Texas Chiropractic eSource

The Texas Chiropractic Association (TCA), the leading chiropractic professional association in Texas, works to enhance chiropractic practice, education and public access.  The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events.

President’s Message May 2018
Written by Editor   
Monday, May 21, 2018 02:29 PM

Memorial Day weekend is coming up and that means summer is close at hand. It also means that Chiro Texpo ’18, TCA’s annual convention, is only weeks away. If you haven’t registered for Chiro Texpo ’18 it's coming up June 8-10 at the Hyatt Regency Dallas.

Mostly, what I love most about Chiro Texpo is the camaraderie. It’s always fun getting to meet and mingle with my fellow doctors at sessions, meetings, breaks and receptions. One of the highlights is the President’s Gala. We’ll have a great dinner and hand out a few awards, including the prestigious Keeler Plaque and Young Chiropractor of the Year awards. Come and congratulate your peers for their dedication to chiropractic and TCA. Don’t forget to purchase your gala ticket(s) when you register! Regular registration ends this Friday, May 25, so be sure to register online or call the TCA office at (512) 477-9292 before then.

Proposed New Changes to Designed Doctor Program Could Affect Chiropractic
Written by Editor   
Friday, May 18, 2018 12:00 AM

In August 2017, the Texas Department of Insurance – Division of Workers’ Compensation (DWC) published an informal draft rule amending procedures related to the Designated Doctor Program. The DWC’s stated objective with the informal draft rule was to “simplify certain [Designated Doctor] processes, retain and recruit doctors to continue to ensure the most optimally qualified doctor is selected for an examination, provide transparency, and allow for better monitoring of designated doctors.” In response to the informal draft rule, TCA submitted comments to the DWC expressing concerns that the informal draft rule prioritized one profession over another and restricted chiropractic scope of practice. TCA also had meetings and conversations with the DWC to share concerns about the potential impact the informal draft rule could have on both doctors of chiropractic (DCs) and injured workers.

Phantom Coverage and Other Insurance Regularities
Written by Chris G. Dalrymple D.C., F.I.C.C.   
Wednesday, May 09, 2018 03:40 PM

The Texas Chiropractic Association (TCA) is aware of phenomena that have been termed “phantom insurance coverage.”  There have been reported instances where an insurance company advertises a plan that seems to offer certain coverage, but then imposes restrictions to such a degree that the advertised coverage is nonexistent. 

A classic example of such “phantom coverage” is “chiropractic coverage” that is, for example, limited to $500 per year after a $500 co-pay.  This means that the patient will pay the first $500 after which there are no more payable benefits for chiropractic.  In this example the “chiropractic coverage” is considered phantom coverage in that the patient actually has no coverage for chiropractic services.  These and other examples have been reported by practitioners.  The TCA needs documented examples of such phantom coverage.  Please contact TCA to share any examples of such phantom coverage that you encounter in your practice.

Raising Funds for Chiropractic
Written by Chris G. Dalrymple D.C., F.I.C.C.   
Wednesday, May 09, 2018 03:09 PM

The Texas Chiropractic Association (TCA) is working to protect and enhance chiropractic practice in Texas.  It’s Chiropractic Development Initiative (CDI) is “on budget.”  In fact, the recently held Tour of Texas generated over $21,000 in donations from three locations to protect and promote the rights of the profession and their patients.  

The  chiropractic doctors of the TCA believe that the people of Texas should be afforded the full benefit of chiropractic care based on the Doctor of Chiropractic’s level of education, training and experience; that they should be afforded access to chiropractic care free of oppressive limitations or discriminatory payment provisions. They believe that chiropractic doctors in Texas should be afforded the level of authority, respect and esteem equal to the dramatic impact they make on the lives of their patients. 

To assist in achieving this objective, the TCA Political Action Committee (TCA PAC) is in need of funds as TCA prepares for the upcoming 2019 legislative session.  TCA PAC works to support worthy legislative candidates who support chiropractic practice and have an open mind towards the legislative agenda of the TCA.  This year the TCA is encouraging an increased level of grass roots support through local and regional legislative fundraisers and receptions.  Contact TCA if you desire to host or be part of a legislative fundraiser or reception.

Chiro Texpo '18 Hotel, Registration Deadlines Coming Up
Written by Editor   
Monday, May 07, 2018 12:00 AM

The countdown is on for Chiro Texpo ’18, TCA’s annual convention. It’s only three weeks until TCA’s signature event coming up June 8-10 at the Hyatt Regency Dallas.

Regular registration ends May 25 … don’t wait! Register online today or call the TCA office at (512) 477-9292.

Whether you’ve already registered or are still on the fence, here are just a few of the highlights:

Virginia Nurse Practitioners Seek More Autonomy
Written by Editor   
Friday, May 04, 2018 12:14 PM

Most Virginia nurse practitioners could gain the autonomy to practice without a physician’s oversight if the Virginia governor signs a bill the General Assembly passed with near-unanimous support.

The measure would allow most types of nurse practitioners with five years of full-time clinical experience to earn approval to practice without maintaining a contract with a physician who oversees them. 

ACA Elects New President
Written by Editor   
Wednesday, May 02, 2018 10:37 AM

The American Chiropractic Association (ACA) has elected N. Ray Tuck, Jr., DC, of Blacksburg, Va., as its new president.  The ACA Board of Governors (BOG) also elected Karen Konarski-Hart, DC, of Little Rock, Ark., to serve as the association’s vice president.

Nominate a Colleague for an Award
Written by Editor   
Tuesday, May 01, 2018 04:50 PM

The deadline for nominations for the Keeler Plaque and the Young Chiropractor of the year is rapidly approaching.

Make your nomination by May 17!

To nominate, just legibly write or type your nomination and mail it to the Texas Chiropractic Association at 1122 Colorado, Suite 307, Austin TX 78701.  Make sure to put “Keeler” or “Young Chiro” on the envelope and it will be distributed to the appropriate committee unopened.

CMS Seeks to Allow Doctors to Bill Patients Directly
Written by Editor   
Tuesday, April 24, 2018 11:55 AM

The CMS is planning to launch a new pay model that would allow Medicare beneficiaries to contract directly with physicians.

Under current law, physicians are paid under a fee schedule in Medicare that includes limits on the amount they can bill beneficiaries per service unless they choose to opt out of Medicare and privately contract with all of their Medicare patients.  Private contracting would allow physicians to bill seniors for charges that are more than the rates approved by Medicare. These sorts of arrangements are known as balance-billing, a controversial concept that was backed by former HHS Secretary Dr. Tom Price.

Officials for the nation’s largest not-for-profit health system supported private contracting in its comments to the CMS saying this approach would make funds available to beneficiaries upfront and allow them to directly contract for primary care and related services through a subscription payment.  The upfront funding could also be used to pay for services that are not presently covered under Medicare.  “This aspect of such a model would allow both a beneficiary and provider, in partnership to define what has value and create competition for such services.”

Chiropractic Orthopedic Diplomate Returns to Texas
Written by Editor   
Friday, April 20, 2018 01:05 PM
As third-party reimbursements continue to shrink, health care reform calls for a new payment system based upon value rather than the number of procedures. A chiropractic physician’s value improves with enhanced diagnostic skills, which lead to appropriate, high-quality care of patients suffering with acute and chronic pain due to neuromusculoskeletal conditions.
For the reason, the Texas Chiropractic Association (TCA) and the Texas Council of Chiropractic Orthopedists (TCCO) are excited to bring the Diplomate of the Academy of Chiropractic Orthopedists (DACO) program back to Texas. The Diplomate is offered through the University of Bridgeport, which is rolling out its innovative postdoctoral program with state associations across the country.
Evidence Based Chiropractic Care
Written by Editor   
Wednesday, April 18, 2018 03:43 PM

CLICK HERE FOR PDFOn March 21st, 2018, The Lancet published a series of studies on lower back pain and once again chiropractic is shown to be very effective with the number one reason that patients seek chiropractic care. What we do in our office ranks very high as far as value while many of the common medical procedures rank very low. 

The TCA has put together a short synopsis of the recent Lancet lower back pain studies that we hope you will share with your local primary care physicians, nurse practioners and physicians assistants.  

The studies found that:

  • Lower Back pain is the most disabling disease in the world.  It has risen 54% since 1990.
  • The first choice of therapy should be non-pharmacological care such as spinal manipulation, exercise, acupuncture, and massage.
  • Some therapies to avoid: bedrest, opioids, epidural spinal injections, spinal fusion surgery.
  • Imaging should occur only if the clinician suspects a specific condition that would require different management for lower back pain.

 Please share the information from these medical findings in The Lancet.

Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States
Written by Editor   
Monday, April 16, 2018 11:41 AM

Chiropractic care has been reported to have effectiveness for managing musculoskeletal disorders, particularly spine-related pain and disability. Over the past 2 decades, large public sector health care delivery systems in the United States, including the Department of Defense and Department of Veterans Affairs (VA), have integrated chiropractic care into their offered services. 

Private sector medical settings, ranging from small primary care clinics to large health care systems in the United States, have introduced chiropractic care. A survey by the National Board of Chiropractic Examiners Practice Analysis of Chiropractic reported that 9% of doctors of chiropractic (DCs) practice in settings other than chiropractic offices, including 7.8% who work in an “integrated health care facility,” with 3.6% of those surveyed identifying that they hold hospital staff privileges. 

A recent study was conducted to describe the demographic, facility, and practice characteristics of doctors of chiropractic (DCs) working in private sector health care settings in the United States.

Military Reports More CAM Use Than Civilians
Written by Editor   
Monday, April 16, 2018 11:06 AM

Many people in the united states (U.S.) use complementary and alternative medicine (CAM), and its use is increasing. The National Institutes of Health defines CAM as a group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. In 1990, a national survey estimated that 33.8% of U.S. adults used CAM in the previous year, which increased to 42.1% in 1997 and 62% in the 2002 National Health Interview Survey (NHIS). 

The objective of this study was to estimate complementary and alternative medicine (CAM) use among active duty military and compare data with civilian use. A global survey on CAM use in the 12 previous months was conducted. Final participants (16,146) were stratified by gender, service, region, and pay grade. Analysis included prevalence of CAM use, demographic and lifestyle characteristics.

Eaton to be Featured at Women's Chiropractic Summit during Chiro Texpo '18
Written by Jeff Jenkins   
Monday, April 02, 2018 02:24 PM

More than half of the students entering chiropractic college today are female. That much is clear every time we step on the Parker University and Texas Chiropractic College campuses. One thing is for certain: in the coming decades, women will continue to transform chiropractic, which has long been a male-dominated profession.

Recognizing this important demographic shift, TCA is launching the inaugural Texas Women’s Chiropractic Summit during Chiro Texpo ’18, June 8-10 at the Hyatt Regency Dallas. 

TCA is thrilled to bring in Dr. Danielle Eaton, a Missouri chiropractor and the force behind Aligned Women, for an exclusive four-hour interactive workshop geared toward the “mama chiropractor.” Her program, Creating Balance in Life and Practice Through Intentional Business Design, will provide an honest look at creating the elusive thing called “balance” in life and work. TCA wants to personally invite every female chiropractor and student to be part of this important event. Don’t miss this opportunity to revolutionize your personal and professional lives!


Sex and Subluxation: A Legal Guide for Texas Chiropractors
Written by Editor   
Friday, March 30, 2018 01:51 PM

Joshua Massingill, Attorney at Law
Guest Contributor

Engaging in sexual activity with patients is, as we say in the legal field, a very bad idea. Sexual misconduct can trigger severe disciplinary action by the Texas Board of Chiropractic Examiners (“TBCE”) and civil liability for damages. Doctors who behave responsibly with patients can nevertheless face liability for sexual discrimination and harassment in the workplace. And even doctors whose personal conduct is unassailable can face liability for the actions of their employees.

The risks are real. Learn how to protect yourself.

TBCE Proposes Rules Changes in March
Written by Editor   
Friday, March 30, 2018 11:05 AM

The Texas Board of Chiropractic Examiners (TBCE) proposes amending several rules that they deem necessary to reflect implementation of 2017 Sunset Commission legislation, SB 304, which dissolved the Board's statutory requirement to regulate and/or register chiropractic facilities, effective September 1, 2017. The purpose of the proposed amendments is to remove the reference of regulation of facilities and facility owners stated in the rule.

[Red strikethrough] indicates deletions.  Blue indicates additions.

A Big THANK YOU to our CDI Donors
Written by Editor   
Thursday, March 15, 2018 12:28 PM

The Chiropractic Development Initiative (CDI) is the backbone of TCA. CDI funds TCA’s advocacy, legal and public relations initiatives to advance chiropractic in Texas.

Your CDI contributions paid for the lobbying and PR expenses that resulted in four pro-chiropractic bills being signed into law during the 2017 Texas Legislative Session.

Because of your generosity, TCA was able to file an appeal in the Third Court of Appeals seeing to overturn a lower court decision in the Texas Medical Association (TMA) vs. Texas Board of Chiropractic Examiners (TBCE) and TCA law suit. We anticipate a decision in the six months to a year.

TCA’s Premium, Elite Membership – A Great CE Option (and Value)
Written by Jeff Jenkins   
Monday, February 19, 2018 09:21 AM
Still planning out your CE hours for the year? The Texas Chiropractic Association has three great choices for you – and an opportunity to save money off your registration fees while supporting chiropractic in Texas.
Whether you’re a TCA member or not, consider upgrading to the Premium or Elite membership. The Premium membership includes the price of a conference registration in your membership fee, while the Elite membership is your all-access pass to all three TCA conferences.
Thank You to TCA Premium and Elite Members
Written by Andrea Howard   
Thursday, October 12, 2017 03:59 PM
A Big Thank You to TCA Elite and Premium Members 

The Texas Chiropractic Association wants to thank our Elite and Premium Members for their extra support of TCA and your efforts to advance the chiropractic profession in Texas.
The Elite Membership is an upgraded membership that includes unlimited access to all TCA events such as the Mid-Winter Conference, Texas Sports Chiropractic Conference and Chiro Texpo, TCA’s annual convention. Cost is $1,100/year or, if you prefer, you can pay $275/quarter.
The Premium Membership is a high-level membership that features 16 CE hours in the price of membership. Cost is $800/year or $200/quarter.
A significant discount off conference registration fees isn’t the only benefit of the Elite and Premium memberships. A portion of Elite and Premium membership dues support TCA’s Chiropractic Development Initiative (CDI), which funds TCA’s advocacy, legal and public relations efforts.
To join as a TCA Elite or Premium Member or upgrade your membership, contact the TCA office at (512) 477-9292 or email info@chirotexas.org. You also can join online or complete and return the Elite application and Premium application.