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]

 
TCC Hosts Board of Regents Retreat
Written by Editor   
Sunday, November 11, 2018 08:56 AM

Texas Chiropractic College (TCC) hosted a retreat for its Board of Regents on Oct. 19. At their meeting, the Board honored a departing member, welcomed new members and announced a contract extension for TCC President Dr. Stephen Foster. 

“The Board unanimously approved the extension of Dr. Foster's contract to 2021,” said Dr. Monte Blue, Chairman of the Board. “We are very pleased with the direction TCC is going and credit this progress to Dr. Foster's leadership.”

The Board voted on many initiatives, including approving money for classroom improvements to the Standard Process Building.

In his last meeting as a member, the Board presented Dr. Donald McKinley with a plaque to appreciate all he did for the Board and the college.

The Board of Regents welcomed three new members: Drs. Lawson Howard, Robert Lambeth and Ron McMorris. Holly Tharp was announced as the new student ex-officio board member.

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Election Day is Upon Us! Who does TCA Support?
Written by Andrea Howard   
Monday, November 05, 2018 03:20 PM

Election Day 2018 is here! When you head to the polls on Tuesday, Nov. 6, remember to vote for pro-chiropractic candidates. 

The candidates who are elected to the Texas Senate and House will make decisions at the Capitol that could impact the future of our profession, including how you can practice and your ability to run a successful business.

So, who should you vote for on Nov. 6? The Texas Chiropractic Association has identified candidates in key races who were pro-chiropractic during the 2017 Texas Legislative Session.

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Governor Abbott Appoints Three To Texas Board Of Chiropractic Examiners
Written by Editor   
Tuesday, October 30, 2018 03:34 PM

Governor Greg Abbott has appointed Scott Wofford to the Texas Board of Chiropractic Examiners for a term set to expire on February 1, 2019. Additionally, the Governor appointed Mindy Neal and Debra White for terms set to expire on February 1, 2023. The board is responsible for regulating the practice of chiropractic.

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‘Travel-to-Treat’ Legislation Heads to President’s Desk for Signature
Written by Editor   
Sunday, October 28, 2018 10:19 PM

The U.S. Senate passed by a vote of 93-6 legislation that ensures that sports health professionals traveling to another state with athletic teams remain covered by their malpractice insurance. The bill now advances to the president’s desk, where it is expected to be signed into law.

H.R. 302, the “Sports Medicine Licensure Clarity Act of 2018,” was amended to combine it with the 2018 Federal Aviation Administration (FAA) Reauthorization Act of 2018, guaranteeing this important provision for athletic health professionals would become law.

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ACA and APTA Collaborate on Dry Needling Code
Written by Editor   
Sunday, October 28, 2018 10:05 PM

Following a successful nine-year collaboration between the American Chiropractic Association (ACA) and the American Physical Therapy Association (APTA), a new CPT® code for dry needling will likely be available to providers sometime in 2019.  Possibly placing the procedure undre the surgical section of the CPT.

ACA and APTA representatives appeared in September in Boston before the American Medical Association (AMA) CPT Panel, where they together presented an application for the dry needling code that was eventually accepted. Their partnership was formed in 2009, when representatives to the CPT panel for both groups agreed that a dry needling code describing a widely used procedure was needed to enable chiropractors and physical therapists to more accurately describe their services. 

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President Signs SUPPORT Act
Written by Editor   
Sunday, October 28, 2018 09:51 PM

President Trump has signed the bipartisan bill, H.R. 6, the Substance use Disorder Prevention that Promotes Opioid Recovery and Treatment and Communities Act (SUPPORT for Patients and Communities Act) into law. 

This extensive legislation aims to expand access to opioid alternatives for acute and chronic pain as well as substance abuse disorder (addiction) treatments and recovery options. Specific mandates are to include resources for greater access and improved research and information on the topic. 

Important Provisions in H.R. 6 include:

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Texas DSHS Receives $2.66 Million for Opioid Response
Written by Editor   
Sunday, October 28, 2018 09:44 PM

The Texas Department of State Health Services has received $2.66 million to expand the state’s public health response to opioids over the next year.  The funds will improve DSHS’ ability to track opioid related illnesses and other conditions being seen in emergency rooms around Texas.

The grant from the Centers for Disease Control and Prevention will help local health departments and health care providers prevent overdose deaths, enhance the available data on opioid use in Texas, and expand the prescriber network for medication assisted treatment.

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Voter Fraud is Alive and Well
Written by Editor   
Sunday, October 28, 2018 09:31 PM

Attorney General Ken Paxton  announced that four individuals were indicted on 30 felony counts of voter fraud and arrested following a lengthy investigation by the Election Fraud Unit of his office.

From 2005-2017, the attorney general’s office prosecuted 97 defendants for numerous voter fraud violations. This year alone, Attorney General Paxton’s Election Fraud Unit – with assistance from a criminal justice grant from the governor’s office – has prosecuted 33 defendants for a total of 97 election fraud violations.

An investigation into the Fort Worth voter fraud ring by the attorney general’s office determined that fraudulent applications were generated through forged signatures and by altering historical applications and resubmitting them without the knowledge of the voters. Harvesters also used deception to obtain signatures from voters. Many of the voters were forced to cancel their ballots in order to be able to vote in person, and some were forced into receiving primary ballots for the political party supported by the harvesters, though it was not the party the voters wanted to vote for.

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DWC Amends DD Procedures and Forms
Written by Editor   
Sunday, October 28, 2018 09:23 PM

Commissioner of Workers’ Compensation, Cassie Brown adopted amendments to 28 Texas Administrative Code (TAC) Chapter 127, concerning designated doctor procedures and requirements. 

The amendments are designed to provide balance and transparency in the designated doctor assignment process, retain doctors qualified to perform examinations, ensure availability of doctors qualified to evaluate injured employees, clarify designated doctor qualification standards, and update certification requirements.  

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DWC Removes Pre-Auth for CARF WC and WH Services
Written by Editor   
Sunday, October 28, 2018 09:15 PM

On October 11, 2018, Commissioner of Workers' Compensation Cassie Brown adopted amendments to 28 Texas Administrative Code (TAC) §134.600, Preauthorization, Concurrent Utilization Review, and Voluntary Certification of Health Care A courtesy copy of the adoption is available on the Texas Department of Insurance website at www.tdi.texas.gov/wc/rules/2018rules.html.  The amendments remove references to the preauthorization exemption for Commission on Accreditation of Rehabilitation Facilities (CARF) accredited programs related to work conditioning (WC) and work hardening (WH) services. 

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Drugmakers Funnel Millions to Lawmakers
Written by Editor   
Sunday, October 28, 2018 08:52 PM

Before the midterm elections dozens of drugmakers had already poured about $12 million into the war chests of hundreds of members of Congress.

Since the beginning of last year, 34 lawmakers have each received more than $100,000 from pharmaceutical companies. Two of those each received more than $200,000.

A new database, “Pharma Cash to Congress,"tracks up to 10 years of pharmaceutical company contributions to any or all members of Congress, illuminating drugmakers' efforts to influence legislation.

The drug industry ranks among lawmakers' most generous patrons. In the past decade, Congress has received $79 million from 68 pharma political action committees, or PACs, run by employees of companies that make drugs. Drugmakers’ campaign contributions have reached record-breaking levels in recent years as skyrocketing drug prices have become a hot-button political issue.

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WC Weekly Benefit Rates Set
Written by Editor   
Sunday, October 28, 2018 08:28 PM

The workers’ compensation state average weekly wage for dates of injury from October 1, 2018, through September 30, 2019, is set at $937.70. The maximum weekly benefit rates for workers’ compensation income benefits is set at $938 and the minimum weekly benefit rate is set at $141 for that period.

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New Era in DWC Claims Processing
Written by Editor   
Sunday, October 28, 2018 08:14 PM

Texas Workers’ Compensation Commissioner Cassie Brown turned in the keys to a secure warehouse that the Division of Workers’ Compensation (DWC) has used since 1992 to store injured employee claims. The 24,000-square-foot building that housed rows and rows of floor to ceiling racks, filled to the brim with claim files, now sits empty. 

Two years ago, DWC began a massive project to digitize injured employee claims files going back 26 years. The project saves DWC $300,000 a year in storage costs, improves data security, and makes it faster and easier to fulfill records requests from the public. Until now, as many as two million claim files were only available on paper.

All of DWC’s individual claims files are now available digitally. To request a copy of a claim file, visit the TDI website.

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DCs Among Top Choices for Spine Care
Written by Editor   
Sunday, October 28, 2018 07:58 PM

According to the National Institutes of Health, back pain is one of the most common medical problems in the U.S. and can affect one’s ability to work, complete daily tasks and enjoy life.  The latest Gallup-Palmer College of Chiropractic annual reportManaging Neck and Back Pain in America, surveyed more than 5,000 U.S. adults and found that twenty-five percent of adults in the United States have neck or back pain significant enough that they saw a healthcare provider for care in the past 12 months.

Sufferers who saw healthcare professionals were most likely to seek care from a medical doctor (62%) or a chiropractor (53%). About a third visited a massage therapist or a physical therapist for their neck or back pain (34% for each).  Smaller percentages sought care from physician's assistants (26%), nurse practitioners (22%), surgeons who can operate on the spine (22%), doctors of osteopathic medicine (15%) or acupuncturists (9%).

Most patients with this kind of pain (81%) saw more than one type of healthcare provider for care in the past year, demonstrating a willingness to address their pain through different types of care.
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Adulterated Diet Supplements: Should FDA Do More?
Written by Editor   
Tuesday, October 16, 2018 01:29 PM

Even after FDA warnings are issued, many adulterated dietary supplements remain available for purchase, according to a quality-improvement study.  Of dietary supplements available for sale in the U.S. from 2007 to 2016, the FDA identified 776 that were adulterated with active pharmaceuticals.

Calling this an “important public health concern," these researchers said that nearly 68% of these supplements had new unapproved ingredients that were reported in the second or third warning by the FDA, "consistent with the assumption that the FDA found the product to be adulterated more than once."

The products identified in the study appeared in the agency's Tainted Supplements database, and most often were marketed for sexual enhancement (46%), weight loss (41%), or muscle building (12%).

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CMS to Require Drugmakers to List Prices in Ads
Written by Editor   
Tuesday, October 16, 2018 01:18 PM

The CMS plans to require prescription drug manufacturers to their list prices in direct-to-consumer television advertisements.  Under the proposed rule, drugmakers will have to post the price of a typical course of treatment for acute medications like antibiotics or for a 30-day supply of medications for chronic conditions. Consumer ads will have to have a readable, text statement at the end to comply with the mandate.

"This historic proposal is an important way to create new incentives for drug companies to start lowering their list prices, rather than raising them," HHS Secretary Alex Azar said in a statement. "President Trump's drug-pricing blueprint called for HHS to consider how to accomplish this goal, and now we are following through on this measure to better inform patients, help them lower their drug costs, and reduce unreasonable spending in Medicare and Medicaid."

Drugs with list prices under $35 per month will be exempt from the requirement. The CMS requested comments on whether the regulation should apply to radio, web, print or social networking advertising as well.

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Anthem to pay $16M in record data breach settlement
Written by Editor   
Tuesday, October 16, 2018 12:45 PM

Anthem has agreed to pay the federal government $16 million in a settlement over its 2015 data breach that hit nearly 79 million people. The agreement is by far the largest settlement reached by HHS' Office for Civil Rights for a Health Insurance Portability and Accountability Act (HIPAA) breach. Hackers stole the names, birth dates, Social Security numbers, home addresses and other personal information in the 2015 cyberattack.

The largest health data breach in U.S. history fully merits the largest HIPAA settlement in history.  ”Unfortunately, Anthem failed to implement appropriate measures for detecting hackers who had gained access to their system to harvest passwords and steal people's private information."

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Over 30 Retractions of Cardiac Stem Cell Research
Written by Editor   
Tuesday, October 16, 2018 12:24 PM

Harvard Medical School and Brigham and Women’s Hospital have recommended that 31 papers from a former lab director who studied cardiac stem cells be retracted from medical journals.  The data “included falsified and/or fabricated data,” according to a statement to Retraction Watch and STAT from the two institutions.

This doctor “practically invented the field of cardiac stem cell therapy when he first reported that cardiac cells were capable of regeneration,” it has been reported.  He  published at least 55 papers that listed Harvard as an affiliation. He has received several commendations, including a research achievement award from the American Heart Association, which in 2004 also named him a “distinguished scientist.”

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Government Mulls Ways to Increase numbers of Primary Care Doctors
Written by Chris Dalrymple D.C., F.I.C.C.   
Tuesday, October 16, 2018 11:23 AM

The Medicare Payment Advisory Commission (MedPAC) notes that there is a primary care shortage that should be addressed before it becomes acute.  This report notes that although the absolute number of primary care physicians billing Medicare increased from 169,640 in 2011 to 184,905 in 2016, the ratio of primary care doctors to beneficiaries decreased, from 3.8 per 1,000 beneficiaries in 2011 to 3.5 in 2016, and a similar trend also occurred in other specialties. 

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TBCE to Renumber Board Rules
Written by Editor   
Thursday, October 11, 2018 04:40 PM

Effective November 1, 2018, the numbering and names of some of the Board's rules will be different when you access them in the Texas Administrative Code. This is being done to better organize our rules and to make it easier for you to find the specific information you're looking for.

It is important to know that while some of the numbering and names of the rules are changing, none of the actual text of the rules themselves will change; that requires the Board to use the formal rulemaking process. These are housekeeping moves only. To see what the changes will be ahead of time, click on the following link: View Rule Transfer.

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Gov. Greg Abbott Proclaims October 2018 "Chiropractic Health Month"
Written by Editor   
Tuesday, October 09, 2018 07:55 AM

The Texas Chiropractic Association (TCA) is pleased to announce that Gov. Greg Abbott has signed a declaration proclaiming October 2018 as “Chiropractic Health Month.”

“As many Texans and Americans know, pain is a part of many health-related issues from genetic conditions to injuries. Pain is an important public health problem and a major reason why people seek medical care. Chronic pain negatively impacts many aspects of a person’s life as well as the lives of pain sufferers’ families and caregivers,” said Gov. Abbott in the proclamation.

“Though this public health issue is incredibly daunting and complex, Texas chiropractors are dedicated to treating pain effectively and safely as highly skilled professionals. Doctors of Chiropractic concentrate on disorders of the musculoskeletal system and the nervous system, and the effects of these disorders on general health. As physician-level providers, chiropractors employ conservative, drug-free approaches to health care and pain management. Focusing on, but not limited to, back pain, neck pain, pain in the joints of the arms or legs and headaches, chiropractors’ approach to these conditions can save the public from physical and financial tolls. As a first line of defense against pain, chiropractors’ services can also help individuals heal naturally without the need for drugs or surgery.”

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New Law Protects DCs Traveling With Sports Teams
Written by Editor   
Friday, October 05, 2018 09:41 AM

The American Chiropractic Association (ACA) is pleased to announce that Congress has approved legislation that will protect chiropractors who travel with sports teams by ensuring that their license and liability insurance remains in effect even when they cross state lines. 

The Sports Medicine Licensure Clarity Act of 2018, as the bill is known, was included in a larger, unrelated piece of legislation (H.R. 302) that passed the Senate overwhelmingly on Oct. 3.  The president is expected to sign the bill in the next several days.

The new law stipulates that health care services provided by a covered “sports medicine professional” to an athlete, athletic team, or team staff member in a secondary state outside that professional’s state of licensure will be covered by the appropriate medical malpractice insurance provider.

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We’re On The Clock – Contribute to the TCA PAC Today!
Written by Andrea Howard   
Thursday, October 04, 2018 02:20 PM

It’s hard to believe, but Election Day is right around the corner – Tuesday, November 6. Obviously, the race that everyone is focusing on is the one between Sen. Ted Cruz and Rep. Beto O’Rourke, but there are state contests that are even more important to Texans and, in particular, Texas chiropractors.

The candidates who are elected to the Texas Senate and House will make decisions at the Capitol that could impact the future of our profession, including how you can practice and your ability to run a successful business.

So, who should you vote for next month? The Texas Chiropractic Association has identified candidates in key races who were pro-chiropractic during the 2017 Texas Legislative Session. Read your emails from TCA and check the Texas Chiropractic Association Facebook  page often for updates!

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TCA Fall Legislative Update
Tuesday, October 02, 2018 12:00 AM

By: Kaden Norton and Joshua Massingill, Statecraft

Halloween is almost here and soon ghosts, goblins, pirates, princesses and many other fun and frightening creatures will be knocking on your door screaming “trick or treat!” Are you prepared? Have you stopped by your local grocer to buy bags and bags of candy to satisfy the demands of your neighborhood witches and warlocks? Just as you can’t be unprepared for your trick or treaters (and be subjected to whatever “tricks” that might result), we can’t allow ourselves to be unprepared for the upcoming legislative session.

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Christine Goertz, D.C., Appointed Vice Chair of Federal Board
Written by Editor   
Monday, October 01, 2018 04:26 PM

American Chiropractic Association (ACA) is pleased to announce that ACA Senior Scientific Advisor Christine Goertz, DC, PhD, has been appointed by the Comptroller of the United States to a three-year term as vice chair of the Patient-Centered Outcomes Research Institute (PCORI) Board of Governors.

Dr. Goertz has been a member—and the sole chiropractor—on the PCORI board since its establishment in 2010. The board is made up of 21 representatives of the patient, general consumer, clinical, insurance, research, employer, industry, policy and other healthcare sectors. Dr. Goertz previously served in several leadership positions within the organization, including chair of PCORI’s Science Oversight and Selection committees.

PCORI was established in 2010 as part of the Affordable Care Act. It funds research to help patients, caregivers, and their health practitioners make evidence-based, patient-centered healthcare decisions. Nondrug treatment for pain is among PCORI’s research priorities.

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Call for Nominations for P. A. Willmon Memorial Award
Written by Editor   
Monday, October 01, 2018 12:00 AM

The P. A. Willmon Memorial Award is an award presented by the Texas Chiropractic Association to recognize a recipient from, or serving the people of a rural area. 

If you are aware of a TCA member who is from a rural area of fewer than 100,000 or who has served the TCA and/or chiropractic patients within a rural area, please forward a nomination and your reasons for consideration to the TCA office at 1122 Colorado, suite 307, Austin, TX 78701.

Deadlines for nomination are January 19th, 2019.

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A Chiropractic Solution for the Opioids Epidemic
Written by Craig Benton, DC   
Friday, September 21, 2018 01:54 PM

The Texas Chiropractic Association has a huge fight on its hands and lives are at stake in this fight. It’s a fight against the opioid crisis occurring in Texas and across the country. An estimate from the National Institute on Drug Abuse reported 49,068 deaths involving opioids in 2017. That means, on average, more than 130 people die each day in the U.S. due to opioid abuse and overdose. Chiropractic care is part of the solution to the opioid crisis and millions of Americans are counting on us. 

I recently had the honor to represent this profession before the Texas Senate Health and Human Services Committee and the Texas House Select Committee on Opioids and Substance Abuse. At these hearings, most witnesses testified about potential treatments for opioid addiction. While this is noble work, we must get out in front of this epidemic and divert people from being prescribed opioids in the first place. This is where chiropractic can shine. Sadly, despite current research in pain management being on chiropractic’s side, it seems many still don’t see us as part of the solution. 

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ANNOUNCING: Call for Nominations to 2019-20 TCA Executive Offices
Written by Editor   
Monday, September 10, 2018 10:45 AM

Early next year the Texas Chiropractic Association will elect executive officers for 2019-20.  The association is calling for nominations of those interested in pursuing service as an executive officer.  The executive officers of the TCA are the president, vice president and secretary/treasurer.  They are elected for a one-year term of office or until their successors are elected and installed.  

Candidates for election must maintain a license to practice chiropractic in Texas and be a regular TCA member in good standing for the five years prior to election.   They must have served a full term as state director, association committee chair, district president, or department coordinator.

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