News & Information
TCA Statement on VONT Appeal
Monday, November 26, 2018 12:26 PM

As some of you may already be aware, the Third Court of Appeals in Austin rendered its opinion in the ongoing TMA vs. TBCE/TCA (VONT) case. TCA's analysis of the decision is still ongoing, but we’d like to share some initial observations. Here is a link the Court's ruling: https://bit.ly/2qXBt2v

While the Court ruled favorably on the issue of diagnosis, it ruled unfavorably on VONT and the inclusion of "nerve" or "neuro" in the Texas Board of Chiropractic Examiners' definitions of subluxation complex and musculoskeletal system. In summary, this ruling partially voids TBCE's current definitions of "musculoskeletal system" and "subluxation complex,” which currently include the words "nerve" or "neuro." The Court also ruled that Vestibulo-Ocular-Nystagmus testing (VONT) is outside the scope of practice for chiropractors.

The Court addressed the practical effect of removing "nerve" and "neuro" from TBCE’s definitions by stating that, even without those terms, the rule “comprehended and allowed for consideration of and effect on nerves“ and would not “jeopardize patient care.” Thus, the Court's ruling suggests that the removal of these terms is legally necessary, but does not eliminate the clinical or functional consideration of nerves with respect to examination and treatment of muscloskeletal conditions or the subluxation complex. While the Court appears to have accepted TCA's and TBCE's arguments regarding the importance of nerves in clinical practice regarding the subluxation complex and musculoskeletal system, the Court ultimately concluded that the Texas Chiropractic Act, as it is written, does not support the Board’s definitions.

These issues are not finally resolved. In the meantime, TCA is working with legal counsel to determine the next steps. If necessary, TCA will appeal this ruling to the Texas Supreme Court. We will do whatever is required to prevent this decision from taking effect before the Texas Supreme Court has a chance to consider our appeal. We are committed to ensuring that your practice and patient care is not interrupted or affected.

Please stand with TCA as we push this profession forward. TCA stands committed to pursuing every legal remedy available to us to ensure that chiropractors in Texas can practice to the full extent of their education and training. That is the standard that best serves our patients.

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New Acupuncture Rule Effective on December 5th, 2018
Written by Editor   
Tuesday, November 20, 2018 03:05 PM

The Texas Board of Chiropractic Examiners adopted the new acupuncture rule with non-substantive changes at its November 8th meeting. The new rule and preamble were filed with the Texas Register on November 15. The rule will be published in the November 30th issue of the Texas Register. The new rule takes effect on December 5th, 2018.

78.14.Acupuncture.

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House Introduces Bill to Expand Medicare Coverage of Chiropractic Services
Written by Editor   
Monday, November 19, 2018 05:39 PM

Legislation championed by the American Chiropractic Association (ACA) to expand Medicare coverage of services provided by chiropractors within the scope of their license has been introduced in the U.S. House of Representatives. 

TCA proudly joins the ACA its support for H.R. 7157 that will allow chiropractors to practice to the full extent of their licensure in Medicare. Read the ACA Letter to Congress signed by state chiropractic associations. 

The bill, H.R. 7157, introduced on Nov. 16 by Rep. Erik Paulsen (R-Minn.), would allow Medicare beneficiaries to access the chiropractic profession’s broad-based, non-drug approach to pain management, which includes manual manipulation of the spine and extremities, joint mobilization, soft-tissue massage techniques, physiological therapies, exercise instruction and activity advice. Access to non-drug approaches to pain management in Medicare as well as private health care plans has become increasingly important in the wake of the nationwide opioid crisis. The bill adds no new services; it only allows access to those current Medicare benefits that chiropractors are licensed to provide.

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New Guideline on Physical Activity from HHS – Just Move
Written by Editor   
Saturday, November 17, 2018 12:06 PM

The US Department of Health and Human Services (HHS) released a second edition of the Physical Activity Guidelines (PAG) for Americans, with recommendations on physical activity.  The new document for the first time includes recommendations for those 3 to 5 years of age.

Admiral Brett P. Giroir, MD, Assistant Secretary for Health, HHS, said “Our overarching vision is to transform the present sick care system into a health promoting system.”  "The new guideline is a unique opportunity to implement this vision directly to affect every single person across the country."

Inactivity causes 10% of the premature mortality in the United States, Giroir said. “That means if we can just get 25% of inactive people to be active and meet the recommendations, almost 75,000 deaths would be prevented in the United States.”  Low levels of adherence to the guidelines currently in the United States mean that nearly $117 billion in annual healthcare costs are "directly attributable" to not meeting the guidelines, he said, and further, represent a "threat to our national security, because obesity disqualifies nearly one-third of American youth aged 17 to 24 years for military service."

Any physical activity will help, more is better, and it helps for a wider range of health outcomes than previously noted. The new recommendations first advocate simply “moving more and sitting less.”  The new guidelines removed the statement that only 10-minute bouts of physical activity counted toward meeting the guidelines.  They now say moving more frequently throughout the day helps toward meeting the recommendations.

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A Major Contributor to Global Disease Burden: Alcohol
Written by Editor   
Saturday, November 17, 2018 11:59 AM

New research shows that alcohol and drug use disorders are rising and are significantly increasing the global burden of disease.

Investigators  found that alcohol use disorders are now the most prevalent of all substance use disorders, with 100.4 million estimated cases worldwide.  Globally, the most common drug use disorders are cannabis dependence, at 22.1 million cases, and opioid dependence, with 26.8 million cases.

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