Wisconsin Legislative Council
ACT 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
Prepared by: Steve McCarthy, Senior Staff Attorney March 26, 2024
2023 Wisconsin Act 186
[2023 Senate Bill 788]
Delegation of Adjunctive Services
by Chiropractors
2023 WISCONSIN ACT 186
Prior law allowed a licensed chiropractor to delegate the performance of “adjunctive services”
1
under
certain circumstances to chiropractic technicians or certain other health care professionals.
2023 Wisconsin Act 186 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.
The act also creates new administrative rules related to the delegation of adjunctive services by
chiropractors. Specifically, the act 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.
Effective date: June 1, 2024, except that the act’s provisions relating to administrative rules take
effect as provided in s. 227.265, Stats.
For a full history of the bill, visit the Legislature’s bill history page.
SM:ksm
1
“Adjunctive services” 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. [s. 446.01 (1d),
Stats.]