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The International Chiropractors Association is Providing Information on the States and their Response to COVID-19 as it may be related to our members.

This resource is updated daily.

Our basic responses will be – Are you able to open your offices, and if so, are their limits in place.  If not, is there a known timeline. We will also try to provide URL links back to the original statement for you.

Emergency Rules

The Board of Chiropractic Examiners has filed emergency rules changes to Chapter 4, specifically Chapter 4, Section 3(d). This change will allow licensees to obtain all continuing education for their August 31, 2020 renewal via online means, if needed. You can view a copy of the emergency rule change here or by clicking the red plus icon when you view Chapter 4 using the “Current Rules and Regulations” link below.

Emergency rules are in effect for 120 days and may be renewed once, for an additional 120 days.

Click on a state below for more information.
Alabama - Open for Business

Updated: Alabama – 5/14/2020

The Alabama State Board of Chiropractic Examiners (ASBCE) and the Alabama State Chiropractic Association (ASCA) issued a joint statement at: https://www.ascachiro.org/default.aspx

From the Alabama Chiropractic Board of Examiners, the following is posted:  Chiropractors are medical providers subject to the rule. But, like other providers of dental, medical, or surgical procedures, they may provide services that are necessary to treat an emergency medical condition, or are necessary for a patient to avoid serious harm from an underlying condition or disease, or are a necessary part of a patient’s ongoing and active treatment. If you must call please call the Board office at 800-949-5838. For questions regarding any financial assistance that might be available please contact your financial advisor or reach out to the ASCA 334-262-2228.

They also provide these instructions:  For the most current information regarding COVID-19, please visit: https://www.alabamapublichealth.gov/infectiousdiseases/2019-coronavirus.html As there has been nothing officially issued to require you to close your office the decision to remain open to continue to serve your patients is yours.

Be diligent in cleaning your rooms and equipment and add to your cleaning protocols in light of COVID-19. Inform your patients ahead of time that this may cause some minor delays. While the Board does not require this, below are some suggestions for protecting your patients and making them feel more at ease while visiting your office.

  • Recommend that any additional family member or visitor with them wait in the vehicle unless they are being seen as well.
  • Ask the patient to wait in their vehicle until it is time for their visit. Inform them that your staff will call them when they should return.
  • The Board has received several inquiries regarding telehealth. The Board does not consider the below list to include our licensees. If the list changes, we will update.

Medicare Telehealth Eligible Providers

  • Physicians
  • Nurse practitioners
  • Physician assistants
  • Nurse-midwives
  • Clinical nurse specialists
  • Certified registered nurse anesthetists
  • Clinical psychologists (CP)
  • Clinical social workers (CSWs) (NOTE: CPs and CSWs cannot bill Medicare for psychiatric diagnostic interview examinations with medical services or medical evaluation and management services.They cannot bill or get paid for Current Procedural Terminology (CPT) codes 90792, 90833, 90836, and 90838).
  • Registered dietitians or nutrition professional

The Federation of Chiropractic Licensing Boards (FCLB) has issued a statement affirming that doctors of chiropractic are essential healthcare providers, ready to serve their communities both in daily care and in times of urgent need. Keep in mind that events are evolving and to consider this a living document that could change frequently as new information and new policies become available/are enacted. ASBCE will continue to make updates when they become available. http://www.chiro.state.al.us/PDF/Coronavirus/COVID-19-20200318.pdf

Alaska - Open for Business

Updated   Alaska – 5/14/2020

 

From the Alaska Chiropractic Society – ACS affirms that Doctors of Chiropractic are essential healthcare providers, ready to serve their communities both in daily care and in times of urgent need. The services you offer your patients are more important today than ever before. In a time where hospital and urgent care facilities are being inundated with sick people in need of life-saving care, our doctors continue to provide chiropractic care for neuromusculoskeletal conditions, reducing the need for these patients to spill into a health care system that we know will continue to be strained in ways not previously experienced.

At this time, we keep all health care professionals in high regard as they care for our sick community members and as always, the ACS is proud of our Doctors of Chiropractic.

The Alaska Chiropractic Society along with the Board of Chiropractic Examiners has been working diligently with the Governor’s office and Department of Health and Social Services to ensure that chiropractors can continue to provide medically necessary care to Alaskans.

The Governor of Alaska issued a mandate that states, “This mandate says that all businesses, congregations or gatherings within the state of Alaska, where individuals are within six feet of one another, must stop all operations as of 5 p.m. March 24. This does not apply to critical infrastructure industries as outlined in Attachment A –
Alaska Critical Workforce Infrastructure.

The link provides, “ESSENTIAL SERVICES AND CRITICAL INFRASTRUCTURE
a. Businesses exempted from Section I are strongly encouraged to remain in operation while complying with social distancing requirements, by maintaining six-foot social distancing for both employees and members of the public, including, but not limited to, when any customers are standing in line. b. For purposes of this Order, Essential Services and Critical Infrastructure industries and entities in Alaska include: i. “Healthcare Operations,” including hospitals, clinics, dental emergency services, pharmacies, other healthcare facilities, home healthcare services, and providers, mental health providers, companies and institutions involved in the research and development, manufacture, distribution, warehousing, and supplying of pharmaceuticals, biotechnology therapies, consumer health products, medical devices, diagnostics, equipment, services, or any related and/or ancillary healthcare services. “Healthcare Operations” also includes veterinary care and healthcare services provided to animals. 1. “Healthcare Operations” does not include fitness and exercise gyms and similar facilities.

Arizona - Open for Business

Updated  Arizona – 5/14/2020

  • Has the Government Issued a COVID-19 Declaration?
    • Yes, Governor Douglas A. Ducey’s State of Arizona Executive Order is linked below.
    • Has the Government Issued a Stay at Home Order or Quarantine?
    • Are there orders requiring masks to be worn in public?
      • Yes, as of 4/3/2020 the Arizona Department of Health Services had this to say:
        • Individuals engaging in essential activities who can safely manage their own cloth face coverings should consider wearing non-medical cloth face coverings in public settings where other physical distancing measures are difficult to maintain. This is to protect people around you if you are infected but do not have symptoms.
      • Is there Specific Directions Provided to Chiropractors?
        • Yes, below is a quote from the Arizona chiropractic board;
          • the Governor’s Executive Order 2020-15, which specifically includes chiropractors as covered providers, declares that “…beginning on March 25, 2020 and continuing for the duration of the Public Health Emergency, … all health insurance plans regulated by the Arizona Department of Insurance are required … to provide coverage for all healthcare services that are provided through telemedicine if the healthcare service would be covered were it provided through an in-person visit between the enrollee and a healthcare provider.”
        • https://chiroboard.az.gov/

From the Arizona Licensing Board  Novel Coronavirus (COVID-19) Notice: The Arizona Board of Chiropractic Examiners (Board) remains focused on its mission to protect the public health and welfare. Accordingly, the Board recommends that its licensees understand and comply with Governor Ducey’s current, and any future, directives to control the spread of the COVID-19 virus in Arizona and nationally. Governor Ducey’s Executive Order 2020-12 states in part, “… An essential function is defined as one specifically identified as such or that promotes the public health, safety and welfare of the state or assists others in fulfilling such functions. … This includes doctors, nurses, and any other classification of medical personnel necessary to operate those functions …” Additionally, the Governor’s Executive Order 2020-15, which specifically includes chiropractors as covered providers, declares that “… beginning on March 25, 2020 and continuing for the duration of the Public Health Emergency, … all health insurance plans regulated by the Arizona Department of Insurance are required … to provide coverage for all healthcare services that are provided through telemedicine if the healthcare service would be covered were it provided through an in-person visit between the enrollee and a healthcare provider.” Further, the Board encourages everyone to routinely check for updates at, and to follow the guidelines published by:

Arizona Department of Health Services, https://www.azdhs.gov/index.php

Centers for Disease Control and Prevention, https://www.cdc.gov/

World Health Organization, https://www.who.int/

Please Note: According to the World Federation of Chiropractic (see: https://www.wfc.org/website/images/wfc/Latest_News_and_Features/Coronavirus_statement_2020_03_26.pdf ), “Chiropractors should refrain from any communication that suggests spinal adjustment/manipulation may protect patients from contracting COVID-19 or will enhance their recovery. Doing otherwise is potentially dangerous to public health.” Any Doctor of Chiropractic in the State of Arizona who elects to voluntarily close their office during this Healthcare Emergency must remain in compliance with all laws and rules regarding patient abandonment. In keeping with the Governor’s initiative, the Board’s office is operating with a reduced on-premises staff while others telework.

Arkansas - Open for Business

Updated Arkansas – 5/14/2020

March 23, 2020 In light of on-going COVID-19 concerns and Governor Hutchinson’s recent State of Emergency Declaration, the Arkansas Department of Health and the Arkansas State Board of Chiropractic Examiners recommends that it is up to the chiropractic physician to determine whether their office closes or remains open. This recommendation is subject to change at the discretion of the Governor and Secretary of Health. Arkansas Department of Health recommends that procedures, testing, and office visits that can be safely postponed should be rescheduled to an appropriate future date.

Delaying treatment is especially recommended for high-risk patients who meet any of the following criteria:

• Patients and visitors who have a temperature of 100.4⁰ F or greater, cough, or other symptoms of COVID-19
• Aged 65 and older
• Have compromised immune systems and/or present with chronic disease (ASA 2 and above)
• Returned from international travel within past 14 days

Universal precautions are to be strictly followed in order to minimize the possibility of disease transmission. Here are several suggestions:

• Magazines and children’s toys be removed from your waiting room areas to help prevent the spread of the virus.
• Providing a single sign-in sheet per patient and/or sanitizing digital screens and/or stylus after each patient.
• Make sure your office is being sanitized more frequently and making sure that exam tables, rooms, etc., are being sanitized after each patient following the manufacture instructions.
• Instruct your patients and staff to practice social distancing in the waiting room and/or have some wait in their cars or work out some other alternative waiting room procedure.

Recommended strategies for employers to use now, for any infectious disease:

• Actively encourage sick employees to stay home.
• Employees who become ill should be sent home.
• Emphasize respiratory etiquette and hand hygiene by all employees.
• Perform routine environmental cleaning following the manufacture instructions.
• Advise employees before traveling to take certain steps.

Collective actions taken by the community can help deter the proliferation of the COVID-19 virus in Arkansas. By rescheduling high-risk patients, professionals can do our part to prevent community spread, as well as help to preserve the limited supply of personal protective equipment that is critical for frontline healthcare personnel responding to this pandemic. For the most up-to-date information and support, visit our website: www.healthy.arkansas.gov For the most up-to-date information and guidance on COVID-19 in Arkansas, visit: https://www.healthy.arkansas.gov/programs-services/topics/novel-coronavirus For questions regarding this guidance, please call 1-844-930-3023.

http://www.arkansas.gov/asbce/applicants_licensees/ChiropracticCOVID19Guidance3.23.20.pdf

California - Open for Business

Updated   California – 5/14/2020

  • Has the Government Issued a COVID-19 Declaration?
    • Yes, all data can be found in the link below.
    • Has the Government Issued a Stay at Home Order or Quarantine?
      • Yes, a shelter in place requirement for the state has been established.
      • Has the Government Published a List of Businesses/Services that May Remain Open if orders to Close have been issued?
        • Yes, the entities that may remain open are essential services, retail, and offices.
      • The only entities that remain closed are Dine-in restaurants, Bars and nightclubs, Entertainment venues, Gyms and fitness studios, Public events and gatherings, Convention Centers, Hair, and nail salons

 

California Board of Chiropractic Examiners has published the following: Statement on COVID-19 (Coronavirus) Dear Stakeholders – While California continues to navigate the uncertainty of Novell Coronavirus (COVID-19) and limit its spread, the Board of Chiropractic Examiners is committed to supporting our licensees, applicants, and consumers throughout the course of this pandemic and to provide continuity of service at all times. Board of Chiropractic Examiners is closely monitoring the COVID-19 situation, coordinating with the state and local governments, and working with our stakeholders to protect the health of Californians. We appreciate your patience as we work on implementing new technologies to work remotely and adhere to social distancing guidelines. We apologize in advance for any delays in reaching our staff or potential delays in our processing times. The Board understands the ability to care for your patients is a priority. Due to the numerous inquiries we’ve received by our licensees, we are providing the following information in response to the most Frequently Asked Questions. The best general guidance will continue to come from the California Department of Public Health, the Centers for Disease Control and Prevention, and the World Health Organization.

Frequently Asked Questions

  1. Will Continuing Education Requirements Be Postponed? At this time the law does not allow this.
  2. Are There Fee Waivers Available? At this time the law does not allow this. However, annual license renewals can be completed online via credit card payment. Please visit the Board’s website at https://www.chiro.ca.gov/
  3. Should My Practice Remain Open? The Board does not have authority to close businesses or practices solely as a result of COVID-19. We strongly encourage you to assess whether your practice is an essential job function as outlined by the Governor and follow the guidelines from the Centers for Disease Control and Prevention. Check with your local county health department to determine what activities are also considered essential and non-essential.
  4. My Exam Was Canceled. What Does that Mean? Board of Chiropractic Examiners will be working to ensure that expedited exam processing will occur when they return and will be looking at ways to mitigate delays. PSI is actively working to reschedule exams and has an online tool that applicants can use to reschedule an exam.

The Board of Chiropractic Examiners reminds all licensees to be particularly mindful and respectful that this is a time of high anxiety for all Californians. We encourage any other inquiries to be sent through email to chiro.info@dca.ca.gov as the response time may be faster.

The California Department of Labor has put up a valuable resource page. https://www.labor.ca.gov/coronavirus2019/ Guidance form State on infection control: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/OutpatientHealthcareFacilityInfectionControlRecommendationsforSuspectCOVID19Patients.aspx

Check here for your county public health weblinkhttps://www.cdph.ca.gov/Pages/LocalHealthServicesAndOffices.aspx

March 29, 2020 Update from San Diego County Public Health – k. Hospitals and healthcare providers shall take measures to preserve and prioritize resources including delaying non-emergent or elective surgeries or procedures where feasible. L Hospitals, healthcare providers, and commercial testing laboratories shall report all COVID-19 test results to the Public Health Officer immediately after such results are received.  https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/Epidemiology/HealthOfficerOrderCOVID19.pdf

Colorado - Limited (See details)

Updated   Colorado – 5/14/2020

  • Has the Government Issued a COVID-19 Declaration?
    • Yes, the newest updates for the Safer at Home Phase, as they pertain to the Chiropractic Community of Colorado can be found at the link provided below.
    • Has the Government Issued a Stay at Home Order or Quarantine?
      • Yes, the newest updates for the Safer at Home Phase, as they pertain to the Chiropractic Community of Colorado can be found at the link provided below.
      • Has the Government Published a List of Businesses/Services that May Remain Open if orders to Close have been issued?
        • Colorado has updated its stay at home, now all retail can also be open with slight restrictions to occupancy (large places of business required to remain at 50% capacity) and proper sanitation methods must be in place.
        • Are there orders requiring masks to be worn in public?
          • Yes there is:
            • A medical grade face mask is also called a surgical mask. These are disposable fluid resistant masks that provide the wearer protection against large droplets, splashes, or sprays of bodily or other hazardous fluids. They also protect others from the wearer’s respiratory emissions.  Surgical masks do not provide the wearer reliable protection from inhaling smaller airborne particles. N95 or other types of respirators should be considered if the wearer seeks protection from small particle aerosols.
          • https://covid19.colorado.gov/mask-guidance
        • Is there Specific Directions Provided to Chiropractors?
          • The Board of Directors of the Colorado Chiropractic Association recognizes there has been a lot of confusion following the Department of Regulatory Agencies statement on Prohibition of Chiropractic Elective Care Procedures released on March 27, 2020. DORA has since released an additional clarifying statement on April 2, 2020. Some chiropractors interpret these statements as a directive to close your practice. We continue to disagree with that conclusion. After consultation with the CCA’s attorneys, lobbyists, and other professional medical associations, we are providing the following information to assist you making a decision how best to proceed with your practice for the duration of the Governors Order.
        • https://www.coloradochiropractic.org/news/news.asp?id=493743&hhSearchTerms=%22covid-19%22

 

Updated 4-8-2020:  From the Colorado Chiropractic https://www.coloradochiropractic.org/news/493743/Evolving-Article-CORONAVIRUS-COVID-19-IN-THE-CHIROPRACTIC-OFFICE.htm 

UPDATE GOVERNOR POLIS STAY AT HOME ORDER EXTENDED THROUGH APRIL 26, 2020 [UPDATED 4/7/2020 5:00PM] As of Monday, April 6, 2020, Governor Polis extended Executive Order D 2020 017, the stay-at-home order, to end Sunday April 26, 2020 (Executive Order D 2020 024).Further, the Governor extended Executive Orders on the temporary suspension of elective and non-essential surgeries and procedures, (original Executive Order D 2020 009, now Executive Order 2020 027). This new order is set to expire on April 26, 2020.  The Board of Directors of the Colorado Chiropractic Association recognizes there has been a lot of confusion following the Department of Regulatory Agencies statement on Prohibition of Chiropractic Elective Care Procedures released on March 27, 2020. DORA has since released an additional clarifying statement on April 2, 2020. Some chiropractors interpret these statements as a directive to close your practice. We continue to disagree with that conclusion. After consultation with the CCA’s attorneys, lobbyists, and other professional medical associations, we are providing the following information to assist you making a decision how best to proceed with your practice for the duration of the Governors Order.

Per Executive Orders 2020 009 and 027, all chiropractic practices must postpone/ reschedule performance of elective care including, but not limited to, asymptomatic care, preventative care, non-medically necessary care or ancillary in-office services (such as non-therapeutic massage or other services). Acute or emergency care, that falls under the guidance of Executive Order 2020 009 and 027 can be administered and should be done in accordance with other current executive orders issued by Governor Polis, local county orders and CDC guidelines.

Per DORA’s notice on April 2, 2020: “We are asking for all healthcare professionals to assess the essential need to provide services on a case-by-case, patient-by-patient basis to ensure compliance with the Order. To make your assessment, you need to consider that the only procedures or surgeries that are permissible under this Order are those that address the following:

· There is a threat to the patient’s life if the surgery or procedure is not performed;

· There is a threat of permanent dysfunction of an extremity or organ system of the surgery or procedure is not performed;

· There is a risk of metastasis or progression of staging of a disease or condition if the surgery is not performed; or

· There is a risk that the patient’s condition will rapidly deteriorate if the surgery or procedure is not performed and there is a threat to life, or to an extremity or organ system or of permanent dysfunction or disability.

As the March 27th guidance indicated, Executive Order D 2020 009 does allow for the discretion of the provider to conduct a chiropractic procedure in those circumstances where an injury or illness is at risk of progression or the patient’s health is at risk of rapid deterioration. You will note that DORA has also listed chiropractors as a critical service, provided that the services performed are within these confines of the Executive Order and are a conservative assessment of procedures that are critical on a case-by-case basis.”

Each office choosing to still see acute or emergency patients must put in place a system for patients that may need “acute or emergency” treatment including but not limited to, a method to contact the chiropractor over the phone to determine if an in-patient procedure is necessary, pre-screening patients, maintaining social distancing and CDC prevention and safety precautions. We have a COVID-19 compliance manual available to our members as a member benefit that you can customize to your office. Visit our page here to download your customizable compliance manual.

While it is understood that wellness care can aid in optimal health and function of the patient, to avoid potential exposure and community threat, we urge each chiropractor to consider the potential risks to public health.

We will continue to catalog more resources and updates on our website here: https://www.coloradochiropractic.org/news/493743/Evolving-Article-CORONAVIRUS-COVID-19-IN-THE-CHIROPRACTIC-OFFICE.htm and https://www.coloradochiropractic.org/news/499759/Resources-for-COVID-19.htm

Disclaimer – The Colorado Chiropractic Association is a professional association advocating for the rights of chiropractors and their patients across the state of Colorado. We are NOT a state agency or regulatory body. We are merely informing our membership regarding our understanding of what they are allowed to do during this difficult and confusing time. We are neither requiring nor recommending to you to keep your doors open nor requiring nor recommending to you to close your office at this time as we as an association cannot make this decision for you. Should you have additional questions or concerns, we encourage you to seek independent legal advice.

ONLY if providing services through a medical office or practice and if adhering to the mandated Executive Order prohibiting elective procedures)

In what may be a unique position given that chiropractors typically do not operate out of medical offices, but rather as stand alone practices; the Colorado Department of Regulatory Agencies while rightly finding Chiropractic a ‘critical profession” determined that Chiropractors may only be open if “providing services through a medical office or practice and if adhering to the mandated Executive Order prohibiting elective procedures.” https://covid19.colorado.gov/sites/covid19/files/DORA%20Critical%20vs.%20Non-Critical%20Professionals%20List.pdf 

ICA Sent a letter to the Governor’s office today seeking to have this provision changed.  To read that visit:  https://www.chiropractic.org/ica-asks-colorado-governor-polis-to-reconsider-limitation-on-chiropractors-to-only-those-providing-services-through-medical-offices/

Connecticut - Open for Business

UPdated   Connecticut – 5/14/2020

 

The Connecticut Governor signed an executive order directing the state’s residents to “Stay Safe, Stay Home” It orders all nonessential businesses statewide to prohibit in-person functions. This remains in effect until April 22. Guidance has been issued to the state’s businesses.

Healthcare and related operations including:

• biotechnology therapies
• consumer health products and services
• doctor and dentist offices
• elder care, including adult day care
• health care plans and health care data
• home health care workers or aides
• hospitals
• manufacturing, distributing, warehousing, and supplying of pharmaceuticals, including research and development
• medical marijuana dispensaries and producers
• medical supplies and equipment providers, including devices, diagnostics, services, and any other healthcare related supplies or services
• medical wholesale and distribution
• nursing homes, or residential health care facilities or congregate care facilities
• pharmacies
• physical therapy and chiropractic offices
• research and laboratory services, including testing and treatment of COVID-19
• veterinary and animal health services
• walk-in-care health facilities

See Essential Healthcare Providers

The Governor and Department of Economic and Community Development released a list tonight of essential businesses that includes chiropractic offices under Healthcare. See Business Exemptions for Coronavirus. CTChiro reminds all Connecticut Chiropractors to follow the Guidelines for Physicians issued by CT Department of Public Health on March 16, 2020 and notes that Chiropractors are essential health care providers. https://www.ctchiro.com/page/EssentialHealthcare20200320

Delaware-Open for Business

Updated   Delaware – 5/14/2020

 

District of Columbia - Open for Business

The Mayor of the District of Columbia issued a Stay at Home Order which allows for essential health care services. Chiropractic is essential and would be categories as ancillary.

Florida - Opening for Business

Updated  Florida – 5/14/2020

PROCEED WITH CAUTION

The Governor’s Executive Order # 2072 available at https://www.flgov.com/wp-content/uploads/orders/2020/EO_20-72.pdf provides severe limits.

“A. All hospitals, ambulatory surgical centers, office surgery centers, dental, orthodontic and endodontic offices, and other health care practitioners’ offices in the State of Florida are prohibited from providing any medically unnecessary, non-urgent or non-emergency procedure or surgery which, if delayed, does not place a patient’s immediate health, safety, or wellbeing at risk, or will, if delayed, not contribute to the worsening of a serious or life-threatening medical condition. Accordingly, all health care practitioners licensed in the State of Florida, including dentists, shall immediately cease performing these elective services.”

If you are unclear how to proceed, please check with your malpractice insurance provider.

From the Florida Chiropractic Board of Examiners – As part of the response efforts to the Novel Coronavirus 2019 (COVID- 19), Governor Ron DeSantis extended the licensure renewal expiration date until May 31, 2020 for any health care practitioner with licensure renewal deadlines between March 21 and April 30, 2020. This is includes Chiropractic Physicians, Registered Chiropractic Assistant, and Certified Chiropractic Physician’s Assistant.

Georgia - Open for Business

Updated:  Georgia – 5/14/2020

 

Open for Business – Yes

Governor has issued Shelter in place order  file:///Y:/2020%20ICA%20Administration/Lists/04.02.20.01.pdf

Notes in order that Critical Infrastructure resources to remain open – which includes chiropractic.

And empowered Sheriff’sto enforce   file:///Y:/2020%20ICA%20Administration/Lists/04.03.20.01.pdf

Updated April 3, 2020

The State leadership has not issued any directives limiting the personal decision making a chiropractor to open his or her offices in the state of George as of March 30.

Hawaii - Open for Business

Updated Hawaii – 5/14/2020

Governor Ige has issued a stay at home order, it provides exemptions for essential health services. The State Dept. of Health and Lt. Gov. Office has contacted Dr. Lawrence Redmond, the Chair of the Board of Chiropractic Examiners (your licensing entity) and through discussion and consultation has placed the Doctors of Chiropractic as exempted from the stay at home order, as Essential Health Care Professionals.

https://hawaiicovid19.com/wp-content/uploads/2020/03/2003162-ATG_Third-Supplementary-Proclamation-for-COVID-19-signed-12.pdf

Idaho - Open for Business

Updated  Idaho – 5/14/2020

  • Has the Government Issued a COVID-19 Declaration?
    • Yes, for the most recent updates follow the link below.
    • Has the Government Issued a Stay at Home Order or Quarantine?
      • Yes, the stay at home order can be found below.
      • Has the Government Published a List of Businesses/Services that May Remain Open if orders to Close have been issued?
        • The current state of affairs is quoted below.
          • BUSINESSES AND GOVERNMENTAL AGENCIES MAY CONTINUE TO RESUME OPERATIONS AT PHYSICAL LOCATIONS IN THE STATE OF IDAHO EXCEPT FOR THOSE BUSINESSES IDENTIFIED IN THIS ORDER.
          • ALL BUSINESSES AND GOVERNMENTAL AGENCIES MUST ADHERE TO THE MANDATORY PORTIONS OF THE SOCIAL DISTANCING AND SANITATION REQUIREMENTS DESCRIBED IN SECTON 7 OF THIS ORDER.
          • CERTAIN INDIVIDUALS ENTERING IDAHO ARE STRONGLY ENCOURAGED TO SELF-QUARANTINE FOR 14 DAYS.
          • VULNERABLE INDIVIDUALS LIVING IN THE STATE OF IDAHO ARE STRONGLY ENCOURAGED TO STAY HOME AND LIMIT THEIR MOVEMENT OUTSIDE OF THEIR PLACE OF RESIDENCE.
          • GATHERINGS OF MORE THAN 10 PEOPLE, BOTH PUBLIC AND PRIVATE, SHOULD BE AVOIDED.
          • NON-ESSENTIAL TRAVEL SHOULD BE AVOIDED OR MINIMIZED.
        • https://coronavirus.idaho.gov/stay-healthy-order/
      • Are there orders requiring masks to be worn in public?
        • Currently there are no laws requiring face masks.
      • Is there Specific Directions Provided to Chiropractors?
        • With the current implementation of Stage 2 of returning to normal all businesses may return to work.
        • We believe that Chiropractic likely falls under ambulatory health, or simply health care professional.

Open for Business – Yes

Idaho adopted the Federal Critical Workforce List which includes Chiropractic as essential.

Stay at Home Order Issued  https://coronavirus.idaho.gov/essential-services/ 

Page Updated 4/3/2020

 

 

On March 25, The Governor issued a Stay at Home to last 21 days.

https://coronavirus.idaho.gov/essential-services/

The governor is using this list to determine essential businesses – https://www.cisa.gov/sites/default/files/publications/CISA_Guidance_on_the_Essential_Critical_Infrastructure_Workforce_508C_0.pdf. Chiropractic likely falls under ambulatory health, or simply health care professional.

Illinois - Open for Business

Updated   Illinois – 5/14/2020

April 1 Executive Order:  https://www2.illinois.gov/Pages/Executive-Orders/ExecutiveOrder2020-19.aspx

Includes implementation of  the Good Samaritan Act, 745 ILCS 49, provides that “the generous and compassionate acts of its citizens,” specifically health care professionals, “who volunteer their time and talents to help others” should be exempt from civil liability unless such acts demonstrate willful or wanton misconduct;

 

https://www.illinoischiropractors.org/

In his latest COVID-19 briefing, Governor Pritzker issued a lockdown order requiring resident “shelter in place” starting Saturday, March 21. This order essentially commands residents to stay in their homes.Only people with “essential” jobs will be permitted o work outside their homes. In other states that has included various healthcare workers. According to the Illinois Medical Practice Act, doctors of chiropractic: (224 ILCS 60/2) (from Ch. 111, par. 4400-2)

(Section scheduled to be repealed on January 1, 2022)  Sec. 2. Definitions, …“Chiropractic physician” means a person licensed to treat human ailments without the use of drugs and without operative surgery. Nothing in this Act shall be construed to prohibit a Chiropractic physician from providing advice regarding the use of non-prescription products or from administering atmospheric oxygen. Nothing in this Act shall be construed to authorize a chiropractic physician to prescribe drugs.

In the State of Illinois, we are licensed as physicians. That would be an essential job. Our lobbyist, Karen Ramey, has been in contact with our State legislative contacts to assure that Doctors of Chiropractic are not precluded from helping in this crisis and can remain open as they so choose. Chiropractic patients have been shown o have less hospital stays, ER visits and use less medicine. This can help reduce the patient load on hospitals, walk-in clinics and pharmacies. Thanks to your generous PAC and Lobbyist contributions we were ready and have been preemptively working to assure Springfield knows we are ready to help.

Indiana - Open for Business

Updated Indiana – 5/14/2020

The ISCA continues to monitor all of the directives surrounding the COVID-19 crisis. Please check back often and if you sign up as a member you will receive emails as soon as the information is available to us. We are available to answer any questions for our members.

The Governor issued a Stay-at-Home order for all Hoosiers until April 7. This means all non-essential businesses have to close as of March 24, 2020. At this time, the Executive Order allows for essential businesses including health care facilities to remain open. Chiropractic offices fall into this category and are considered an “essential business” and will be allowed to remain open. However, it is a strong recommendation from the ISCA that you make every effort to limit your staff and the number of people in your offices if you choose to remain open.

Here is the pertinent text from the Executive Order regarding Healthcare and Public Health Operations.

• The phrase “Healthcare and Public Health Operations” includes, but is not limited to, the following: hospitals, clinics, dental offices, pharmacies, public health entities, including those that compile, model, analyze and communicate public health information, pharmaceutical, pharmacy, medical device and equipment, and biotechnology companies including operations, research ad development, manufacture, and supply chain, organizations collecting blood, platelets, plasma, and other necessary materials, obstetricians and gynecologists, eye care centers, including those that sell glasses and contact lenses, home healthcare services providers, mental health and substance use providers, other healthcare facilities and suppliers and providers of any related and/or ancillary healthcare services, entities that transport and dispose of medical materials and remains, and veterinary care and all healthcare services provider to animals.
• Fitness and exercise gyms, spas, salons, barber shops, tattoo parlors, and similar facilities are not included in Healthcare and Public Health Operations.
• Further, the phrase “Healthcare and Public Health Operations” shall be construed broadly in order to avoid any impacts to the delivery of healthcare broadly defined.

Iowa - Open for Business

Updated Iowa – 5/14/2020

 

No further information at this time, please continue to check back for the latest updates.

Kansas - Open for Business

Updated   Kansas – 5/14/2020

 

Kentucky - Open for Business

Updated   Kentucky – 5/14/2020

 

https://chfs.ky.gov/agencies/dph/covid19/healthcareservicereopening.pdf

Louisiana - Open for Business

Updated Louisiana – 5/14/2020

Maine - Open for Business

Updated   Maine – 5/14/2020

 

Maryland - Open for Business

Updated   Maryland – 5/14/2020

 

Gov. Hogan has issued a Stay at Home Order 

The stay at home order relies upon the Department of Homeland Security’s classification for critical infrastructure, which includes chiropractors.

Additional Resources:  https://governor.maryland.gov/covid-19-pandemic-orders-and-guidance/

Maryland Chiropractic Association statement:  https://marylandchiro.starchapter.com/images/MCA_Coronavirus_Practice_Policy_Website.pdf 

Massachusetts - Open for Business

Updated   Massachusetts – 5/14/2020

 

Michigan - Open for Business

Updated   Michigan – 5/14/2020

Minnesota - Open for Business

Updated   Minnesota – 5/14/2020

Mississippi - Open for Business

Updated   Mississippi – 5/14/2020

Missouri - Open for Business

Updated  Missouri – 5/14/2020

 

Montana - Open for Business

Gov. has issued a Stay at Home Order – https://covid19.mt.gov/Portals/223/Documents/Stay%20at%20Home%20Directive.pdf?ver=2020-03-26-173332-177

Which provides that  Essential Businesses and Operations. For the purposes of this Directive, Essential Businesses and Operations means Health Care and Public Health Operations, Human Services Operations, Essential Governmental Functions, and Essential Infrastructure, provided by U.S. Department of Homeland Security, Cybersecurity & Infrastructure Security Agency, issued a Memorandum on Identification of Essential Critical Infrastructure Workers During COVID-19 Response, available at: https://www.cisa.gov/publication/guidance-essentialcritical-infrastructure-workforce. The definition of Essential Businesses and Operations in this Order is meant to encompass the workers identified in that Memorandum.

Chiropractors are included on this list.

 

Nebraska - Open for Business

No further information at this time, please continue to check back for the latest updates.

Nevada - Open for Business

No further information at this time, please continue to check back for the latest updates.

New Hampshire - Open for Business

No further information at this time, please continue to check back for the latest updates.

New Jersey - Open for Business

Update:  New Jersey May 17, 2020

The New Jersey Chiropractic Board has several key alerts posted on their site https://www.njconsumeraffairs.gov/chi

An alert on out of network billing:  https://www.njconsumeraffairs.gov/Documents/PL2018-c32-Provision-Summary.pdf

Policies Related to Telehealth  https://www.nj.gov/oag/newsreleases20/pr20200403a.html 

 

New Mexico - Open for Business

No further information at this time, please continue to check back for the latest updates.

New York - Open for Business

No further information at this time, please continue to check back for the latest updates.

North Carolina - Open for Business

No further information at this time, please continue to check back for the latest updates.

North Dakota - Open for Business

No further information at this time, please continue to check back for the latest updates.

Ohio - Open for Business

No further information at this time, please continue to check back for the latest updates.

Oklahoma - Open for Business

No further information at this time, please continue to check back for the latest updates.

Oregon - Open for Business

March 26, 2020 https://www.oregon.gov/obce/Pages/COVID-19_Announcements.aspx

March 23, 2020 The Governor’s Office and the OBCE are not mandating clinic or practice closure at this time. Every licensee must use their own clinical and professional judgment as to whether you are complying with best practices for limiting the spread of COVID-19. Please read the Executive Order carefully. Governor Brown’s Executive Order 20-12, Stay Home, Stay Safe.

Bottom line: The Governor’s Office and the OBCE are not mandating clinic or practice closure at this time. Every licensee must use their own clinical and professional judgment as to whether you are complying with best practices for limiting the spread of COVID-19. Chiropractic practices and licensees must abide by the restrictions and guidelines indicated by this and other Executive Orders and those from the Oregon Health Authority.

Pennsylvania -Open for Business

No further information at this time, please continue to check back for the latest updates.

Rhode Island - Open for Business

Chiropractors Open for Business.  YES

Stay at home order issued by state/local authority? If so, please email – preferably the link http://www.governor.ri.gov/documents/orders/Executive-Order-20-14.pdf

All gatherings of more than five (5) people in any public or private space such as
an auditorium, stadium, arena, large conference room, meeting hall, library,
theater, place of worship, parade, fair, festival, park or beach, are prohibited.

Any person coming to Rhode Island from another state for a non-work-related
purpose must immediately self-quarantine for 14 days. This quarantine
restriction shall not apply to public health, public safety, or healthcare workers.

Are their specific orders to Chiropractors? NO

Updated 4/3/2020

South Carolina - Open for Business

Gov. McMasters issued additional Executive Order with Stay at Home Order – I hereby order and direct that effective Tuesday, April 7, 2020, at 5:00 p.m., any and all residents and visitors of the State of South Carolina are required to limit social interaction, practice “social distancing” in accordance with CDC guidance, and take every possible precaution to avoid potential exposure to, and to slow the spread of, COVID-19, and shall limit their movements outside of their home, place of residence, or current place of abode (collectively, “Residence”), except as allowed by this Order, for purposes of engaging in Essential Business, Essential Activities, or Critical Infrastructure Operations, as set forth below and as such terms are further defined herein.   Exemption includes the following (of which Chiropractic would be included).  “Individuals performing or assisting with military, healthcare, public safety, or emergency response operations, as well as any other operations or services identified by the United States Cybersecurity and Infrastructure Security Agency in its March 28, 2020 Memorandum, or any future amendments or supplements thereto, as essential to continued critical infrastructure viability.”

https://governor.sc.gov/sites/default/files/Documents/Executive-Orders/2020-04-06%20eFILED%20Executive%20Order%20No.%202020-21%20-%20Stay%20at%20Home%20or%20Work%20Order.pdf

 

SC Board of Chiropractic Examiners has extended the timeline to renew licenses to September 30, 2020 .  https://www.llr.sc.gov/renewalupdates/

https://www.scdhec.gov/infectious-diseases/viruses/coronavirus-disease-2019-covid-19/testing-sc-data-covid-19

South Dakota - Open for Business
Tennessee - Open for Business

No further information at this time, please continue to check back for the latest updates.

Texas - Open for Business

Texas Gov. Abbott issued Executive Order 

On March 312, 2020, Governor Greg Abbott today issued an Executive Order implementing Essential Services and Activities Protocols for the entire state of Texas. The protocols direct all Texans to minimize non-essential gatherings and in-person contact with people who are not in the same household. The Governor’s Executive Order renews and amends his previous order enforcing federal social distancing guidelines for COVID-19, including closing schools and instructing Texans to avoid eating or drinking at bars and restaurants. The protocols allow exceptions for essential activities and services based on the Department of Homeland Security’s guidelines on the Essential Critical Infrastructure Workforce. Examples of these essential services include healthcare, grocery stores, banking and financial services, utilities, child care for essential service employees, and government services.

Today’s Executive Order follows the decision by President Trump and the Centers for Disease Control and Prevention (CDC) to enhance social distancing guidelines and extend the deadline for these guidelines to April 30th.

Governor Abbott was joined for the announcement by Lieutenant Governor Dan Patrick, House Speaker Dennis Bonnen, Texas Department of State Health Services (DSHS) Commissioner John Hellerstedt, MD, Texas Division of Emergency Management (TDEM) Chief Nim Kidd, and Texas Education Agency (TEA) Commissioner Mike Morath.

“Social distancing is our best tool in the fight against COVID-19, and the actions we have taken thus far have proven to be effective in limiting the spread of this virus,” said Governor Abbott. “Now it is time to redouble our efforts to reduce further exposure as much as possible and flatten the curve. As with all the actions the state is taking, the Essential Services and Activities Protocols is informed by the expertise and guidance of the CDC as well as state and local health officials. I urge my fellow Texans to heed these heightened social distancing directives to protect their health and the health of those around them. By following these guidelines, we will limit the spread of COVID-19 and overcome this challenge together.”

Last Revised April 5, 2020

Utah - Open for Business

Stay at Home Order Issued.  Heatlh Care Professionals Exempted.  

Last Revised April 5, 2020

Vermont - Open for Business
Virginia -Open for Business

Central Reporting Page – https://www.virginia.gov/coronavirus/

Gov. Northram’ Issued Stay at Home Order – Nothing in the Order shall limits the provision of health care or medical
services.

Chiropractic Offices May Remain Open

Unified Virgnia Chiropractic Association is making its information to all chiropractors in the state, including those who are not members.  https://www.virginiachiropractic.org/page/COVID-19-NM  

Telehealth Chart – https://cdn.ymaws.com/www.virginiachiropractic.org/resource/resmgr/coronavirus/Telehealth_Coverage_chart_at.pdf 

Last Revised Apirl 5, 2020

Washington - Open for Business

Gov. Inslee has issued a Stay at Home Order requiring all business not considered essential to close 

Chiroprators while not specifically named, fall into at least one of the categories of health care providers listed in the essential healthcare providers listed.

Licensing Board has provided policy updates related to telehealth and to continuing education – removing limits to online learling.  Document is at: https://www.doh.wa.gov/Portals/1/Documents/2300/2020/CQAC-COVID-19Message.pdf

https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/COVID-19-Healthcare-Planning-Checklist.pdf 

Last Revised April 5, 2020

West Virginia - Open for Business

Governor issues stat at home order – https://coronavirus-wvgovstatus-cdn.azureedge.net/STAY_AT_HOME_ORDER.pdf

The West Virginia Board of Chiropractic recognizes chiropractic physicians as essential healthcare providers; specifically, now during the COVID-19 pandemic. We provide essential care to the public; specifically, to other healthcare providers and first responders – – many of whom are already exhausted and hurting from this crisis.

As chiropractic physicians, we understand the far-reaching potential of our most needed care. In our enthusiasm, let us not further confuse the public any more than they already are regarding the COVID-19 pandemic. False promises and cures are all over the internet and social media. Therefore, we encourage all West Virginia chiropractors to seek recommendations and protocols established by the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and the West Virginia Department of Health & Human Resources (DHHR) regarding COVID-19. We further recommend for all to review WV Code Chapter 30, Article 16, and Title 4, Series 1, Regulation of Chiropractic Practice with attention to §4-1-6, as it provides boundaries for communicating with the public. Any licensed DC who advertises or makes false, deceptive or misleading statements that he or she can cure the coronavirus is in violation of state statute pertaining to the scope of practice and advertising. Our scope does not provide disease-based treatment.

Last Revised April 1, 2020

Wisconsin - Open for Business

Open for Business Yes

Stay at Home Order Yes

Specific Order to Chiropractors – No

Governor Evers issued his Safer at Home Executive Order effective 8:00 am on Wednesday, March 25th, 2020. Chiropractors are exempt from this order as healthcare providers. This means you can stay open to serve your patients if you chose to do so – and if you can maintain safety and sanitation standards.  “Healthcare and Public Health Operations. For purposes of this Order, individuals may leave their residence to work for or obtain services at any Healthcare and Public Health Operations.” Rules on interstate license reciprocity and telemedicine https://evers.wi.gov/Documents/COVID19/EMO16-DSPSCredentialingHealthCareProviders.pdf

Last revised Apirl 5, 2020

Wyoming - Open for Business

No declaration as of April  on health care facilities.

The Wyomnic Board of Chiropractic Examiners has filed emergency rule changes to Chapter 4, Secton 3(d) to allow licensees to obtain all continuing education for their August 31, 2020 renewal via online means, if needed.  Emergency rules are in effect for 120 days and can be renewed once, for an additoinal 120 days.

Last Revised April 1, 2020

 

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