Wisconsin Legislative Council
AMENDMENT MEMO
One Ea st Ma in Stre e t, Suite 401 • Ma dison, W I 53703 • (608) 266-1304 • le g.council@le gis.wisconsin.gov • http://www.le gis.wisconsin.gov/lc
Memo published: February 15, 2024 Contact: Kelly McGraw, Staff Attorney
2023 Assembly Bill 830 Assembly Amendment 1
2023 ASSEMBLY BILL 830
Under current law, a licensed chiropractor may, under certain circumstances, delegate to chiropractic
technicians or certain other health care professionals the performance of “adjunctive services,” which is
defined as services that are preparatory or complementary to the practice of chiropractic, including
taking and preparing preliminary patient histories or providing physiotherapy treatment.
Assembly Bill 830 allows licensed chiropractors to delegate the performance of these services to an
individual who has completed a training program for medical assistants accredited by the National
Commission for Certifying Agencies, a national or state medical association, or another entity approved
by the Chiropractic Examining Board.
ASSEMBLY AMENDMENT 1
The amendment adds provisions creating administrative rules related to the delegation of adjunctive
services by chiropractors. Specifically, the amendment specifies that a chiropractor may delegate the
performance of an adjunctive service to an individual who has completed an accredited medical
assistant training program only if all of the following conditions are met:
The individual is qualified, through education, training, or experience, to perform the adjunctive
service.
The chiropractor maintains records or ensures the chiropractor’s employer maintains records that
verify the individual’s training is current.
The chiropractor exercises direct, on-premises supervision of the individual performing the
delegated adjunctive service.
The chiropractor retains ultimate responsibility for the manner and quality of the service.
BILL HISTORY
Assembly Amendment 1 was offered by Representative Gustafson on January 29, 2024. On January 31,
2024, the Assembly Committee on Health, Aging and Long-Term Care voted to recommend adoption of
the amendment, and passage of the bill, as amended, on votes of Ayes, 14; Noes, 0.
For a full history of the bill, visit the Legislature’s bill history page.
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