Code of Massachusetts Regulations 233 CMR - BOARD OF REGISTRATION OF CHIROPRACTORS
Here’s a structured overview of 233 CMR – Board of Registration of Chiropractors (Massachusetts), based on official sources:
📘 1. 233 CMR 2.00 – Definitions & Registration Requirements
§ 2.01 Definitions: Key terms like “Chiropractic,” “Chiropractor,” “Chiropractic Facility,” “Primary Chiropractic Procedure,” “Supportive Procedures and Therapies,” “Solo Practice,” etc. (mass.gov)
§ 2.02 Registration by Examination: Requirements include — age 18+, good moral character, a bachelor’s degree (60 credits), a chiropractic doctorate from a CCE-accredited school, passing NBCE Parts I–IV plus Physiotherapy section, Massachusetts jurisprudence exam, and applicable fees. (mass.gov)
§ 2.03 Registration by Reciprocity: For out-of-state chiropractors; need meet the same docs as above; NBCE exam may be waived if licensed ≥3 years and requirements were substantially equivalent. (mass.gov)
§ 2.04 Moral Character: Describes what might disqualify someone (e.g., criminal conviction, professional discipline, deceit). Board assesses case-by-case. (mass.gov)
§ 2.05 Renewal: Registrations expire March 31 annually; renewal by April 1 with fee and proof of ≥12 CE hours. (mass.gov)
§ 2.06 Inactive Status & Reinstatement: Lapsed >April 1 → inactive. To reinstate, pay fees, complete CE hours; if >5 years, retake jurisprudence exam and provide proof of practice elsewhere. (mass.gov)
🧑⚕️ 2. 233 CMR 3.00 – Continuing Education
Outlines continuing education standards (typically ≥12 hours/year), providers, and waiver conditions. (Referenced in § 2.05.) (mass.gov)
⚖️ 3. 233 CMR 4.00 – Standards of Practice & Professional Conduct
§ 4.01 Scope of Practice: Chiropractors may diagnose, use labs/imaging, perform adjustments, therapies, and counsel on nutrition, ergonomics, etc., independently. No internal exams (e.g., gynecological). (mass.gov)
§ 4.02 Supportive Procedures & Therapies: Defines adjunct therapies (braces, modalities, exercise, nutrition). Must be clinically justified and documented. (mass.gov)
§ 4.03 Delegation Limits: Chiropractors are fully responsible; only licensed chiropractors may perform core tasks (adjustments, treatment plans, interpretations). (mass.gov)
§ 4.04 Insurance for LLCs/LLPs: Permits only if professional liability insurance covers ≥$500,000 per claim and aggregate.
§ 4.05 Record-keeping: Standards for patient records (must document history, exams, diagnosis, treatment, consent, billing).
§ 4.06 Grounds for Disciplinary Action: Includes felony, moral turpitude, fraud, incompetence, impairment, etc. (law.cornell.edu, casetext.com)
§ 4.07–4.11: Addresses negligence/incompetence, overutilization, improper charges, misrepresentation, false healthcare claims.
§ 4.08 Overutilization: Defined as excessive care or billing beyond clinical necessity; grounds for discipline. (regulations.justia.com)
§ 4.12 Improper Solicitations/Referrals: Prohibits kickbacks or remuneration for patient referrals. (casetext.com)
§ 4.13 Advertising: Rules on truthful, non-misleading marketing.
§ 4.14 Discrimination: Prohibits discrimination in care.
§ 4.15–4.17: Covers advisory rulings, practice inspections, and peer review.
🏥 4. 233 CMR 5.00 – Chiropractic Facilities
Covers licensing requirements and standards for chiropractic clinics/facilities, focusing on preventing fraud and ensuring safety. (mass.gov, mass.gov)
✅ How to Access the Full Text
Mass.gov: Individual PDFs available for 2.00, 4.00, and 5.00 parts.
Law-focused sites like LII and Justia offer browsable versions by section. (mass.gov)
🛠️ Practical Takeaways
For aspiring chiropractors: Study §§ 2.02–2.06 closely — application, exams, CE, fees.
For licensed C-s: § 4.00 outlines permitted activities, documentation expectations, insurance requirements, and ethics/professional conduct.
For clinic operators: Comply with § 5.00 for facility licensing and standards.
RELATED Blog
{!! (isset($postDetail['review_mapping']) && count($postDetail['review_mapping']) > 0 ? count($postDetail['review_mapping']) : 0) }} comments