MO Chiropractic Jurisprudence flashcards

32 cards. Read the term and the definition here. The deck at the top of this page is optional.

Chiropractic definition

Under Missouri law, the science and art of locating and correcting vertebral subluxations and other malpositions of human articulations, by hand or instrument, to restore health.

Minimum licensure age

An applicant for a Missouri chiropractic license must be at least twenty-one years of age, of good moral character, and hold an accredited chiropractic diploma.

NBCE examination requirement

Applicants must pass the National Board of Chiropractic Examiners examinations and the Missouri jurisprudence examination before the Board will issue a license.

Criminal background check

Initial licensure requires submission of fingerprints so the Missouri State Highway Patrol and FBI can conduct a criminal history check.

Scope limitation: surgery

Missouri chiropractors may not perform major surgery or prescribe legend or controlled drugs; practice is limited to adjustment and adjunctive physical measures.

Board composition

The Missouri Board of Chiropractic Examiners is composed of members appointed by the Governor with Senate consent, a majority of whom are licensed practicing chiropractors.

Board administrative home

The Board sits within the Division of Professional Registration of the Department of Commerce and Insurance and is funded by licensee fees.

Board subpoena power

The Board may issue subpoenas for records and witnesses and administer oaths when investigating complaints or conducting contested case hearings.

Judicial review venue

Final Board decisions in contested cases may be appealed to the circuit court of Cole County or the county where the licensee resides.

Board removal of members

The Governor may remove a Board member for misconduct, neglect of duty, or inability to perform the duties of the office.

Biennial renewal

Missouri chiropractic licenses renew on a biennial cycle set by the Division of Professional Registration, with fees and continuing education due by the expiration date.

Continuing education requirement

Renewal requires Board-approved continuing education hours, including specified hours in chiropractic technique and jurisprudence, completed during each renewal period.

Expired license practice

Practicing after a license expires, before reinstatement, constitutes unlicensed practice and is a ground for discipline by the Board.

Reinstatement after lapse

Reinstatement of a lapsed license generally requires proof of continuing education for the lapsed period plus payment of accrued fees and penalties.

Disciplinary reinstatement

A license revoked or suspended for discipline may be reinstated only by Board order after a petition showing rehabilitation and compliance with the order.

Grounds for discipline

Grounds include fraud in licensure, unprofessional conduct, incompetence, impairment, aiding unlicensed practice, and violating the practice act or Board rules.

Contested case procedure

Disciplinary hearings are contested cases under chapter 536, requiring notice of issues and facts, a hearing, and the right to counsel.

Emergency suspension

The Board may summarily suspend a license when public health, safety, or welfare requires immediate action, with a hearing provided afterward.

Sanction range

Available sanctions include reprimand, probation with conditions, suspension, revocation, civil penalties, and required remedial education or treatment.

Duty to cooperate

A licensee must respond to Board inquiries and produce patient records on request; failure to cooperate is itself a ground for discipline.

Patient record content

Records must identify the patient and document the examination, diagnosis, treatment plan, dates, and the chiropractor's signature, kept legibly and contemporaneously.

Record retention and access

Records must be retained for the period set by Board rule, and patients may obtain copies on request subject to allowable copying fees.

Confidentiality exception

Patient information may be disclosed without authorization only when required by law, court order, or mandatory public health and abuse reporting.

Advertising restrictions

Advertising must be truthful and not misleading; guarantees of cure, deceptive fee claims, and superiority claims over other licensees are prohibited.

Sexual misconduct prohibition

Sexual contact or exploitation of a patient is unprofessional conduct and a ground for discipline, regardless of purported patient consent.

Fee splitting ban

Paying or receiving commissions for patient referrals, or splitting fees with unlicensed persons, is prohibited as unprofessional conduct.

Chapter 536 role

Chapter 536 governs Missouri administrative procedure, setting notice, hearing, rulemaking, and judicial review requirements for licensing boards.

Sunshine Law application

Chapter 610 requires open Board meetings and public records, with exceptions protecting confidential investigations and patient information.

Substantial evidence standard

Courts reviewing agency decisions affirm findings supported by competent and substantial evidence on the whole record, deferring to agency expertise.

Communicable disease reporting

Chiropractors must report listed communicable diseases, such as tuberculosis and hepatitis, to the local health authority or state health department within the required timeframe.

Child abuse reporting

A chiropractor who reasonably suspects child abuse or neglect must report it to the Children's Division of the Department of Social Services.

Impaired practitioner duty

A licensee impaired by alcohol, drugs, or a disabling condition must refrain from practice and may self-report to the Board or a peer assistance program.