justicedao/ipfs_state_laws huggingface dataset:
811-010-0095 Peer Review Committee (1) The Board shall appoint and form its Peer Review Committee (PRC) in accordance with ORS 684.185. (2) Definitions: (a) "Peer review" means the evaluation of the efficacy and appropriateness of healthcare services provided to a patient based on standards of care and skill and treatment recognized as being reasonable, prudent, and acceptable under similar conditions and circumstances by Oregon chiropractic physicians. (b) The PRC is a committee of seven chiropractic physicians, licensed under ORS Chapter 684, who qualify under ORS 684.185(2). The PRC may include non-voting alternate members appointed by the Board. Alternate members may participate in all capacities except for voting. The committee chair may appoint an alternate to temporarily replace an absent voting member. Four voting members present at any meeting shall constitute a quorum, and allow the PRC to carry out its business. (3) Review by the PRC will occur upon submission of a request for review by the Board. (4) The PRC may request an interview with any person, including the chiropractic physician being reviewed and, when appropriate, may request the opinion of other healthcare providers for reviews involving a particular area of practice or specialty. (5)(a) Any member of the PRC may withdraw from any review which presents a perceived or actual conflict of interest for that member. Any member who cannot be impartial may be withdrawn from participation by the committee chair or the Board. (b) The chiropractic physician being reviewed may protest the involvement of a specific committee member, or members, based on actual conflict(s) of interest as determined by the committee chair or the Board. This protest shall be included in the committee’s report. (c) The chiropractic physician being reviewed may be accompanied by legal counsel. (d) Failure to cooperate with, or appear before, the committee shall be reviewed by the Board and may result in disciplinary action. (6) The PRC shall consider all information submitted to it by the Board. The committee shall also consider any written and/or oral comments made by the chiropractic physician being reviewed, the involved patient, or other witnesses. The committee shall meet, complete the review, and submit a written report to the Board. This report should be adopted by a majority of the voting committee members. The report shall include a brief statement of the facts of the case, any violation of rules or statutes pertaining to the practice of chiropractic and/or any deviation from accepted standards, along with any additional comments which might assist the Board in taking appropriate action. (7) The members of the PRC shall be paid mileage and per diem as determined by the Board while performing their official duties. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.185 History: BCE 12-2019, amend filed 10/10/2019, effective 10/10/2019 BCE 1-2017, f. & cert. ef. 1-6-17 BCE 2-2003, f. & cert. ef. 12-11-03 CE 4-1997, f. & cert. ef. 11-3-97 CE 1-1991, f. & cert. ef. 10-21-91 CE 1-1988, f. & cert. ef. 5-17-88 2CE 1-1980, f. 1-16-80, ef. 2-1-80
811-010-0112 Recognized Chiropractic Specialty Program (1) The Board adopts by reference the recognized standards of the Federation of Chiropractic Licensing Boards’ Recognized Chiropractic Specialty Program (FCLB-RCSP) as part of its review criteria of board approved specialty programs. (2) The Board retains sole authority to approve or deny any specialty program based on its relevance to professional development, alignment with recognized standards of chiropractic care, and the Board’s responsibility to protect the public. (3) A chiropractic physician may not advertise, represent, or otherwise hold themselves out to the public as a specialist in any area of chiropractic practice unless the physician is registered with the Board as having completed a Board-approved specialty program. (4) The Board shall review and may approve post-doctorate specialty programs that meet standards and criteria established by the Board by rule. (5) OBCE recognizes the requirements adopted from time to time of the Federation of Chiropractic Licensing Boards' Recognized Chiropractic Specialty Program (FCLB RCSP) as requirements of the Board. The Board, however, reserves the approval authority for all programs based on furtherance of professional development and related areas, and in the interest of the public protection objectives of the Act. The Board shall maintain a registry listing all chiropractic physicians who are approved by the Board. Statutory/Other Authority: ORS 684.155 Statutes/Other Implemented: ORS 684.025 History: BCE 1-2026, adopt filed 01/30/2026, effective 02/01/2026
811-010-0115 Temporary Chiropractic Assistant Certification for Spouses or Domestic Partners of Active Duty Armed Forces of the United States Stationed in Oregon (1) A temporary certification to perform the duties of a certified chiropractic assistant shall be issued to the spouse or domestic partner of active duty armed forces personnel when the following requirements are met: (a) A completed application and payment of fee is received by the Board; and (b) Satisfactory evidence of having successfully completed a chiropractic assistance training or program with requirements analogous to those of the OBCE and approved by a national or state chiropractic regulatory body; or (c) Satisfactory evidence of having successfully completed a chiropractic assistance training or program with requirements analogous to those of the OBCE and located outside the United States; and (d) Submission of a copy of the military orders assigning the active duty member to an assignment in Oregon; and (e) The spouse or domestic partner holds a current chiropractic assistant certificate or license in another state to perform the duties of a certified chiropractic assistant at the level of application; and (f) The certificate or license is unencumbered and verified as active and current through processes defined by the Board; and (g) Satisfactory evidence of successfully passing a clinical examination administered by any state, national testing agency or other Board-recognized testing agency. (2) The temporary certificate shall expire on the following date, whichever occurs first: (a) Oregon is no longer the duty station of the active armed forces member; or (b) The certificate in the state used to obtain a temporary certificate expires; or (c) Thirteen months after the issuance of the temporary certificate. (3) Temporary certificate holders are responsible to comply with ORS chapter 684, OAR chapter 811 and other laws and rules governing certified chiropractic assistants. (4) This temporary certificate is not renewable. If the dates in section two of this rule are exceeded and the spouse or domestic partner continues to perform duties in Oregon, the spouse or domestic partner must apply for an active Oregon certificate. This certificate must be obtained using the processes and fees established for permanent certification. Continuing to work in Oregon when the temporary certification has expired will be considered practicing without a valid certificate and is subject to Board action. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: 2019 SB 688 & 2019 HB 3030 History: BCE 13-2019, adopt filed 11/22/2019, effective 11/22/2019
811-010-0130 Other Licensed Health Care Providers (1) A chiropractic business entity or chiropractic physician may employ or contract for the services of other health care providers as part of their chiropractic practice for the purpose of providing care to patients, to the extent this does not conflict with other applicable state or federal laws. Other health care providers may include, but are not limited to, licensed massage therapists, physical therapists, athletic trainers, nurses, acupuncturists, naturopathic physicians, and physicians licensed under ORS 677. (2) Multidisciplinary practices. A business entity may be organized for the purpose of rendering professional services within two or more health-related licensed professions, provided the majority ownership interest is held by persons licensed in this state in a health-related licensed profession and such licensees are acting only within their license scope of practice and code of professional conduct and are subject to the disciplinary authority of their respective licensing board. Statutory/Other Authority: ORS 684.155(1)(b) History: BCE 12-2019, amend filed 10/10/2019, effective 10/10/2019 BCE 2-2006, f. & cert. ef. 2-9-06
811-015-0000 Fees (1) The usual and customary fee that a chiropractic physician charges for services is a personal privilege. (2) Each licensee shall maintain a schedule of fees charged for common services and the schedule of fees shall be available to patients upon request. The billing procedure must be fully explained to the patient orally and in writing. Licensees shall make certain that each patient is informed about the charging and billing procedures of the licensee’s office prior to any charges being incurred. (3) If licensees agree to bill third party payors on behalf of their patients, licensees must bill third party payors at the same rate the patient was billed and the bill must accurately reflect any discount that was given to the patient. (4) It is not unethical for licensees to charge interest on time payments of past due accounts, if the billing procedure is fully explained to the patient orally and in writing and complies with other applicable laws. The monthly rate of interest must be printed on the statement. (5) Licensees may offer free or reduced cost services to any patient of their choice. However, it is the licensee's responsibility to comply with other applicable federal and state laws regarding billing practices. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.155(b) History: BCE 3-2019, minor correction filed 02/14/2019, effective 02/14/2019 CE 1-1991, f. & cert. ef. 10-21-91 2CE 1-1978, f. 6-16-78, ef. 7-1-78
811-015-0006 Disclosure of Records (1) A chiropractic physician shall make available, within a reasonable time not to exceed 30 days, to a patient or a third party upon the patient's written request, copies or summaries of medical records and originals or copies of the patient's imaging. (a) The medical records do not necessarily include the personal office notes of the chiropractic physician or personal communications between a referring and consulting physician relating to the patient. (b) The chiropractic physician shall preserve a patient's medical records from disclosure and will release them only on a patient's written consent stating to whom the records are being released or as required by state or federal law. (2) The chiropractic physician or clinic may establish a reasonable charge to the patient for the costs incurred in providing the patient with copies of any portion of the medical records. A patient shall not be denied summaries or copies of their medical records or imaging because of inability to pay or financial indebtedness to the chiropractic physician or clinic. (3) Whenever the Board asks a chiropractic physician for a response to a complaint or an investigation: (a) The chiropractic physician shall make available to the Board all requested patient file information, including but not limited to: chart notes, billing records, imaging, correspondence, reports, and any and all relevant information. (b) The requested patient file information shall be made available within 14 days of receipt of the Board's request unless the Board or the Board's representative determines that immediate availability of the requested records is necessary for the Board's investigation. Additional response time may be granted by the Board or its representative upon a reasonable request. (c) The chiropractic physician must certify that all of the requested records have been provided unless clear and compelling reasons are presented for failure to do so. Any documents not provided within the specified time must be identified along with the reasons. Failure to provide records to the Board within the time period specified by this rule for the purpose of responding to a complaint or an investigation is a violation of OAR 811-035-0015(19). Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.155 History: BCE 13-2025, amend filed 10/24/2025, effective 10/25/2025 BCE 12-2019, amend filed 10/10/2019, effective 10/10/2019 BCE 1-2001, f. 1-31-01, cert. ef. 2-1-01 CE 1-1995, f. & cert. ef. 10-30-95 CE 2-1987, f. 8-14-87, ef. 9-1-87 2CE 2-1984, f. 8-14-84, ef. 9-1-84
811-015-0010 Clinical Justification and Standard of Care An Oregon licensed chiropractic physician provides care for many conditions using a variety of therapeutic procedures, including but not limited to chiropractic adjustment and manipulation. There is one standard of care for all patients, irrespective of the condition, service, or advice provided. All chiropractic physicians licensed under ORS chapter 684 are subject to the following: (1) Clinical justification, within accepted standards and understood by a group of peers, must be shown for all opinions, diagnostic, and therapeutic procedures. The singular accepted standard of care includes obtaining a history that informs the examination, conducting an examination that informs the diagnosis, and using the diagnosis to inform the management plan which includes relevant outcome markers. (2) “Accepted standards” means skills and treatment which are recognized as being reasonable, prudent, and acceptable under similar conditions and circumstances. (3) For neuro-musculoskeletal conditions, all initial and subsequent examinations performed by a chiropractic physician to determine the need for treatment shall include a functional chiropractic analysis. Some combination of at least two of the following PARTS exam constitutes a functional chiropractic analysis: P — Location, quality, and intensity of pain or tenderness produced by palpation and pressure over specific structures and soft tissues; A — Asymmetry of sectional or segmental components identified by static palpation; R — The decrease or loss of specific movements (active, passive, and accessory); T — Tone, texture, and temperature change in specific soft tissues identified through palpation; S — Use of special tests or procedures. (4) Chiropractic physicians shall treat their patients as often as necessary to allow for favorable progress. Evidence-based outcomes management shall determine whether the frequency and duration of curative chiropractic treatment is, has been, or continues to be necessary. Outcomes management shall include both subjective, or patient-driven, information as well as objective, provider-driven, information. In addition, treatment of neuro-musculoskeletal conditions outside of the Oregon Practices and Utilization Guidelines may be considered contrary to accepted standards. Chiropractic physicians treating outside of the Practices and Utilization Guidelines bear the burden of proof to show that the treatment, or lack thereof, is clinically justified. (5) Copies of any independent examination report must be made available to the patient, the patient’s attorney, the treating doctor, and the attending physician at the time the report is made available to the initial requesting party. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.155 History: BCE 1-2020, amend filed 01/22/2020, effective 01/22/2020 BCE 1-2007, f. & cert. ef. 11-30-07 BCE 1-2005, f. 1-28-04, cert. ef. 2-1-05 BCE 2-2003, f. & cert. ef. 12-11-03 CE 1-1995, f. & cert. ef. 10-30-95 2CE 1-1978, f. 6-16-78, ef. 7-1-78
811-015-0011 Minor Consent Rule (1) Treatment to minor patients without consent of a parent or guardian can occur in the following circumstances: (a) A minor, 15 years of age or older, may give consent to examination, treatment, and diagnosis by a chiropractic physician licensed under ORS chapter 684. (b) A minor, 15 years of age or older, may give consent to treatment as supervised and prescribed by a chiropractic physician and provided by a certified chiropractic assistant. The certified chiropractic assistant is limited to the scope of practice as stated in OAR 811-010-0110. (2) It may be considered unprofessional conduct if a chiropractic physician or certified chiropractic assistant treats a minor without following applicable rules and laws. Statutory/Other Authority: ORS 684.155 Statutes/Other Implemented: ORS 684.09 History: BCE 13-2025, amend filed 10/24/2025, effective 10/25/2025 BCE 2-2022, adopt filed 04/05/2022, effective 04/05/2022
811-015-0031 Animal Chiropractic (1) A licensed chiropractic physician may provide chiropractic diagnosis and treatment to an animal if the animal has been referred to the chiropractic physician in writing by a licensed veterinarian. (2) “Animal chiropractic diagnosis and treatment” means treatment that includes spinal manipulation of nonhuman vertebrates. The term “animal chiropractic diagnosis and treatment” shall not be construed to allow the following: (a) use of x-rays, (b) performing surgery, (c) dispensing or administering of medications, or (d) performance of traditional veterinary care. (3) Any chiropractic physician engaged in the practice of animal chiropractic shall maintain complete and accurate records and/or patient files in their office for a minimum of three years. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.112 History: BCE 3-2024, adopt filed 07/29/2024, effective 07/29/2024
811-015-0045 Advertising (1) A chiropractic physician shall not use or participate in the use of improper advertising. Improper advertising is any advertising which: (a) States any fact which would result in the communication being untruthful, misleading, or deceptive; (b) Contains statistical or other assertions of predicted rates of success of treatment; or (c) Claims a specialty, degree, or diplomate not possessed or that does not exist. (2) A chiropractic physician shall not practice under a name that is misleading as to the identity of the chiropractic physician(s) practicing under such name or under a firm name which is misleading. (3) A chiropractic physician shall adhere to the Doctors' Title Act, ORS 676.110(2). (4) A chiropractic physician may use a professional card and/or letterhead identifying the chiropractic physician's name, profession, address, telephone number, name of the chiropractic office and educational degrees. It may also include names of licensed associates. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.155 History: BCE 4-2019, minor correction filed 02/15/2019, effective 02/15/2019 BCE 4-2001, f. & cert. ef. 11-23-01 CE 3-1996, f. & cert. ef. 9-26-96 CE 2-1996(Temp), f. & cert. ef. 5-31-96 CE 1-1995, f. & cert. ef. 10-30-95 2CE 2-1986, f. 5-15-86, ef. 6-1-86 2CE 7-1985, f. 11-13-85, ef. 12-1-85 2CE 1-1983, f. 1-12-83, ef. 2-1-83
811-015-0066 Telehealth (1) As used in this section, “telehealth” means a variety of methods, through the use of electronic and telecommunications technologies, for the distance delivery of health care services, including chiropractic services, excluding in-person services, and clinical information designed to improve the health status of a patient, and to enhance delivery of the health care services and clinical information. (2) A chiropractic physician who is licensed by, and is in active status with, the Oregon Board of Chiropractic Examiners to practice chiropractic may use telehealth if: (a) The use of telehealth is an appropriate manner in which to provide a chiropractic service; (b) The chiropractic physician is providing a chiropractic service that is within the scope of practice of the chiropractic physician; and (3) The use of telehealth as described in subsection (2) of this section is not an expansion of the scope of practice of chiropractic physicians. The use of telehealth establishes a doctor-patient relationship. (4) The board shall treat a chiropractic service that is delivered by a chiropractic physician through telehealth as described in subsection (2) of this section the same as the board treats the chiropractic service when delivered in person. The board shall apply identical quality and practice standards to a particular chiropractic service regardless of the method of delivery of the chiropractic service. Statutory/Other Authority: ORS 684 Statutes/Other Implemented: ORS 684.155 History: BCE 9-2018, adopt filed 08/08/2018, effective 08/08/2018 BCE 7-2018, temporary adopt filed 03/30/2018, effective 03/31/2018 through 09/26/2018
811-015-0080 License Suspension and Probation (1) Chiropractic physicians and certified chiropractic assistants who are placed on suspension may not provide chiropractic treatment or services to any patient and are not to be in the clinic during business hours. (2) The suspended chiropractic physicians shall not, directly or indirectly, engage in any conduct or make any statement which is intended to mislead, or is likely to have the effect of misleading any patient, member of the public, or other person as to the nature of and reason for the suspension. It shall be prohibited to portray themselves to patients in any way as potentially practicing. Suspended chiropractic physicians may not perform intake functions or greet patients. Suspended chiropractic physicians and suspended certified chiropractic assistants should not be visible to patients as that could induce the belief they are practicing. (3) Suspended chiropractic physicians shall prominently post in their clinic a suspension notice provided by the Board in a place conspicuous and readable to the public. The suspension notice shall remain posted during the entire period of actual suspension. The Board may waive this for good cause. (4) Chiropractic physicians and certified chiropractic assistants are prohibited from misrepresenting the status of licensure to any patients. (5) Chiropractic physicians will be prohibited from using any student interns during the period of suspension or probation. (6) Suspended chiropractic physicians may not provide any therapies as a certified chiropractic assistant. They may not personally sell or provide supplements or other products to clinic patients or persons coming in to the clinic. They may not perform adjustments on family or friends while they are suspended. They may not take X-ray films or perform any diagnostic procedures. (7) Suspended chiropractic physicians may not engage in marketing which leads clients, consumers, or patients to believe they are a practicing chiropractic physician at the time they are suspended. They may not place new advertising which indicates in any way the suspended chiropractic physician is practicing chiropractic during the suspension period. (8) The list of prohibitions in this rule is not all inclusive and if the Board determines that a suspended chiropractic physician was practicing chiropractic during the term of suspension, it may result in further disciplinary action, pursuant to ORS 684.100. (9) A limited exception includes providing expert testimony at hearing or deposition, information to legal counsel in regards to a patient’s case that is in legal process of resolution regarding care provided prior to the suspension. Suspended chiropractic physicians are not prohibited from performing such business functions such as billing and attending tasks not related to patient scheduling, care, treatment or evaluation; such action must be done outside of regular business hours. Statutory/Other Authority: ORS 183.684 & 684.100 Statutes/Other Implemented: ORS 684.155(b) History: BCE 12-2019, amend filed 10/10/2019, effective 10/10/2019 BCE 3-2012, f. & cert. ef. 11-28-12