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Chiropractors Rules of Department of Commerce and Insurance Division 2070—State Board of Chiropractic Examiners Chapter 2—General Rules Title Page 20 CSR 2070-2.020 Diagnostic Procedures and Instruments (Rescinded October 30, 2019) .............3 20 CSR 2070-2.025 Use of X-rays (Rescinded October 30, 2019) ............................................3 20 CSR 2070-2.030 Diagnostic and Adjunctive Procedures ...................................................3 20 CSR 2070-2.031 Meridian Therapy/Acupressure/Acupuncture.............................................3 20 CSR 2070-2.032 Specialty Certification........................................................................4 20 CSR 2070-2.033 Manipulation Under Anesthesia ...........................................................5 20 CSR 2070-2.040 Application for Licensure ..................................................................5 20 CSR 2070-2.045 Board-Approved Chiropractic Colleges (Rescinded October 30, 2019) .............6 20 CSR 2070-2.050 Examination (Rescinded October 30, 2019)..............................................6 20 CSR 2070-2.060 Professional Conduct Rules ................................................................6 20 CSR 2070-2.065 Public Complaint Handling and Disposition ............................................7 20 CSR 2070-2.066 Post-Board Order Activity (Rescinded October 30, 2019).............................7 20 CSR 2070-2.070 Reciprocity (Rescinded October 30, 2019) ...............................................7 20 CSR 2070-2.080 Biennial License Renewal ..................................................................8 20 CSR 2070-2.081 Application for Continuing Education ....................................................9 20 CSR 2070-2.090 Fees ............................................................................................10 20 CSR 2070-2.100 Professional Corporations .................................................................11 20 CSR 2070-2.110 Nonresident Military Spouse Licensure .................................................12 JOHN R. ASHCROFT (6/30/20) CODE OF STATE REGULATIONS 1 Secretary of State Chapter 2—General Rules 20 CSR 2070-2 Title 20—DEPARTMENT OF visual acuity charts, weight measurement Amended: Filed March 29, 2019, effective COMMERCE AND INSURANCE scales, dermathermagraph, vasculizer, and Oct. 30, 2019. Division 2070—State Board of routine orthopedic and neurologic procedures; Chiropractic Examiners 2. Palpation; or *Original authority: 331.010, RSMo 1939, amended 3. Auscultation, including the use of a 1969, 1982, 1995, 2007. Chapter 2—General Rules stethoscope, tuning forks, audiograph, and phonocardiograph. 20 CSR 2070-2.020 Diagnostic Procedures (B) Diagnostic imaging: 20 CSR 2070-2.031 Meridian Therapy/ and Instruments 1. Motionless diagnostic X-ray study; Acupressure/Acupuncture (Rescinded October 30, 2019) 2. Fluoroscopy; 3. Cineradiography; PURPOSE: This rule sets out the acceptable AUTHORITY: section 331.010, RSMo 2000. 4. Magnetic Resonance Imaging (MRI); qualifications, procedures, and continuing This rule originally filed as 4 CSR 70-2.020. 5. Computerized Tomography (CT education requirements for the use of meridi- This version of rule filed Dec. 17, 1975, SCAN); an therapy/acupressure/acupuncture (in this effective Dec. 27, 1975. Amended: Filed July 6. Ultrasound; or rule Meridian Therapy) by Missouri licensed 5, 1978, effective Oct. 13, 1978. Rescinded 7. Magnetic Resonance Angiogram chiropractors. and readopted: Filed July 9, 1982, effective (MRA). Nov. 11, 1982. Amended: Filed April 18, (C) Clinical laboratory tests: (1) For the purpose of the rules meridian 1989, effective July 13, 1989. Amended: 1. Blood specimen; therapy includes meridian therapy, acupres- Filed July 31, 2003, effective Jan. 30, 2004. 2. Urine specimen; sure, and acupuncture as set forth in section Moved to 20 CSR 2070-2.020, effective Aug. 3. Fecal specimen; 331.030.8, RSMo. 28, 2006. Rescinded: Filed March 29, 2019, 4. Sputum specimen; effective Oct. 30, 2019. 5. Hair specimen; or (2) An applicant for certification in meridian 6. Mucosal specimen. therapy shall submit the following to the (D) Muscle testing with strength and board: 20 CSR 2070-2.025 Use of X-rays endurance curves during isometric or isoki- (A) An application for certification accom- (Rescinded October 30, 2019) netic exercise. panied by the required fee, pursuant to 20 CSR 2070-2.090(1); AUTHORITY: section 331.100.2, RSMo (3) Those adjunctive chiropractic procedures (B) An official transcript or certificate of 1986. This rule originally filed as 4 CSR 70- presently approved by the board include, but completion documenting a minimum of one 2.025. Original rule filed April 16, 1990, are not limited to: hundred (100) hours of credit of undergradu- effective June 30, 1990. Amended: Filed Feb. (A) Heat and heat-producing devices; ate or postgraduate study or a combination of 4, 1991, effective July 8, 1991. Moved to 20 (B) Ice and cooling packs; each in the use and administration of meridi- an therapy. The hours of education in merid- CSR 2070-2.025, effective Aug. 28, 2006. (C) Extension therapy; or ian therapy shall be approved by the board or Rescinded: Filed March 29, 2019, effective (D) Therapeutic exercise, muscle therapy, from a chiropractic college accredited by the Oct. 30, 2019. reflex techniques, and postural and structural Commission on Accreditation of the Council supports. of Chiropractic Education. For the purpose of 20 CSR 2070-2.030 Diagnostic and Adjunc- (4) In order to avoid overutilization of ioniz- this rule, the one hundred (100) hours of tive Procedures ing radiation, a chiropractic physician shall study in meridian therapy shall not be offered observe the following guidelines: electronically to include via the internet, PURPOSE: This rule outlines diagnostic and (A) Routine radiography of any patient webinars, or similar delivery methods and adjunctive procedures that may be used by shall not be performed without due regard for shall not include dry needling; and chiropractic physicians. clinical need; and (C) Official examination results document- (B) Repeat radiographic evaluation of the ing passing one (1) of the following examina- (1) The board approves the use of those diag- patient shall not be undertaken without clini- tions: nostic procedures and instruments which are cal indication, as determined by the treating 1. National Board of Chiropractic Examiners (NBCE); commonly taught by approved chiropractic chiropractic physician. 2. American Board of Chiropractic colleges. (5) The licensee shall comply with all appli- Acupuncture (ABCA); or 3. National Certification Commission (2) Diagnostic procedures approved by the cable state and federal requirements concern- for Acupuncture and Oriental Medicine board include, but are not limited to, the fol- ing any registration or maintenance of X-ray (NCCAOM). lowing— equipment. (A) Physical Examination: AUTHORITY: section 331.010, RSMo 2016.* (3) The board adopts the passing score estab- 1. Inspection, including the use of instru- This rule originally filed as 4 CSR 70-2.030. lished by NBCE, ACBA, or NCCAOM as the mentation such as an ophthalmoscope, oto- This version of rule filed Dec. 17, 1975, passing score for Missouri applicants. scope, tongue-depressor, tape measure, ther- effective Dec. 27, 1975. Amended: Filed July mometer, percussion hammer, pinwheel, 5, 1978, effective Oct. 13, 1978. Rescinded (4) An applicant for certification in meridian sphygmomanometer, proctoscope, nervo- and readopted: Filed July 9, 1982, effective therapy shall comply with the examination scope, neurocalometer, neurodermagraph, Nov. 11, 1982. Amended: Filed July 31, provider’s rules for test administration relat- electromyograph, heartometer, phonocardio- 2003, effective Jan. 30, 2004. Moved to 20 ed to applicant conduct and shall authorize graph, electrocardiograph, spirometer, vitalor, CSR 2070-2.030, effective Aug. 28, 2006. the examination provider to submit the results JOHN R. ASHCROFT (9/30/19) CODE OF STATE REGULATIONS 3 Secretary of State 20 CSR 2070-2—DEPARTMENT OF COMMERCE AND INSURANCE Division 2070—State Board of Chiropractic Examiners to the board, along with any information or hours which are obtained from a chiro- board will consider articles from scholarly relating to any adverse incident(s) involving practic college accredited by the Commission journals, treatises, textbooks used by board- the applicant during the course of the exami- on Accreditation of the Council of Chiroprac- approved Council of Chiropractic Education nation. Any cost associated with reporting tic Education. Hours for reinstatement of the (CCE) colleges of chiropractic, syllabi and/or examination results to the board shall be the certification in meridian therapy cannot be curriculum materials used in education and applicant’s responsibility. the same one hundred (100) hours used for training in the specialty area, and scholarly original certification. studies or research; (5) Any licensee certified in meridian therapy (D) Education and/or training require- shall follow universal precautions as defined AUTHORITY: sections 331.010, 331.050.1, ments including how and where education by the United States Department of Labor’s and 331.100.2, RSMo 2016, and sections may be obtained and whether education Occupational Safety and Health Administra- 331.030.5 and .8, RSMo Supp. 2018.* This and/or training is provided from a postgradu- tion (“OSHA”) (Bloodborne Pathogens Stan- rule originally filed as 4
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