SENATE FLOOR VERSION - SB667 SFLR Page 1 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SENATE FLOOR VERSION February 17, 2025 SENATE BILL NO. 667 By: Coleman An Act relating to chiropractors; amending 59 O.S. 2021, Sections 161.2, 161.3, 161.7, 161.8, and 161.9, which relate to the Oklahoma Chiropractic Practice Act; modifying definitions; requiring use of licensure portals; modifying certain licensing requirements; modifying requirements for notification of disapproval; updating statutory language ; repealing 59 O.S. 2021, Section 161.12 a, which relates to registration as chiropractic claims consultant; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 59 O.S. 2021, Section 161.2, is amended to read as follows: Section 161.2. A. Chiropractic is th e science and art that teaches health in anatomic relation and disease or abnormality in anatomic disrelation, and includes hygienic, sanitary and therapeutic measures incident thereto in humans. The scope of practice of chiropractic shall include those d iagnostic and treatment services and procedures whi ch have been taught by an accredited a chiropractic college program accredited by the Council on Chiropractic Education and have been approved by the Board of Chiropractic Examiners. SENATE FLOOR VERSION - SB667 SFLR Page 2 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. A chiropractic phy sician may engage in the practice of animal chiropractic diagnosis and treatment if certified to do so by the Board. A licensed chiropractic physician may provide chiropractic treatment to an animal without being certified in animal chiropractic diagnosis and treatment by the Board if an animal has been referred to the chiropractic physician by a licensed veterinarian in writing. SECTION 2. AMENDATORY 59 O.S. 2021, Section 161.3, is amended to read as follows: Section 161.3. As u sed in the Oklahoma Chiropractic Practice Act, these words, phrases or terms, unless the context otherwise indicates, shall have the following meanings: 1. “Accredited chiropractic college program” means a chiropractic educational institution degree program which is accredited by an accrediting agency rec ognized by the U.S. Department of Education; 2. “Animal chiropractic diagnosis and treatment ” means treatment that includes vertebral subluxation complex (vsc) and spinal manipulation of nonhuman vertebra tes. The term “animal animal chiropractic diagnosis and treatment” treatment shall not be construed to allow the: a. use of x-rays, b. performing of surgery, c. dispensing or administering of medications, or SENATE FLOOR VERSION - SB667 SFLR Page 3 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 d. performance of traditional veterinary care; 3. “Applicant” means any person submitting an appl ication for licensure to the Board; 4. “Board” means the Board of Chiropractic Examiners; 5. “Certified chiropractic assistant ” means an unlicensed member of a chiropractic physician ’s team of healthcare workers who may assist a chiropractic physician in the performance of examination and therapeutic procedures and techniques necessary to deliver healthcare services to patients within the scope of chiropractic and has been certified by the Board; 6. “Chiropractic physician”, “chiropractor”, “doctor of chiropractic”, “practitioner of chiropractic ” and “licensee” are synonymous and mean a person holding an original license to practice chiropractic in this state; 7. “Examination” means the process used by t he Board, prior to the issuance of an original license, to test the qualifications and knowledge of an applicant on any or all of the following: current statutes, rules or any of those subjects listed in Section 161.8 of this title; 8. “Intern” means a student at an accredited chiropractic college program who is participating in the Chiropractic Undergraduate Preceptorship Program; 9. “Nonclinical” means of a business nature including, but not limited to, practice management, insurance information, and co mputer SENATE FLOOR VERSION - SB667 SFLR Page 4 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 information. It shall also mean the discussion of philosophy as it relates to the performance of chiropractic; 10. “Original license” means a license granting initial authorization to practice chiropractic in this state issued by the Board to an applicant found by the Board to meet the licensing requirements of the Oklahoma Chiropractic Practice Act, by examination pursuant to Section 161.7 of this title, or by relocation of practice pursuant to Section 161.9 of this title; 11. “Preceptor” means a chiropractic physician who is participating in the Chiropractic Undergraduate Preceptorship Program; 12. “Relocation of practice ” means the recognition and approval by the Board, prior to the issuance of an original license, of the chiropractic licensing process in another state, country, territory or province; and 13. “Renewal license” means a license issued to a chiropractic physician by the Board, on or before the first day of July of each year, which authorizes such licensee to practice chiropractic in this state during the succeeding calendar year. SECTION 3. AMENDATORY 59 O.S. 2021, Section 161.7, is amended to read as follows: Section 161.7. A. 1. Applications for an original license by examination to practice chiroprac tic in this state shall be made to SENATE FLOOR VERSION - SB667 SFLR Page 5 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the Board of Chiropractic Examiners in writing on a form and in a manner prescribed by the Board through the online licens ure portal. 2. The application shall be accompanied by a fee of Three Hundred Dollars ($300.00), w hich shall not be refundable under any circumstances. 3. If the application is disapproved by the Board, the applicant shall be so notified by the Executive Director of the Board of Chiropractic Examiners , with the reason for such disapproval fully stated in writing. 4. If the application is approved, th e applicant may take an examination administered by the Board for the purpose of securing an original license. The Board may accept a passing score on an examination administered by the National Board of Chiropractic Examiners taken by the applicant or may require the applicant to take an examination administered by the Board or both. 5. Prior to approval of an application, the Board may authorize the Executive Director of the Board of Chiropractic Examin ers to issue a temporary license to an applicant wh o has submitted a completed application and who, upon payment of the examination fee, has passed the required examination with a score acceptable to the Board. A temporary license shall authorize the appl icant to practice chiropractic in Oklahoma between the submission of the application and the applicant ’s approval for licensure by the Board. A temporary license shall expire upon the Board ’s approval of a SENATE FLOOR VERSION - SB667 SFLR Page 6 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 permanent license or ten (10) calendar days follo wing the Board’s denial of an application for a per manent license. B. Applicants for an original license to practice chiropractic in this state shall submit to the Board of Chiropractic Examiners documentary evidence of completion of: 1. A course of resident study of not less than four (4) years of nine (9) months each in an accredited chiropractic college A valid degree of Doctor of Chiropractic from a program accredited by the Council on Chiropractic Education . A senior student at an accredited chiropractic college program may make application for an original license by examination prior to graduation, but such a license shall not be issued until documentary evidence of the graduation of the student from the college program has been submitted to the Boa rd; 2. Parts I, II, III, IV and physiotherapy as administered by the National Board of Chiropractic Examiners with a passing score; and 3. Passing a jurisprudence examination approved by the Board with a score of seventy -five percent (75%) or better. C. Each applicant shall be a graduate of an accredite d chiropractic college program. For those graduating from a chiropractic program outside the United States, the applicants must have completed an educational program leading to a degree in SENATE FLOOR VERSION - SB667 SFLR Page 7 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 chiropractic from an institution authorized to operate by the government having jurisdiction in which it is domiciled. D. All credentials, diplomas, and other required documentation in a foreign language submitted to the Board by such applicants shall be accompanied by notarized English translations. E. International applicants shall provide satisfactory evidence of meeting the requirements for permanent residence or temporary nonimmigrant status as set forth by the United States Citizenship and Immigration Services. F. Effective January 1, 2006, out -of-state licensed applicants shall submit to the Board documentary evidence that the applicant has malpractice insurance. New applicants shall submit to the Board documentary evidence that the applicant has malpractice ins urance within six (6) months of obtaining their his or her Oklahoma license. G. An applicant for an original license shall: 1. Inform the Board as to whether the person has previously been licensed in Oklahoma and whether the license was revoked or surrendered; 2. Inform the Board as to whether the applicant has ever been licensed in another jurisdiction and whether any disciplinary action was taken against the applicant; 3. Provide full disclosure to the Board of any criminal proceeding taken against t he applicant including, but not limited SENATE FLOOR VERSION - SB667 SFLR Page 8 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 to, pleading guilty or nolo contendere to, receiving a deferred sentence for, or being convicted of a felony crime that substantially relates to the practice of chiropractic and poses a reasonable threat to public sa fety; and 4. If requested, appear before the Board for a personal interview. H. No later than one (1) year after receiving a license to practice in Oklahoma, chiropractic physicians shall complete an orientation course of training approved by the Board. The orientation course hours shall count as contin uing education credits for the year in which they were earned. An association may provide the orientation course of training. I. The Board may issue an original license to those applicants who have passed the required examination with a score acceptable to the Board and who meet all other requirements set forth by the Board. No license fee shall be charged by the Board for the balance of the calendar year in which such a license is issued. J. In addition to an applicant’s failure to meet any other requirements imposed by this section or other applicable law, the Board may deny a license or impose probationary conditions if an applicant has: 1. Pleaded guilty or nolo contendere to, received a deferred sentence for, or been convicted of a felony crime that substantially SENATE FLOOR VERSION - SB667 SFLR Page 9 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 relates to the practice of chiropractic and poses a reasonable threat to public safety; 2. Been the subject of disciplinary action by the Board; or 3. Been the subject of disciplinary act ion in another jurisdiction. K. As used in this se ction: 1. “Substantially relates ” means the nature of criminal conduct for which the person was convicted has a direct bearing on the fitness or ability to perform one or more of the duties or responsibilities necessarily related to the occupation; and 2. “Poses a reasonable threat ” means the nature of criminal conduct for which the person was convicted involved an act or threat of harm against another and has a bearing on the fitness or ability to serve the public or work with others in the occupation. SECTION 4. AMENDATORY 59 O.S. 2021, Section 161.8, is amended to read as follows: Section 161.8. If an examination is administered by the Board of Chiropractic Examiners, it shall include those technical, professional and practical subjects that relate to the practice of chiropractic including, but not limited to, chiropractic principles, anatomy, histology, physiology, symptomatology, orthopedia, chemistry, spinography, diagnosis, sanitation and hygiene, pathology, public health s ervice and adjustology. The Board shall also examine each applicant in the art of chiropractic adjusting, x - SENATE FLOOR VERSION - SB667 SFLR Page 10 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ray, diagnostic laboratory procedures, physiological therapeutics and other subjects taught by a ccredited chiropractic colleges programs. SECTION 5. AMENDATORY 59 O.S. 2021, Section 161.9, is amended to read as follows: Section 161.9. A. Applications for an original license by relocation of practice to practice chiropracti c in this state shall be made to the Board of Chiro practic Examiners in writing on a form and in a manner prescribed by the Board through the online licensure portal. The application shall be accompanied by a fee of Three Hundred Dollars ($300.00), which shall not be refundable under any circumstances. If the application is disapproved by the Board, it shall be returned to the applicant shall be notified by the Executive Director of the Board of Chiropractic Examiners , with the reason for its disapproval fully stated in writing. B. The Board may, in its discretion, issue an original license by relocation to practice to an applicant who is currently licensed to practice chiropractic in another state, country, territory or province, upon the following condi tions: 1. That the applicant is of good moral character; 2. That the requirements for licensure in the state, country, territory or province in which the applicant is licensed are deemed by the Board to be equivalent to the requirements for obtaining an SENATE FLOOR VERSION - SB667 SFLR Page 11 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 original license by examination in force in this st ate at the date of such license; 3. That the applicant has no disciplinary matters pending against him or her in any state, country, territory or province; 4. That the license of the applicant was obtain ed by examination in the state, country, territory or province wherein it was issued, or was obtained by examination of the National Board of Chiropractic Examiners; 5. That the applicant passes a jurisprudence examination given by the Board or the Nation al Board of Chiropractic Examiners with a minimum score of seventy-five percent (75%) or better; and 6. That the applicant meets all other requirements of the Oklahoma Chiropractic Practice Act. C. Any applicant requesting a license by relocation of prac tice into Oklahoma shall: 1. Submit to the Board documentary evidence that the applicant has been in active practice as a chiropractic physician three (3) years immediately preceding the date of the application; 2. Provide full disclosure to the Board of any disciplinary action taken against the applican t pursuant to licensure as a chiropractic physician in any state pursuant to licensure and/or criminal proceedings; SENATE FLOOR VERSION - SB667 SFLR Page 12 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 3. Provide full disclosure to the Board of any criminal proceeding taken against the app licant in any jurisdiction including, but not limited to: a. pleading guilty, pleading nolo contendere, receiving a deferred sentence or being convicted of a felony, b. pleading guilty, pleading nolo contendere, receiving a deferred sentence or being convi cted of a misdemeanor involving moral turpitude, or c. pleading guilty, pleading nolo contendere, receiving a deferred sentence or being convicted of a violation of federal or state controlled dangerous substance laws; 4. If requested, appear before the B oard for a personal interview; and 5. Pay an application fee to be set by rule of the Board. D. The Board may authorize the Executive Director of the Board of Chiropractic Examiners to issue a temporary license to an applicant who has submitted a complet ed application and has passed the required examinat ion with a score acceptable to the Board. A temporary license shall authorize the applicant to practice chiropractic in Oklahoma between the submission of the application and the applicant’s approval for licensure by the Board. A temporary license shall expire upon the Board ’s approval of a permanent license or ten (10) calendar days following the Board ’s denial of an application for a permanent license. SENATE FLOOR VERSION - SB667 SFLR Page 13 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 E. No license fee shall be charged by the Board fo r the balance of the calendar year in which such a license is issued. F. In addition to an applicant ’s failure to meet any other requirements imposed by this section or other applicable law, the Board may deny a license or impose probationary conditions i f an applicant has: 1. Pleaded guilty, pleaded nolo contendere, received a deferred sentence or been convicted of a felony; 2. Pleaded guilty, pleaded nolo contendere, received a deferred sentence or been convicted of a misdemeanor involving moral turpitude; 3. Pleaded guilty, pleaded nolo contendere, r eceived a deferred sentence or been convicted of a violation of federal or state controlled dangerous substance laws; 4. Been the subject of disciplinary action by the Board; or 5. Been the subject of di sciplinary action in another jurisdiction. SECTION 6. REPEALER 59 O.S. 2021, Section 161.12 a, is hereby repealed. SECTION 7. This act shall become effective November 1, 2025. COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES February 17, 2025 - DO PASS