Texas Chiropractic eSource

The Texas Chiropractic eSource is your connection to Texas Chiropractic news, updates and events and is emailed to members on a bi-weekly basis.

If there is news that you believe needs to be shared with the profession please send the news, or a link to the news to [email protected]

 
WebMD Makes Historic Invite to Chiropractors
Written by Editor   
Tuesday, April 16, 2019 08:15 PM

WebMD enjoys 5 million visits a day and is widely considered the most popular health site on the Web. Less well-known is the fact that WebMD also has a doctor directory, which enjoys somewhere in the neighborhood of 7 million searches on a monthly basis.

Doctors of chiropractic have been eligible for inclusion in the WebMD doctor directory, but few have chosen to participate, and WebMD certainly hasn't promoted anything to that effect. That is, until now.  In collaboration with the Foundation for Chiropractic Progress (F4CP), WebMD is inviting all DCs to add their practice details as a free listing on the WebMD doctor directory. All Foundation for Chiropractic Progress members will automatically be added to the directory and will receive an email linking them to their initial listing, where they can provide additional information to complete the listing.

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TDI to Review "Old Law" Chapters of Code
Written by Editor   
Tuesday, April 16, 2019 08:09 PM

The Texas Department of Insurance, Division of Workers' Compensation (DWC) will review all sections within the “Old Law” chapters, Chapters 41-69, of Title 28, Part 2 of the Texas Administrative Code (TAC), in accordance with Texas Government Code § 2001.039.

Accordingly, DWC is accepting public comments on whether the rules within the “Old Law” chapters, 28 TAC Chapters 41 – 69, still have reason to exist and whether these rules should be repealed, readopted, or readopted with amendments as required for rule review under Texas Government Code § 2001.039. 

DWC is specifically requesting comments as to whether 28 TAC § 42.105 (DWC, Medical Fee Guideline) should be updated to reference the current requirements of 28 TAC § 134.201 (DWC, Medical Fee Guideline for Medical Treatments and Services Provided under the Texas Workers' Compensation Act).

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Health Insurers Have Inconsistent Policy Terms for Non-drug Pain Treatments
Written by Editor   
Tuesday, April 16, 2019 08:05 PM

Public and private health insurance policies in the U.S. are missing important opportunities to encourage the use of non-drug alternatives to opioid medication for treating lower back pain, a study led by researchers at Johns Hopkins Bloomberg School of Public Health has found.

The researchers looked at Medicaid, Medicare and major commercial insurers' 2017 coverage policies for non-drug options for treating chronic lower back pain--a common pain condition that is often treated inappropriately with prescription opioids. They found that insurers have inconsistent policy terms for non-drug treatments, and provide little or no coverage for interventions which have some scientific backing.

“This study reveals an important opportunity for insurers to broaden and standardize their coverage of non-drug pain treatments to encourage their use as safer alternatives to opioids," says study senior author Caleb Alexander, MD, MS, associate professor of epidemiology at the Bloomberg School.

CDC officials estimate that 49,031 Americans died from opioid overdoses in the 12-month period ending in December 2017. In 2016, more than 40 percent of those deaths were due to prescription opioids. This epidemic has been encouraged by a several-fold increase in opioid prescriptions since the turn of the century--most of which are thought to be medically unnecessary. Current CDC guidelines note that "Non-opioid therapy is preferred for chronic pain outside of active cancer, palliative, and end-of-life care." 

Even for physical therapy specific coverage policies were inconsistent. “Some plans covered two visits, some six, some 12; some allowed you to refer yourself for treatment, while others required referral by a doctor," Alexander says.  

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Are Insurers Aware of Their Legal Obligations to DCs?
Written by Editor   
Tuesday, April 16, 2019 08:00 PM

Excepted and expanded from Are Insurers Aware of Their Legal Obligations to DCs? by James Lehmann, DC, MBA, FACO

What are the changing ethical and legal business behavior expected from health insurance companies based upon federal law.  Over the decades that have been many changes regarding reimbursement by third-party payers for chiropractic services. First, there were reasonable and necessary reimbursements from insurance companies. Then came managed care. The managed care companies often claimed to practice medicine, and frequently generated severe reductions in reimbursement and caused increased administrative costs for providers. Now, we struggle with documentation issues, restrictive guidelines and shrinking third-party reimbursements.

What are the legal obligations of insurers?  Of primary consideration should be Section 2706of the Affordable Care Act (ACA), “Nondiscrimination in Health Care.” It requires that insurers include and reimburse licensed health care providers in health insurance plans stating that: 

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Texas Tech Medical School to Stop Considering Race in Admissions
Written by Editor   
Tuesday, April 16, 2019 07:54 PM

The Texas Tech University Health Sciences Center, under pressure from the Department of Education, will no longer consider race as a factor in its medical school admissions process, according to an agreement signed by the health center’s president in February.

The agreement comes nearly 14 years after the Department of Education’s Office for Civil Rights launched an investigation into whether the center’s admissions policies violated the Civil Rights Act’s prohibition on racial discrimination. The Office for Civil Rights is also investigating admissions practices at Harvard and Yale.  The agreement requires that the school revise all of its admissions and recruitment materials by September.

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U.S. Uninsured Rate Sticks at Around 9%
Written by Editor   
Tuesday, April 16, 2019 07:52 PM

A little more than 9% of Americans were uninsured during the first 9 months of 2018, according to survey data.  

A total of 29.7 million people of all ages (9.2%) were uninsured at the time of being interviewed -- "not significantly different from 2017, but 18.9 million fewer persons than in 2010," the authors noted. Among adults, ages 18-64, 13.0% were uninsured at time of interview, 19.7% had public coverage, and 69.0% had private health insurance coverage. (Numbers add up to more than 100% because some patients had both public and private coverage and were included in both categories.)

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Can Healthcare Escape the 'Reality TV Paradox'?
Written by Eitor   
Tuesday, April 16, 2019 07:48 PM

How is healthcare like reality television? In both cases, what gets rewarded is not actually what the payer really wants.

In reality TV, the seeming goal is to identify the most talented recording artist or the most compatible couple. But even though that may be the stated goal, the real goal is totally different – viewers and ad dollars.

It’s the same way in healthcare, the thing we reward is not the same as what we really want. The ‘Reality TV Paradox’ happens when the relationship of the actual outcome to what you're measuring may not really be strong.

Preventive cardiology is an example. Although the real goal is to prevent heart attacks and strokes, what do we incentivize? One-size-fits-all algorithms for screening for cholesterol which actually may not be the best idea.  The same can be said for blood pressure targets; there is very little discretion related to them … How do we move away from simply incentivizing one-site-fits-all algorithms for every body?

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Doctors are Bad at Reading Lab Results
Written by Editor   
Tuesday, April 16, 2019 07:43 PM

Modern medicine has come to rely on tests and technological scans. Every year, doctors in this country order more than 4 billion tests. 

Research has found, however, that many physicians misunderstand test results or think tests are more accurate than they are when used diagnostically. Doctors especially fail to grasp how false positives work, and they make crucial medical decisions based on incorrect assumptions that patients have ailments that they probably don’t, unacceptably increasing the chances of making the wrong choice. 

The first problem that doctors (and thus, patients) face is a basic misunderstanding of probability. Say that Disease X has a prevalence of 1 in 1,000 (meaning that 1 out of every 1,000 people will have it), and the test to detect it has a false-positive rate of 5 percent (meaning 5 of every 100 subjects test positive for the ailment even though they don’t really have it). If a patient’s test result comes back positive, what are the chances that she actually has the disease?  

Researchers in a study found that almost half of doctors surveyed said patients who tested positive had a 95 percent chance of having Disease X.  This is radically, catastrophically wrong. In fact, it’s not even close to right. 

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Measles in Texas: 2019
Written by Editor   
Tuesday, April 16, 2019 07:37 PM

The Texas Department of State Health Services is reporting 10 measles cases in the state in 2019, one more than Texas saw in 2018. 

The 10th case is in an adult traveler from the Philippines, where there is an ongoing measles outbreak.

Measles is a highly contagious respiratory illness transmitted when an infected person coughs or sneezes virus particles into the air. 

The illness usually starts a week or two after someone is exposed to the virus with symptoms like a high fever, cough, runny nose and red, watery eyes. A few days later, the telltale rash breaks out as flat, red spots on the face and then spreads down the neck and trunk to the rest of the body. A person is contagious about four days before the rash appears to four days after. People with measles should stay home from work or school during that period.

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Legislative Update: Four Hearings and a Cloud of Dust!
Written by Editor   
Monday, April 08, 2019 02:56 PM

Last week may have been one of the most eventful in TCA’s history! In all, four bills were heard by their respective House and Senate committees.

Early last week, TCA’s top priority, HB 2733 by Rep. Phil Stephenson (clarifying the role of nerves in chiropractic), was in jeopardy of not getting a hearing. Thanks to doctors across the state ramping up their engagement via calls, emails and Capitol visits, the bill was added to the agenda just one day before the April 4 hearing. TCA President Dr. Devin Pettiet, Parker University President Dr. Bill Morgan, Texas Chiropractic College President Dr. Stephen Foster and Dr. Paul Harris, a Fort Worth-based neurologist, provided highly compelling testimony in support of the bill. There was no oral testimony in opposition to the bill. TCA is cautiously optimistic the bill will receive a favorable vote this week. 

Additionally, legislation that could jeopardize chiropractors’ ability to perform acupuncture as a modality of chiropractic also was heard on April 4. TCA Past Presidents Drs. Tyce Hergert, Max Vige and Kevin Kanz, TCA District 11 Vice Director Dr. Alayna Pagnani-Gendron and Dr. Paul Heikkinen testified on TCA’s behalf. TCA will provide updates on the bill’s status once action is taken on it, if any.

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TBCE v. TMA (II) In a Nutshell
Written by Editor   
Tuesday, April 02, 2019 03:44 PM

We have long heard about the TMA vs. TBCE (the chiropractic profession) lawsuits and chiropractic’s prevailing in TMA (I) as we informally keep track of the various TMA lawsuits.  Now in TMA (II) we have political medicine claiming that chiropractic should not be permitted to define terms in use for a century or more by the chiropractic profession.  

This case was filed in 2011 and in 2013 the Medical Association amended its petition to  assert that the chiropractic scope-of-practice rule “improperly defines ‘musculoskeletal system’ to include ‘nerves and … because 'it defines ‘subluxation complex’ as a ‘neuromusculoskeletal condition’ which exceeds the scope of authority conferred on chiropractors by the Chiropractic [Statute].”

The petition to the Supreme Court of Texas summarizes much of what has transpired in these cases.  Below are excerpted some direct quotes that further explain what TMA (II) is about.

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Chiropractic First, Here's Why
Written by Editor   
Tuesday, April 02, 2019 03:42 PM

A 1970s patient education pamphlet authored by Bob Sottile, D.C. entitled CHIROPRACTIC FIRST – MEDICINE SECOND – SURGERY LAST; And Here’s Why In A Nutshell was recently shared in THIS ARTICLE

Excerpts are reproduced here to highlight core chiropractic beliefs.

“The purpose of this booklet” Dr. Sottile tells us, "is to dispel incorrect information and medical propaganda concerning Chiropractic and its role in health care. It is hoped that this knowledge will aid all those who read this booklet in understanding what Chiropractic is, when it should be used and most importantly, why it should be used from infancy on.”

“Chiropractic is not a [merely] treatment for aches and pains. That’s its least important role. Its greatness and importance to the healthcare of the world is paramount, in its approach to health and well being. Chiropractic care embraces health. Medical care embraces disease. … decide for yourself: Do I want health or do I want disease treatment? The choice is yours.”

“The dictionary defines healthas 'Soundness of body; freedom from disease; well-being.' Reliefis defined as ‘alleviation of pain; something that relieves pain.'”

"Relief … gives us a false sense of well being or health. If relief comes in the form of temporary alleviation of symptoms. when the symptoms return. we again act to do what worked before.” 

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ICA Reports
Written by Editor   
Tuesday, April 02, 2019 03:39 PM

Testifies Against HB 448 in New Mexico

In February, The International Chiropractors Association (ICA) was pleased to provide expert review of New Mexico bill HB 448 the Chiropractic Physician Practice Act 

New Mexico established an Advanced Practice designation in chiropractic beginning in 2008.  The 2008 law extended a new authority to prescribe “natural substances”, defined minimal education requirements and provided for oversight by both the NM Medical Board and the NM Pharmacy Board for this new classification of chiropractors. The original legislation did not include the authority to prescribe “drugs” in any form and the new 2008 “Chiropractic Formulary”, which only included natural substances, required approval by both the NM Medical Board and the NM Pharmacy Board. As of 2019, NM is the only state to establish the Advanced Practice designation.

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California Chiropractic Association Sponsors AB 888 Opioid Legislation
Written by Editor   
Tuesday, April 02, 2019 03:37 PM

The California Chiropractic Association (CalChiro) is pleased to sponsor AB 888, which seeks to reduce the over-reliance on prescription opioids by integrating nonpharmacological treatments to pain management care plans and, most importantly, ensures that patients are making well informed decisions before an opioid is prescribed. 

“As the opioid crisis continues to wreak havoc in California families, CalChiro has moved to sponsor legislation requiring nonpharmacological avenues be considered before writing that first, often critical prescription,” states Danny Gambino DC, President of the California Chiropractic Association. “We have always aimed to alleviate pain and suffering without deadly, addictive medications. In fact, studies have shown a 55% reduction in opioid prescriptions if a doctor of chiropractic is sought out first.”

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Cannabis and Psychosis: Getting Harder to Argue Against Causation
Written by Editor   
Tuesday, April 02, 2019 03:33 PM

With the ever changing legal status of cannabis across the world, and the associated potential for an increase in the use of the substance, one has to wonder if we are at the onset of a new "opioid epidemic."  A recent study has found that people who used cannabis every day were at higher risk of developing a first psychotic episode versus people who never used cannabis, in a case-control study conducted in Europe and Brazil.

Compared with non-users, daily cannabis users had more than a three-fold higher odds for incident psychosis.Daily users in cities with relatively widespread availability of high-potency cannabis — defined as a tetrahydrocannabinol (THC) concentration ≥10% — saw an even higher chance for psychosis versus non-users.  The bulk of evidence to date indicates “that for some individuals there is an increased risk of psychosis resulting from daily use of high potency cannabis,” which the current study supports. 

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Call for Keeler Award Nominations
Wednesday, March 27, 2019 12:00 AM

Keeler Plaque Call for Nominations

TCA is accepting nominations for the Keeler Plaque, the Texas Chiropractic Association’s most prestigious award.  The Keeler Plaque designates the chiropractor of the year in Texas.

TCA members are encouraged to nominate a colleague who is a fellow TCA member. The list of nominations is presented to the Keeler Plaque Committee, which will select the honoree. Nominations are not held over from year to year.

Nominations for the 2019 Keeler Plaque are due by May 17.

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TBCE Proposes New Rules (March 2019)
Written by Editor   
Tuesday, March 19, 2019 12:18 PM

The Texas Board of Chiropractic Examiners (TBCE) proposes new amendments to their rules.  

Rules effected include: 

  • 75.1 Unsafe and Unsanitary Conditions
  • 77.4 Misleading Claims
  • 78.14 Acupuncture
  • and the repeal of 80.4 Schedule of Sanctions and the adoption of a new 80.4 Schedule of Penalties.

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Did you Know? TMB
Written by Editor   
Tuesday, March 19, 2019 12:15 PM

Did you know that you can look up TMB licensee information for physicians, PAs acupuncturists, medical rad-techs, respiratory care practitioners, perfusionists, medical physicists and surgical assistance online?

These licensee profiles contain consumer-oriented professional background information, license status, educational background, disciplinary actions, and other helpful information.

To search the TMB database visit:  www.tmb.state.tx.us/page/look-up-a-license

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Kentucky Sues Drug Distributor Over Opioid Epidemic
Written by Editor   
Tuesday, March 19, 2019 12:13 PM

Kentucky’s attorney general has sued AmerisourceBergen Corp, accusing the drug distributor of contributing to opioid abuse in the state by filling suspiciously large or frequent pharmacy orders of prescription painkillers.

The lawsuit by the Kentucky Attorney General was his fourth to date seeking to hold a corporation responsible for its role in the national opioid epidemic. Two prior cases targeted AmerisourceBergen’s main drug distribution competitors, Cardinal Health Inc and McKesson Corp.

Beshear in a statement called stopping large supplies of opioids fueling addiction a priority. “One way to do that is to continue to drag these billion-dollar opioid distributors into Kentucky court to seek damages for their irresponsible actions,” the AG said.

Hundreds of lawsuits by states, counties and cities have accused drugmakers of pushing addictive painkillers through deceptive marketing and wholesale distributors of failing to report suspicious drug orders.

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Physician-Senators on Vaccine Mandates
Written by Editor   
Tuesday, March 19, 2019 12:06 PM

Two Republican senators, both physicians, clashed over whether the government should make vaccinations mandatory.

When Sen. (and ophthalmologist) Rand Paul, MD (R-Ky.) said some vaccine mandates had “run amok,” that drew the attention of Sen. (and gastroenterologist) Bill Cassidy, MD (R-La.). “If you are such a believer in liberty that you do not wish to be vaccinated, then there should be a consequence and that is that you cannot infect other people," Cassidy said in defending school vaccination requirements.

While most senators agreed on the need for vaccination, Paul disputed the need to make it mandatory.  He noted that, in the past, a government-mandated vaccine for rotavirus was reversed when it was discovered that the vaccine caused intestinal blockages in children. Paul also pointed out that flu vaccines are sometimes “completely wrong” when scientists choose the wrong strain of vaccine.  “[I]t is wrong to say that there are no risk to vaccines," he said, noting that the government's Vaccine Injury Compensation program has paid $4 billion since 1988.  And still, Paul said, no informed consent is required for a vaccine.

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Texas Department of State Health Services Launches Instagram Account
Written by Editor   
Tuesday, March 19, 2019 12:03 PM

The Texas Department of State Health Services has launched an Instagram account to reach new audiences of Texans and help protect and guide their health.

The account, @TexasDSHS, launched March 1 and will offer more youth-centered content and health information. 

The Health and Human Services Commission launched its Instagram accounton Feb. 14.

Follow DSHS on Instagram. DSHS also has a presence on FacebookTwitterand YouTube.

 

 
Texas' Highest Criminal Court Strikes Down Provision of Open Meetings Act as "Unconstitutionally Vague"
Written by Editor   
Tuesday, March 19, 2019 12:01 PM

The ruling only pertains to a slice of the law, but open government advocates say the decision “removes a powerful disincentive” put in place to keep public officials from hiding public business.

The Texas Criminal Court of Appeals struck down part of a law imposing basic requirements providing for public access to and information about governmental meetings.

In a major blow to the state’s government transparency laws, Texas’ highest criminal court has struck down a significant provision of the Texas Open Meetings Act, calling it “unconstitutionally vague.”

That law, which imposes basic requirements providing for public access to and information about governmental meetings, makes it a crime for public officials to “knowingly [conspire] to circumvent this chapter by meeting in numbers less than a quorum for the purpose of secret deliberations.” That provision aims to keep public officials from convening smaller meetings — without an official quorum present — to discuss public business outside the view of the taxpayers and the media.

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DWC Announces Performance Based Oversight Results
Written by Editor   
Tuesday, March 19, 2019 12:00 PM

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) has released the 2018 Insurance Carrier Performance Based Oversight (PBO) assessment. 

For 2018, insurance carriers were assessed on their performance for timeliness in the following categories:

  • paying initial temporary income benefits;
  • processing initial medical bills;
  • processing requests for reconsideration of medical bills;
  • submitting initial payment data by electronic data interchange (EDI); and
  • submitting medical bill processing data by EDI.

DWC reviewed 121 insurance carriers with the following results: 55 had scores placing them in the high performer tier, 65 were in the average performer tier, and one had a score placing them in the poor performer tier.

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Youth Vaping Is Now An 'Epidemic'
Written by Jeff Jenkins   
Tuesday, March 19, 2019 11:56 AM

Vaping by U.S. teenagers has reached epidemic levels, threatening to hook a new generation of young people on nicotine.

That's according to an unusual advisory issued by U.S. Surgeon General Jerome Adams about the the dangers of electronic cigarette use among U.S. teenagers.

"I am officially declaring e-cigarette use among youth an epidemic in the United States," Adams said at a news conference. "Now is the time to take action. We need to protect our young people from all tobacco products, including e-cigarettes."

The surgeon general's advisory called on parents and teachers to educate themselves about the variety of e-cigarettes and to talk with children about their dangers. Health professionals should ask about e-cigarettes when screening patients for tobacco use, the advisory said. And local authorities should use strategies, such as bans on indoor vaping and retail restrictions, to discourage vaping by young people.

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DWC Offers New 2019 Health Care Providers and Staff Webinar Series
Written by Editor   
Tuesday, March 19, 2019 11:54 AM

DWC is offering free webinars covering administrative processes related to providing health care to Texas workers’ compensation injured employees. 

Webinar topics include an overview of workers’ compensation, health care provider roles and responsibilities, intake and verification of coverage, utilization review, medical bill processing, medical bill denials and dispute resolution, return to work, maximum medical improvement and impairment rating billing, and certified workers’ compensation health care networks. 

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Governor Abbott Appoints New TBCE Member
Written by Editor   
Tuesday, March 19, 2019 11:52 AM

Governor Greg Abbott has appointed Ebony Todd to the Texas Board of Chiropractic Examiners for a term set to expire on February 1, 2023. 

Ebony Todd of Fort Hood is an attorney and member of Jackson Todd Law, PLLC. She previously served as a judge advocate for the Department of the Army before her retirement from the service.

She currently volunteers at Destiny World Outreach Center and as a service chair with Rotary International. Additionally, she serves on the board of the Greater Killeen Community Clinic. 

Todd received a Bachelor of Arts in English from Baylor University and a Juris Doctor from Texas Wesleyan School of Law, now the Texas A&M School of Law.

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State Agency Council, New Chairwoman From TBCE Staff
Written by EDITOR   
Tuesday, March 19, 2019 11:48 AM

Jennifer Hertsenberg, Operations Director of the Texas Board of Chiropractic Examiners, was recently appointed Chairwoman of the State Agency Council Board of Directors. 

She previously served on the State Agency Council Board of Directors as Membership Director and has been a member of the Council since 2016.  The State Agency Council, formerly the State Agency Liaison Group, was established in 1983 by Governor Mark White. On March 30, 2016, Governor Greg Abbott signed Executive Order 1, which allows the Council to continue with its charge.

The Council’s purpose is to support the goals and activities of the Governor’s Commission for Women, host the Outstanding Women in Texas Government (OWTG) Awards, provide professional development training to its members and engage in community service projects.

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Executive Director’s Message March 2019
Written by Jeff Jenkins   
Friday, March 15, 2019 10:29 AM

Introducing TCA’s New Platinum Sponsor – Bergquist Law Firm

Membership is the lifeblood of any association and, when one is part of a profession under continuous assault, like chiropractic, fundraising is equally important. But the Texas Chiropractic Association also relies on the generous support of our partners – the companies that work directly with chiropractors in Texas and nationally.

TCA is thrilled to announce a new partner – Bergquist Law Firm. Headquartered in Houston with offices in Austin, Dallas, San Antonio and McAllen, Bergquist Law Firm is TCA’s first Platinum Sponsor.

TCA and Bergquist Law Firm share an important goal: we both strive to obtain the best healthcare for our patients/clients and negotiate with insurance companies to be fairly and reasonably compensated. For the past 15 years, David Bergquist and his firm have worked with hundreds of chiropractors in Texas on personal injury cases and they are committed to getting the best outcomes for you and their patients.

You already should have received a letter from TCA President Dr. Devin Pettiet announcing the partnership with Bergquist Law Firm. You will get the opportunity to meet David Bergquist and his team at TCA events across the state. In addition to becoming a year-round Platinum Sponsor, Bergquist Law Firm is the primary sponsor of the TCA Tour of Texas, our grass-roots road show to reach chiropractors across the state.

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Member Benefit: The Texas Chiropractic Retirement Plan
Written by Editor   
Friday, March 01, 2019 12:00 AM

Nicholas M. Boyd, Financial Advisor
Tax Favored Benefits 

The Chiropractic Retirement Plan (CRP) is off to a fast start in 2019. TCA members are signing up to define a path for their retirement investing, manage their adjusted gross income (AGI), reduce their taxes and manage their student loan payments. This type of 401(k) plan is helping to reduce expenses and expand investment advice for participating TCA members. Each employer that adopts the plan helps to further improve the cost for every other member.  Whether you are using a stand-alone 401(k), SEP, SIMPLE, Traditional IRA or nothing at all - reach out to TCA Affiliate Member Tax Favored Benefits (TFB), the manager of the CRP, for a no obligation consultation for your business. 

Since it is tax season, keep reading to learn more about how the CRP can help you manage your taxes by investing.

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Opioids: Under Fire
Written by Editor   
Wednesday, February 20, 2019 04:19 PM

Patients with chronic pain are suffering from ham-handed efforts to curb opioid overdoses, a series of witnesses told the Senate Health, Education, Labor and Pensions (HELP) Committee.  In particular, the CDC's 2016 guidelines for opioid prescribing came under heavy fire, as even a self-described supporter of its recommendations admitted the evidence base was weak.

Cindy Steinberg, national director of policy and advocacy for the U.S. Pain Foundation, argued that well-intentioned efforts to address the epidemic -- particularly strategies to tamp down overprescribing -- have stoked a "climate of fear" among doctors.

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Texas Launches Website to Educate of the Dangers of Opioid Abuse
Written by Editor   
Wednesday, February 20, 2019 04:02 PM

In his office’s latest initiative to combat the nation’s opioid crisis, Attorney General Ken Paxton today launched Dose of Reality, a new comprehensive website to inform and educate Texans about the dangers of misusing prescription painkillers. The new site is available at www.DoseofReality.Texas.gov

“The misuse and abuse of prescription opioids cost lives and devastate Texas families in every region of our state,” Attorney General Paxton said. “Opioids such as OxyContin and hydrocodone are prescribed by doctors to treat moderate to severe pain, but have serious risks and side effects. When patients are not well informed, these drugs can inflict far more pain than they prevent. The Dose of Reality website is intended to give Texans the information they need to avoid those unintended consequences. My office will continue to do everything it can to protect Texans from the opioid crisis.”

Dose of Reality provides individuals, patients, health care providers, teachers, coaches and others with opioid-related resources in one location, allowing for quick and easy access to vital information. The new website includes details on approaches to preventing opioid abuse and addiction, proper pain management, safe storage of prescription painkillers and guidelines on responding to an opioid overdose. It also features a statewide take back map of locations that accept prescription opioids for safe disposal.  

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Nominate a Colleague for an Award
Written by Editor   
Tuesday, January 01, 2019 12:00 AM
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

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