News & Information
Recommendations for Flood Damaged Patient Records
Written by Editor   
Tuesday, August 29, 2017 05:27 PM

One malpractice insurer recommends the following if your patients' records were destroyed or damaged:

If you utilize paper records, you can't replace the destroyed records. However, you can create a new record.

TCA Response to TDI-DWC Proposed Changes
Written by Andrea Howard   
Friday, August 25, 2017 12:55 PM



TCA Members and Texas Chiropractors,

As many of you are aware, the Texas Department of Insurance, Division of Workers’ Compensation (the “Division”) published informal working draft rules regarding Designated Doctor Procedures and Requirements. The draft rules can be found here:

Doctors of Chiropractic from across Texas have contacted TCA to express their grave concerns about the impact several of these rules would have on injured workers and chiropractors. TCA shares these concerns. While TCA will be submitting comment on the proposals to the Division on behalf of its membership, the Association strongly encourages Doctors of Chiropractic to review the draft rules and submit their individual comments to the Division. It is critical that the Division hear how these draft rules would impact the chiropractic community.

Provisions in the Division’s draft rules prioritize Medical Doctors, Doctors of Osteopathy, and board-certified specialists over Doctors of Chiropractic in case assignments within the Designated Doctor Program (see draft rule § 127.5(f)(1) and (2)). Other provisions reduce chiropractic scope of practice within the Designated Doctor Program by prohibiting Doctors of Chiropractic from examining injured workers with torso-related injuries, hernia injuries, cauda equina syndrome, fractures, dislocations, tendon and nerve lacerations, compartment syndrome, and brachial plexus and lumbosacral plexus injuries (see draft rule § 127.130(b)(3), (8) and (9)).

Designated Doctor Rule Changes Proposed
Written by Editor   
Thursday, August 24, 2017 06:57 AM

The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) has proposed sweeping changes to its Designated Doctor program that may negatively impact participating Doctors of Chiropractic. The proposals are extensive and include changes to scheduling and examination procedures as well as qualification criteria for various types of injuries. The “Informal Working Draft Rules” can be viewed at

Message from TBCE President, August 2017
Written by TBCE   
Wednesday, August 23, 2017 05:00 PM

As we transition away from facility registration, it is imperative for D.C.’s employed by facility owners to fully understand their responsibilities as a licensee. Prior to the recent passage of SB 304, there was some uncertainty as to the shared responsibilities between a licensed D.C. and a registered facility owner regarding a variety of matters including the maintenance of patient records, billing and the sanitary conditions of the facility where patients are served. As of September 1, 2017, the TBCE must hold each licensed D.C. responsible for the entire package of delivery of healthcare services. If a complaint is filed against a licensee by a patient, payer, or other concerned party, the Board will investigate the incident and hold the licensed D.C. wholly responsible for any acts of commission or omission resulting in a rule violation.

Celebration Is Over … Time to Get Back to Work for Chiropractic!
Written by Max Vige, DC   
Wednesday, August 23, 2017 10:20 AM

 President’s Message

Summer is nearly over, vacations are done, the kids are back in school and the Texas Chiropractic Association is back to work for you, our members, and the entire Texas chiropractic community. Not that we took much of a break after an exhausting but, ultimately successful, 2017 Legislative Session that resulted in four pro-chiropractic bills being signed into law.  

TCA fought hard for the passage of SB 304, which extended the Texas Board of Chiropractic Examiners (TBCE) for 12 more years. By now, you know your right to diagnose is clearly established in the Texas Chiropractic Act. But, as of September 1, 2017, you no longer have to pay TBCE an annual facility registration. This is in addition to the $200 savings off your fees that TCA fought for and won during the 2015 Legislative Session. Meanwhile, SB 679 opened doors for doctors of chiropractic interested in expanding the range of services in their practice; signing of the “professional associations bill” allows you to form business entities with medical doctors, doctors of osteopathy and podiatrists. Whether this is important to you or not, it puts chiropractors on a more even playing field. 

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