACT ICE 23
	555	+	CHIROPRACTIC COMPETE NTLY UNLESS THE BOARD FINDS THAT THE FAILURE OR 24
	556	+	REFUSAL WAS BEYOND THE CONTR OL OF THE LICENSEE . 25
	557	+
	558	+	(D) THE BOARD SHALL PAY THE C OST OF ANY EXAMINATI ON MADE UNDER 26
	559	+	THIS SECTION. 27
	560	+
	561	+	[3–402. 28
	562	+
	563	+	(a) The Board shall approve those schools of chiropractic that provide a 29
	564	+	curriculum, teaching standards, and facilities that the Board determines are adequate to 30
	565	+	prepare a license applicant to practice chiropractic under this title. 31
	566	+
	567	+	(b) To be approved under this section, a school shall offer a program that: 32
	568	+	SENATE BILL 52 13
	569	+
	570	+
	571	+	(1) Is 4 academic years that total at least 4,000 60–minute hours of 1
	572	+	resident study; and 2
	573	+
	574	+	(2) Leads to a degree of Doctor of Chiropractic. 3
	575	+
	576	+	(c) The Board may inspect any school of chiropractic to determine whether it 4
	577	+	meets the standards required by this section. 5
	578	+
	579	+	(d) The Board may approve a school in another state on the recommendation of: 6
	580	+
	581	+	(1) The chiropractic licensing authority of that state; or 7
	582	+
	583	+	(2) The Council on Chiropractic Education.] 8
	584	+
	585	+	SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect July 9
	586	+	1, 2025. 10
	587	+
	588	+
	589	+
	590	+
	591	+	Approved:
	592	+	________________________________________________________________________________
	593	+	Governor.
	594	+	________________________________________________________________________________
	595	+	President of the Senate.
	596	+	________________________________________________________________________________
	597	+	Speaker of the House of Delegates.