Because they have yet to pass national legislation protecting the chiropractic profession, Japanese DCs are in a similar situation that U.S. DCs faced. We were fortunate enough to be able to pass chiropractic licensure state by state. The DCs in Japan must accomplish this nationally, which has proved to be an extremely difficult task. And in spite of their efforts, Japanese DCs are currently faced with two chiropractic professions.
Student Loan Repayment for DCs: Will Ohio Set the Precedent?
Fotentially precedent-setting legislation approved in the Ohio House and under review by the state Senate as of press time would establish a student-loan repayment program for doctors of chiropractic. If passed by the Senate and signed by Ohio Gov. Mike DeWine, Ohio would, by all accounts, become the first state to offer student-loan repayment for DCs and establish a critical precedent that could be replicated nationwide.
According to Substitute House Bill 151, introduced by Ohio Rep. Rick Carfagna, doctors of chiropractic who agree to practice for at least two years in "designated chiropractic resource shortage areas" would be eligible to receive up to $30,000 ($10,000 annually) for their service. The bill would establish a Chiropractic Loan Repayment Fund, funded by $25 from every biennial chiropractic license renewal fee.
Eligible student-loan expenses that could be repaid by the Ohio Department of Health via the fund include "principal and interest of a government or other educational loan taken by an individual for the following expenses incurred while the individual was enrolled in an accredited chiropractic school or college:" tuition, other educational expenses (fees, books, lab costs, etc.), and room and board.
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Both licensed DCs and chiropractic students in their final year of study would be eligible to participate in the loan-repayment program in return for serving in one of the designated shortage areas. Participants serving in the shortage areas would be required to:
(a) Provide chiropractic services for a minimum of twenty hours per week;
(b) Provide chiropractic services without regard to a patient's ability to pay;
(c) Meet the requirements for a [Medicaid] provider agreement and enter into the agreement with the department of [Medicaid] to provide chiropractic services to [Medicaid] recipients.
According to the Ohio State Chiropractic Association, the bill has bipartisan support, which bodes well for its passage by the Ohio Senate. To track the bill's progress, click here.