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STATE OF OKLAHOMA
2nd Session of the 60th Legislature (2026)
HOUSE BILL 3762 By: Turner
AS INTRODUCED
An Act relating to professions and occupations;
amending 59 O.S. 2021, Section 161.2, which relates
to the scope of chiropractic practice; modifying
references to accredited colleges; amending 59 O.S.
2021, Section 161.3, which relates to definitions of
chiropractic practice; modifying references to
accredited colleges; amending 59 O.S. 2021, Section
161.7, which relates to licenses and examinations;
modifying references to accredited colleges; amending
59 O.S. 2021, Section 161.8, which relates to
chiropractic examination subjects; modifying
reference to accredited colleges; amending 59 O.S.
2021, Section 161.12, which relates to penalties;
removing serums from certain penalties; providing
regulations for administering certain supplements;
providing for codification; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 59 O.S. 2021, Section 161.2, is
amended to read as follows:
Section 161.2. A. Chiropractic is the science and art that
teaches health in anatomic relation and disease or abnormality in
anatomic disrelation, and includes hygienic, sanitary and
therapeutic measures incident thereto in humans. The scope of
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practice of chiropractic shall include those diagnostic and
treatment services and procedures which have been taught by an
accredited chiropractic college and or have been approved by the
Board of Chiropractic Examiners.
B. A chiropractic physician may engage in the practice of
animal chiropractic diagnosis and treatment if certified to do so by
the Board. A licensed chiropractic physician may provide
chiropractic treatment to an animal without being certified in
animal chiropractic diagnosis and treatment by the Board if an
animal has been referred to the chiropractic physician by a licensed
veterinarian in writing.
SECTION 2. AMENDATORY 59 O.S. 2021, Section 161.3, is
amended to read as follows:
Section 161.3. As used in the Oklahoma Chiropractic Practice
Act, these words, phrases or terms, unless the context otherwise
indicates, shall have the following meanings:
1. "Accredited chiropractic college" means a chiropractic
educational institution which is accredited by an accrediting agency
recognized by the U.S. Department of Education;
2. "Animal chiropractic diagnosis and treatment" means
treatment that includes vertebral subluxation complex (vsc) and
spinal manipulation of nonhuman vertebrates. The term "animal
chiropractic diagnosis and treatment" shall not be construed to
allow the:
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a. use of X-rays,
b. performing of surgery,
c. dispensing or administering of medications, or
d. performance of traditional veterinary care;
3. "Applicant" means any person submitting an application for
licensure to the Board;
4. "Board" means the Board of Chiropractic Examiners;
5. "Certified chiropractic assistant" means an unlicensed
member of a chiropractic physician's team of healthcare workers who
may assist a chiropractic physician in the performance of
examination and therapeutic procedures and techniques necessary to
deliver healthcare services to patients within the scope of
chiropractic and has been certified by the Board;
6. "Chiropractic physician", "chiropractor", "doctor of
chiropractic", "practitioner of chiropractic" and "licensee" are
synonymous and mean a person holding an original license to practice
chiropractic in this state;
7. "Examination" means the process used by the Board, prior to
the issuance of an original license, to test the qualifications and
knowledge of an applicant on any or all of the following: current
statutes, rules or any of those subjects listed in Section 161.8 of
this title;
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8. "Intern" means a student at an accredited chiropractic
college who is participating in the Chiropractic Undergraduate
Preceptorship Program;
9. "Nonclinical" means of a business nature including, but not
limited to, practice management, insurance information, and computer
information. It shall also mean the discussion of philosophy as it
relates to the performance of chiropractic;
10. "Original license" means a license granting initial
authorization to practice chiropractic in this state issued by the
Board to an applicant found by the Board to meet the licensing
requirements of the Oklahoma Chiropractic Practice Act, by
examination pursuant to Section 161.7 of this title, or by
relocation of practice pursuant to Section 161.9 of this title;
11. "Preceptor" means a chiropractic physician who is
participating in the Chiropractic Undergraduate Preceptorship
Program;
12. "Relocation of practice" means the recognition and approval
by the Board, prior to the issuance of an original license, of the
chiropractic licensing process in another state, country, territory
or province; and
13. "Renewal license" means a license issued to a chiropractic
physician by the Board, on or before the first day of July of each
year, which authorizes such licensee to practice chiropractic in
this state during the succeeding calendar year.
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SECTION 3. AMENDATORY 59 O.S. 2021, Section 161.7, is
amended to read as follows:
Section 161.7. A. 1. Applications for an original license by
examination to practice chiropractic in this state shall be made to
the Board of Chiropractic Examiners in writing on a form and in a
manner prescribed by the Board.
2. The application shall be accompanied by a fee of Three
Hundred Dollars ($300.00), which shall not be refundable under any
circumstances.
3. If the application is disapproved by the Board, the
applicant shall be so notified by the Executive Director, with the
reason for such disapproval fully stated in writing.
4. If the application is approved, the applicant may take an
examination administered by the Board for the purpose of securing an
original license. The Board may accept a passing score on an
examination administered by the National Board of Chiropractic
Examiners taken by the applicant or may require the applicant to
take an examination administered by the Board or both.
5. Prior to approval of an application, the Board may authorize
the Executive Director to issue a temporary license to an applicant
who has submitted a completed application and who, upon payment of
the examination fee, has passed the required examination with a
score acceptable to the Board. A temporary license shall authorize
the applicant to practice chiropractic in Oklahoma between the
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submission of the application and the applicant's approval for
licensure by the Board. A temporary license shall expire upon the
Board's approval of a permanent license or ten (10) calendar days
following the Board's denial of an application for a permanent
license.
B. Applicants for an original license to practice chiropractic
in this state shall submit to the Board of Chiropractic Examiners
documentary evidence of completion of:
1. A course of resident study of not less than four (4) years
of nine (9) months each in an accredited chiropractic college. A
senior student at an accredited chiropractic college may make
application for an original license by examination prior to
graduation, but such a license shall not be issued until documentary
evidence of the graduation of the student from the college has been
submitted to the Board;
2. Parts I, II, III, IV and physiotherapy as administered by
the National Board of Chiropractic Examiners with a passing score;
and
3. Passing a jurisprudence examination approved by the Board
with a score of seventy-five percent (75%) or better.
C. Each applicant shall be a graduate of an accredited
chiropractic college. For those graduating from a chiropractic
program outside the United States, the applicants must have
completed an educational program leading to a degree in chiropractic
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from an institution authorized to operate by the government having
jurisdiction in which it is domiciled.
D. All credentials, diplomas, and other required documentation
in a foreign language submitted to the Board by such applicants
shall be accompanied by notarized English translations.
E. International applicants shall provide satisfactory evidence
of meeting the requirements for permanent residence or temporary
nonimmigrant status as set forth by the United States Citizenship
and Immigration Services.
F. Effective January 1, 2006, out-of-state licensed applicants
shall submit to the Board documentary evidence that the applicant
has malpractice insurance. New applicants shall submit to the Board
documentary evidence that the applicant has malpractice insurance
within six (6) months of obtaining their Oklahoma license.
G. An applicant for an original license shall:
1. Inform the Board as to whether the person has previously
been licensed in Oklahoma and whether the license was revoked or
surrendered;
2. Inform the Board as to whether the applicant has ever been
licensed in another jurisdiction and whether any disciplinary action
was taken against the applicant;
3. Provide full disclosure to the Board of any criminal
proceeding taken against the applicant including, but not limited
to, pleading guilty or nolo contendere to, receiving a deferred
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sentence for, or being convicted of a felony crime that
substantially relates to the practice of chiropractic and poses a
reasonable threat to public safety; and
4. If requested, appear before the Board for a personal
interview.
H. No later than one (1) year after receiving a license to
practice in Oklahoma, chiropractic physicians shall complete an
orientation course of training approved by the Board. The
orientation course hours shall count as continuing education credits
for the year in which they were earned. An association may provide
the orientation course of training.
I. The Board may issue an original license to those applicants
who have passed the required examination with a score acceptable to
the Board and who meet all other requirements set forth by the
Board. No license fee shall be charged by the Board for the balance
of the calendar year in which such a license is issued.
J. In addition to an applicant's failure to meet any other
requirements imposed by this section or other applicable law, the
Board may deny a license or impose probationary conditions if an
applicant has:
1. Pleaded guilty or nolo contendere to, received a deferred
sentence for, or been convicted of a felony crime that substantially
relates to the practice of chiropractic and poses a reasonable
threat to public safety;
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2. Been the subject of disciplinary action by the Board; or
3. Been the subject of disciplinary action in another
jurisdiction.
K. As used in this section:
1. "Substantially relates" means the nature of criminal conduct
for which the person was convicted has a direct bearing on the
fitness or ability to perform one or more of the duties or
responsibilities necessarily related to the occupation; and
2. "Poses a reasonable threat" means the nature of criminal
conduct for which the person was convicted involved an act or threat
of harm against another and has a bearing on the fitness or ability
to serve the public or work with others in the occupation.
SECTION 4. AMENDATORY 59 O.S. 2021, Section 161.8, is
amended to read as follows:
Section 161.8. If an examination is administered by the Board
of Chiropractic Examiners, it shall include those technical,
professional and practical subjects that relate to the practice of
chiropractic including, but not limited to, chiropractic principles,
anatomy, histology, physiology, symptomatology, orthopedia,
chemistry, spinography, diagnosis, sanitation and hygiene,
pathology, public health service and adjustology. The Board shall
also examine each applicant in the art of chiropractic adjusting, x-
ray, diagnostic laboratory procedures, physiological therapeutics
and other subjects taught by accredited chiropractic colleges.
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SECTION 5. AMENDATORY 59 O.S. 2021, Section 161.12, is
amended to read as follows:
Section 161.12. A. The Board of Chiropractic Examiners is
authorized, after notice and an opportunity for a hearing pursuant
to Article II of the Administrative Procedures Act, to issue an
order imposing one or more of the following penalties whenever the
Board finds, by clear and convincing evidence, that a chiropractic
physician has committed any of the acts or occurrences set forth in
subsection B of this section:
1. Disapproval of an application for a renewal license;
2. Revocation or suspension of an original license or renewal
license, or both;
3. Restriction of the practice of a chiropractic physician
under such terms and conditions as deemed appropriate by the Board;
4. An administrative fine not to exceed One Thousand Dollars
($1,000.00) for each count or separate violation;
5. A censure or reprimand;
6. Placement of a chiropractic physician on probation for a
period of time and under such terms and conditions as the Board may
specify, including requiring the chiropractic physician to submit to
treatment, to attend continuing education courses, to submit to
reexamination, or to work under the supervision of another
chiropractic physician; and
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7. The assessment of costs expended by the Board in
investigating and prosecuting a violation. The costs may include,
but are not limited to, staff time, salary and travel expenses,
witness fees and attorney fees, and shall be considered part of the
order of the Board.
B. The following acts or occurrences by a chiropractic
physician shall constitute grounds for which the penalties specified
in subsection A of this section may be imposed by order of the
Board:
1. Pleading guilty or nolo contendere to, or being convicted
of, a felony, a misdemeanor involving moral turpitude, or a
violation of federal or state controlled dangerous substances laws.
A copy of the judgment and sentence of the conviction, duly
certified by the clerk of the court in which the conviction was
obtained, and a certificate of the clerk that the conviction has
become final, shall be sufficient evidence for the imposition of a
penalty;
2. Being habitually drunk or habitually using habit-forming
drugs;
3. Using advertising in which statements are made that are
fraudulent, deceitful or misleading to the public;
4. Aiding or abetting any person not licensed to practice
chiropractic in this state to practice chiropractic, except students
who are regularly enrolled in an accredited chiropractic college;
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5. Performing or attempting to perform major or minor surgery
in this state, or using electricity in any form for surgical
purposes, including cauterization;
6. Using or having in a chiropractic physician's possession any
instrument for treatment purposes, the use or possession of which
has been prohibited or declared unlawful by any agency of the United
States or the State of Oklahoma;
7. Unlawfully possessing, prescribing or administering any
drug, medicine, serum or vaccine. This section shall not prevent a
chiropractic physician from possessing, prescribing or
administering, by a needle or otherwise, vitamins, minerals or
nutritional supplements, or from practicing within the scope of the
science and art of chiropractic as defined in Section 161.2 of this
title;
8. Advertising or displaying, directly or indirectly, any
certificate, diploma or other document which conveys or implies
information that the person is skilled in any healing art other than
chiropractic unless the chiropractic physician also possesses a
valid current license in said healing art;
9. Obtaining an original license or renewal license in a
fraudulent manner;
10. Violating any provision of the Unfair Claims Settlement
Practices Act or any rule promulgated pursuant thereto;
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11. Willfully aiding or assisting an insurer, as defined in
Section 1250.2 of Title 36 of the Oklahoma Statutes, or an
administrator, as defined in Section 1442 of Title 36 of the
Oklahoma Statutes, to deny claims which under the terms of the
insurance contract are covered services and are medically necessary;
12. Violating any provision of the Oklahoma Chiropractic
Practice Act; or
13. Violating any of the rules of the Board.
C. Any chiropractic physician against whom a penalty is imposed
by an order of the Board under the provisions of this section shall
have the right to seek a judicial review of the order pursuant to
Article II of the Administrative Procedures Act.
D. The Board is authorized to issue a confidential letter of
concern to a chiropractic physician when, though evidence does not
warrant initiation of an individual proceeding, the Board has noted
indications of possible errant conduct by the chiropractic physician
that could lead to serious consequences and formal action by the
Board.
E. If no order imposing a penalty against a chiropractic
physician is issued by the Board within three (3) years after a
complaint against the chiropractic physician is received by the
Board, the complaint and all related documents shall be expunged
from the records of the Board.
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SECTION 6. AMENDATORY 59 O.S. 2021, Section 161.15, is
amended to read as follows:
Section 161.15. Doctors of chiropractic shall be bound by all
the provisions of the Oklahoma Public Health Code that apply to
them, and shall be qualified to sign:
1. Death certificates, pursuant to Section 1-317 of Title 63 of
the Oklahoma Statutes; and
2. All other certificates, including those relating to public
health, the same as doctors of medicine and surgery and doctors of
osteopathic medicine, and with like effect.
SECTION 7. NEW LAW A new section of law to be codified
in the Oklahoma Statutes as Section 161.21 of Title 59, unless there
is created a duplication in numbering, reads as follows:
Any chiropractic physician who desires to administer vitamins,
minerals, or nutritional supplements by means of injectable
procedures shall make application, on a form prescribed by the
Board, for authorization for such purpose. Every chiropractic
physician shall submit to the Board documentary evidence of
satisfactory completion of at least one hundred twenty (120) hours
of education and training in administration and use of such
injectables. Such education and training shall be obtained at an
educational program that has been approved by the Board and meets
the following criteria if the program:
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1. Is conducted under the auspices of and taught by the
postgraduate faculty of a chiropractic institution;
2. Consists of a minimum of one hundred twenty (120) hours;
3. Requires completion of a certification examination given by
a board independent of the entity which taught the course; and
4. Meets such other criteria as the Board deems appropriate.
SECTION 8. This act shall become effective November 1, 2026.
60-2-15723 TKR 01/14/26