Legislation makes nondiscrimination language state law.
Dynamic Chiropractic Staff
Dr. Vern Saboe, lobbyist for the Oregon Chiropractic Association, reports that the Oregon state Senate has unanimously passed House Bill 2468, legislation that inserts the federal provider non-discrimination Section 2706(a) from the Patient Protection and Affordable Care Act ("Obamacare") into Oregon law. Dr. Saboe immediately requested a signing ceremony and Gov. Kate Brown signed the bill into law on May 27 (see photo).
"Oregon's legislation should act as a template for other states inserting the federal nondiscrimination provisions, but time grows very short," emphasized Dr. Saboe. "It is critical that states act quickly since the Republican-controlled Congress is poised to possibly repeal 'Obamacare' or portions of it, possibly eliminating the federal nondiscrimination protections.
"Of equal concern, the American Medical Association and subspecialty groups have twice introduced legislation in Congress to repeal just Section 2706(a). By inserting the federal non-discrimination language into Oregon law, even if 'Obamacare' and/or Section 2706(a) is repealed by Congress, Oregon's chiropractic physicians will be protected under state law. It is critical other states quickly follow Oregon's lead."
While cervical disc pathology can unquestionably produce radiculopathy, many patients presenting with arm pain, paresthesia or perceived weakness do not exhibit the clinical behavior of true nerve-root compromise. In these cases, failure to differentiate the primary pain generator may lead to unnecessary spinal injections, nerve ablation procedures or surgical consultation despite limited likelihood of benefit.
The New Jersey Board of Chiropractic Examiners has made a precedential decision, concurring with the Association of New Jersey Chiropractors' (ANJC) position paper on chiropractic X-ray guidelines. In plain terms, the board ruled, consistent with the ANJC position, that insurance companies cannot use medical X-ray rules or recommendations, like those written by the American College of Radiology (ACR), to decide whether a chiropractor's X-ray was necessary.
For decades, chiropractors have been told the answer to more professional referrals is simple: educate medical doctors about chiropractic. There is some truth in that advice; but it is also incomplete. The modern challenge is not simply getting another healthcare professional to know that chiropractors exist. It is becoming the kind of clinician (and building the kind of professional relationship) that makes collaboration easy and sustainable.
