An Act to Certify
Maine Legislature, Session 132, LD 0649
Committee Amendment CA_A_H269 (House)
Amends: 32 MRSA §451, 32 MRSA §555, 32 MRSA §559, 32 MRSA §9854

COMMITTEE AMENDJvIBNT "4,, to H.P. 417, L.D. 649, "An Act to Certify 
Chiropractic Assistants Who Perform X-rays as Radiologic Technologists" 
Amend the bill by striking out the title and substituting the following: 
'An Act to Certify Chiropractic Assistants Who Perform X-rays as Chiropractic 
Radiographers' 
Amend the bill by striking out everything after the enacting clause and inserting the 
following: 
'Sec. 1. 32 MRSA §451, sub-§3-A is enacted to read: 
3-A. Chiropractic radiographer. "Chiropractic radiographer" means a licensed 
chiropractic assistant who has been issued a certificate pursuant to section 5 5 9. 
Sec. 2. 32 MRSA §451, sub-§3-B is enacted to read: 
3-B. 
Chiropractic radiography. 
"Chiropractic radiography" means the use of 
ionizing radiation on human beings for chiropractic diagnostic purposes while under the 
supervision and control of a chiropractor in accordance with this chapter. 
Sec. 3. 32 MRSA §555, as amended by PL 1993, c. 600, Pt. A, §52, is further 
amended to read: 
§555. Assistants 
· This chapter does not prohibit an individual from rendering ancillary diagnostic or 
therapeutic services as used in chiropractic practice, other than the adjustive or 
manipulative techniques, if those services are rendered under the supervision and control 
of a licensed chiropractor as long as that individual has successfully completed a training 
program recognized by the board. .!.!.Supervision and control.!.!. may not be construed as 
requiring the personal presence of the supervising and controlling chiropractor at the place 
where those services are rendered, unless physical presence is necessary to provide patient 
care of the same quality as provided by the chiropractor. This chapter does not prohibit a 
chiropractor from delegating to an employee certain activities relating to the care and 
COMMITTEE AMENDMENT 
ROS 
COMMITTEEAMENDMENT"4"toH.P. 417, L.D. 649 
treatment being performed by custom and usage when those activities are under the direct 
control of and in the presence of the chiropractor. The chiropractor delegating those 
activities to an employee, to a program graduate or to a participant in an approved training 
program is legally liable for those activities performed by such an individual.,_ and that 
individual is considered to be the chiropractor's agent. A chiropractic assistant may 
practice chiropractic radiography as long as the chiropractic assistant has been issued a 
certificate as a chiropractic radiographer pursuant to section 559. 
Sec. 4. 32 MRSA §559 is enacted to read: 
§559. Chiropractic radiographer certificate 
1. Certificate required. In addition to being licensed under section 556, an individual 
employed in a chiropractic office whose duties include the production ofx-rays and who is 
not licensed under subchapter 3 must be certified by the board as a chiropractic 
radiographer under this section. 
2. Requirements. The requirements for an individual to be certified by the board as 
a chiropractic radiographer under this section include that the individual: 
A. Possesses a valid license under section 556; 
B. Satisfactorily completes a board-approved course in radiologic technology that 
satisfies the standards of care governing the production ofx-rays, including: 
(1) At least 50 hours of instruction; and 
(2) Sufficient instruction in: 
(a) Physics and equipment of radiographic imaging; 
(b) Principles ofradiographic exposure; 
(c) Radiographic protection; 
(d) Anatomy and physiology: and 
(e) Radiographic positioning and procedure; 
C. 
Passes a proficiency examination in radiologic technology developed and 
administered by or under the authority of the board: and 
D. Pays a fee not to exceed $100 under section 558. 
A person registered as active with the American Chiropractic Registry of Radiologic 
Technologists or a successor organization meets the requirements of paragraphs B and C. 
3. Renewal. A ce11ificate issued under this section expires at the end of the calendar 
year in which it is issued. A certificate holder may renew the holder's certificate upon: 
A. Completion and submission of a renewal application form approved by the board: 
B. Completion of board-approved continuing radiologic technology education during 
the year: and 
C. Payment of a fee not to exceed $100 under section 558. 
A certificate may be renewed under this section within 24 months of expiration if the 
certificate holder completes the requirements of paragraph B for or attributed to each 
calendar year that the ce11ificate was expired and pays the fee required pursuant to 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT "A" to H.P. 417, L.D. 649 
paragraph C. If a certificate has been expired for more than 24 months, the certificate may 
be renewed if the certificate holder completes the requirements of paragraph A and 
subsection 2, paragraph C and pays the fee required pursuant to paragraph C, 
4. Display of certificate. A certificate issued under this section must be displayed in 
the area of a chiropractic office where x-ray production is performed by the certificate 
holder and in a manner that is viewable by a patient. 
5. Violation. An individual who violates this section, including an individual licensed 
under subchapter 3 who allows a violation of this section to occur, is subject to disciplinaiy 
sanctions under section 503-B, subsection 4. 
6. Rules. The board shall adopt rules to carry out the purposes of this section, 
including the provision of continuing radiologic technology education for the purposes of 
subsection 3, paragraph B. Rules adopted pursuant to this subsection are routine technical 
rules as defined in Title 5, chapter 375, subchapter 2-A. 
Sec. 5. 32 MRSA §9854, sub-§3, as amended by PL 2023, c. 100, §1, is further 
amended to read: 
3. Exceptions. The requirement of a license does not apply to: 
A. 
A dentist, dental hygienist, expanded function dental assistant or dental 
radiographer licensed under chapter 143; 
C, A resident physician or a student enrolled in and attending a school or college of 
medicine, osteopathy, chiropractic, podiatry, dentistty or radiologic technology or an 
individual who is concurrently obtaining the education and clinical training required 
by the board by rule who applies ionizing radiation to a human being while under the 
supervision of a licensed practitioner; 
D. Any person serving in the United States Armed Services or public health service or 
employed by the United States Department of Veterans Affairs or other federal agency 
performing the person's official duties as long as the duties are limited to that service 
or employment; eF 
E. A cardiovascular technologist credentialed by the Commission on Accreditation of 
Allied Health Education Programs, Cardiovascular Credentialing International or a 
successor organization who is performing the activities permitted under this paragraph 
and is acting under the delegated authority and direct supervision of a physician while 
the physician is performing cardiac catheterization or electrophysiology procedures. 
For the purposes of this paragraph, the activities permitted are limited to procedure 
table actions that are necessary during cardiac catheterization or electrophysiology 
procedures, including enabling fluoroscopy to start the procedure, changing the field 
of view, positioning the image intensifier, adjusting collimation, placing the wedge 
filter, panning the procedure table during exposure, stepping on the pedal at the 
physician's direction when the physician cannot reach the pedal and perf01ming other 
similar actions under the delegated authority and direct supervision of the physician.~ 
or 
F. A chiropractic assistant ce1tified as a chiropractic radiographer pursuant to section 
559. 
COMMITTEE AMENDMENT 
ROS 
COMMITTEE AMENDMENT "A "to H.P. 417, L.D. 649 
Sec. 6. Exemption from sunrise review. This Act is enacted without review 
under the Maine Revised Statutes, Title 5, section 12015, subsection 3.' 
Amend the bill by relettering or renumbering any nonconsecutive Part letter or section 
number to read consecutively. 
SUMMARY 
This amendment replaces the bill and changes the title. As in the bill, the amendment 
requires licensed chiropractic assistants to be certified in radiography in order to perform 
x-rays but changes the term used in the bill to refer to those certified from "radiologic 
technologist" to 
"chiropractic radiographer." 
Certification requirements include 
satisfacto1y completion of a radiologic technology course of instruction of at least 50 hours 
and passing an examination approved by the Board of Chiropractic Licensure. The 
amendment also contains provisions for ce1tificate renewal, continuing radiologic 
technology education and violations for chiropractic radiographers. 
The amendment adds a definition of "chiropractic radiographer" and clarifies the scope 
of practice of a chiropractic assistant to include radiography as long as the chiropractic 
assistant is certified. 
The amendment also provides that a chiropractic assistant ce1tified as a chiropractic 
radiographer is not required to be separately licensed as a radiographer by the Radiologic 
Technology Board of Examiners. 
FISCAL NOTE REQUIRED 
(See attached) 
COMMITTEE AMENDMENT 
Approved: 03/28/25 LRL 
LD649 
LR 1557(02) 
An Act to Certify Chiropractic Assistants Who Perform X-rays as Radiologic Technologists 
Fiscal Note for Bill as Amended by Committee Amendment "fr { H-Zb q) 
Committee: Health Coverage, Insurance and Financial Services 
Fiscal Detail and Notes 
Fiscal Note Required: Yes 
Fiscal Note 
Current biennium revenue increase - Other Special Revenue Funds 
Minor cost increase - Other Special Revenue Funds 
Requiring individuals employed in a chiropractic office whose duties include the production of x-rays to be certified 
as a chiropractic radiographer in addition to being licensed as chiropractic assistants will result in an increase in • 
dedicated revenue to the Board of Chii:opractic Licensure from initial certification and renewal fees. The amount of 
revenue can not be estimated at this time. 
Additional costs to the Board of Chiropractic Licensure to implement the requirements of this legislation can be 
absorbed within existing budgeted resources. 
LR1557(02) - Fiscal Note - Page 1 of 1