February 2, 2026 (Falls Church, VA) The International Chiropractors Association (ICA) notified the Florida House of Representatives Subcommittee on Health Professions & Programs Subcommittee in the Health and Human Services Committee that ICA Is opposed to HB 439 which would expand the Florida chiropractic scope of practice by adding: “authorizing chiropractic physicians to possess, prescribe, and administer vitamins, nutrient preparations, homeopathic remedies, dietary supplements, and epinephrine, by specified means; requiring chiropractic physicians to be certified by the Board of Chiropractic Medicine to administer by injection vitamins, nutrient preparations, homeopathic remedies, dietary supplements, and epinephrine; authorizing licensed pharmacists to fill, compound, or dispense certain prescriptions for licensed chiropractic physicians under certain circumstances; providing requirements for the certification program;…” to the definition of chiropractic in the state.

The letter signed by ICA President, Dr. Joe Betz stated,

“After careful evaluation, the ICA must express strong opposition to this bill based on patient safety concerns and the inadequacy of proposed training requirements.

The administration of injectable substances is an invasive medical procedure that carries inherent risks, including infection, adverse drug reactions, medication interactions, dosing errors, and emergency complications such as anaphylaxis. These risks are well-documented and are the reason injectable therapies are traditionally restricted to health professionals whose education includes extensive pharmacology, differential diagnosis, emergency medicine, sterile technique, and supervised clinical training.”

The Florida House Subcommittee has announced a hearing tomorrow for a second reading of the bill. The ICA has requested that the Health Professions & Programs Subcommittee decline to advance HB 439. The Florida legislative website link for this legislation is https://www.flsenate.gov/Session/Bill/2026/439

ICA, celebrating 100 years of promoting and protecting chiropractic, continues to hold firm to the position that chiropractors do not practice medicine, and that chiropractic is a distinct and drug free profession.

The full letter is available below.