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Medicare

“It is important that when Congress changes Medicare laws, that we accomplish the very best changes for the chiropractic profession and Medicare beneficiaries. The ICA believes it has crafted a bill that will make the much-needed changes to Medicare that will treat all chiropractors fairly and equitably.   It is my goal to see the community come together and see true chiropractic specific Medicare reforms enacted into law and instituted in a timely basis.”Stephen P. Welsh, DC, FICA, ICA President.

In June 2019, ICA Published The ICA Framework on Medicare

The ICA has established a framework that addresses the needs of the chiropractic community with certainty:

  1. Maintain the current mandate for coverage of the adjustment to correct a subluxation.
  2. Remove the restrictive language used to limit reimbursements to the adjustment “only” and mandate coverage of exams and radiographic studies.
  3. Introduce the concepts of Sec. 2706 of the Public Health Service Act and eliminate discrimination based upon provider license type.
  4. Maintain economic neutrality by removing barriers to reimbursements for existing covered services only.
  5. Establishes equitability in reimbursement rates for chiropractors to other physician level providers.
  6. Eliminate discrimination that denies patients of chiropractors the ability to privately contract and chiropractors the ability to Opt-out of the Medicare system if they so choose.

On July 11,2019 the ICA provided an evaluation to its members of HR 3654

The Facts on HR 3654


11 July 2019 (Falls Church, VA). The International Chiropractors Association (ICA) is aware of newly introduced legislation, HR 3654 – The Chiropractic Medicare Coverage Modernization Act of 2019. As we have reported, the ICA is working to have introduced legislation we drafted to eliminate the discrimination against patients of chiropractors who are currently being denied reimbursement for covered services in Medicare. In drafting legislation, we listened to you and to the full chiropractic community about what is needed.

ICA has reviewed the bill and wants to provide the facts of what the bill does and does not do within the framework of our established parameters for Medicare reform.

The ICA draft legislation has been developed based upon the following parameters:

  • Maintain the current mandate for coverage of the adjustment to correct a subluxation. HR 3654 does not protect this mandate.
  • Remove the restrictive language used to limit reimbursements to the adjustment “only” and include a mandate for coverage of exams and radiographic studies.HR 3654 eliminates the restrictive language but also eliminates the adjustment to correct a subluxation mandate. HR 3654 does not include a mandate for exams and radiographic studies.
  • Introduce the concepts of Sec. 2706 of the Public Health Service Act and eliminate discrimination based upon provider license type. HR 3654 does not include this.
  • Maintain economic neutrality by removing barriers to reimbursements for existing covered services only. HR 3654 is not revenue neutral. It will introduce new services that will drive the cost of Medicare up.
  • Establish equitability in reimbursement rates for chiropractors to other physician-level providersHR 3654 does not include this.
  • Eliminate discrimination that denies patients of chiropractors the ability to privately contract and chiropractors the ability to Opt-out of the Medicare system if they so choose.” HR 3654 does not include this.

On August 22, 2019 ICA President Announced

The ICA Will Not Endorse HR 3654


August 24, 2019 (Falls Church, Virginia.).

On August 22, ICA President Stephen Welsh announced that the International Chiropractors Association (ICA) will not endorse HR 3654. The ICA has established a framework that addresses the needs of the chiropractic community with certainty:

  1. Maintain the current mandate for coverage of the adjustment to correct a subluxation.
  2. Remove the restrictive language used to limit reimbursements to the adjustment “only” and mandate coverage of exams and radiographic studies.
  3. Introduce the concepts of Sec. 2706 of the Public Health Service Act and eliminate discrimination based upon provider license type.
  4. Maintain economic neutrality by removing barriers to reimbursements for existing covered services only.
  5. Establishes equitability in reimbursement rates for chiropractors to other physician level providers.
  6. Eliminate discrimination that denies patients of chiropractors the ability to privately contract and chiropractors the ability to Opt-out of the Medicare system if they so choose.

Dr. Welsh stated, “When evaluating HR 3654, we find it fails to meet numerous essential elements of the framework. We therefore are not endorsing HR 3654. ICA continues to work towards the introduction of legislation that meets all six elements and does so with certainty.

We must as a community work together to achieve meaningful and specific improvements to Medicare in order to best serve our Medicare beneficiaries. While preserving the mandate for correcting subluxations through adjustment in the definition of a chiropractic physician, also gaining mandated coverage for exams and x-rays and removing discriminatory barriers so that the opt-out provision is also mandated is a must. We can settle for no less.”

Background: The International Chiropractors Association (ICA) is in consensus with the entire US-based chiropractic community that Medicare needs to be fixed. For too long the vestiges of restraint of trade discrimination have lingered in the Social Security Act laws through which Medicare is administered.

We have a draft bill we are working to get introduced. Our proposed bill will eliminate discrimination against the patients of chiropractors who are currently being denied reimbursement for covered services when they are provided by a Doctor of Chiropractic. We do this while preserving the current mandate for coverage of the adjustment to correct a subluxation in the definition of chiropractor. We have previously posted our framework and discussed Medicare legislation.

On June 26, 2019, ICA Endorsed and Called for the Support of HR 2883

Chiropractors Equity Act of 2019 introduced by Rep. Jackie Wallorski (R-IN).


HR 2883 seeks to eliminate discrimination in the Medicare “Opt-Out” provision by allowing chiropractors to provide items and services through private contracts with Medicare beneficiaries.

To help support the passage of the ICA Medicare Framework, donate to the ICA Political Action Committee!
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VISION

Empower humanity to optimal life expression, health and human potential through specific and scientific chiropractic care.

MISSION

To protect and promote chiropractic throughout the world as a distinct health care profession predicated upon its unique philosophy, science, and art of subluxation detection and correction.

ICA Values

Respect: We acknowledge and honor the diverse perspectives and approaches in the practice of chiropractic and in promoting health, healing, and well-being.  We pledge to conduct ourselves with kindness, compassion, direct and honest communication.

Equitability: We advocate for a healthcare system that is just, fair, and free from discrimination. We believe that all people should have equal access to services that promote health and wellbeing, including chiropractic care. We support the inclusion of all licensed health providers that are practicing within the scope and standards of their profession and advocate for compensation that is commensurate and fair for services provided.

Empowerment: We advocate for a health care system that gives people control of their own health and health promoting practices.  We foster the development of health promoting capacity in individuals, organizations and health professions through education, knowledge and information, advocacy, access, communication, and collaboration.

Collaboration: We are dedicated to working in respectful dialogue and supportive partnership with others to address the needs of individuals and society for better health and healthcare systems.

Transparency: We act in a way that is easy for others to see what we are doing and why we are doing it.  We make available full information required for collaboration, cooperation, and collective decision making.

OBJECTIVES

  • Maintain and promote chiropractic’s unique identity as a vitalistic non-therapeutic, non-allopathic, drugless and surgical-free health science, based on its fundamental principles and philosophy.
  • Provide leadership in the establishment of chiropractic licensure and regulation in every nation and promote the quality and authenticity of chiropractic education.
  • Foster the professional and technical development of the Doctor of Chiropractic through programs of continuing education, research, political, and social action.
  • Promote the highest professional, technical, and ethical standards for the doctor of chiropractic while safeguarding the professional welfare of its members and the public.
  • Champion the principle that every citizen in the world has the right to freedom of choice in health care and be able to select the doctor and the healing art of his/her choice.
  • Work effectively with other organizations and governments in a global humanitarian effort to foster chiropractic throughout the world.
  • Work for non-discrimination for chiropractic and chiropractic patients in all public and private health care delivery programs.

Last Revised September 12, 2019

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