NH Chiropractic Jurisprudence flashcards
NH Chiropractic Jurisprudence · Build recall with a focused review session.
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- RSA 316-A
- The New Hampshire statute that governs the practice of chiropractic, including licensure, scope, and disciplinary authority of the Board of Chiropractic Examiners.
- Board composition
- The New Hampshire Board of Chiropractic Examiners has five members: four licensed chiropractors and one public member, appointed by the Governor for three-year terms.
- Jurisprudence exam
- A New Hampshire-specific examination on state statutes, Board rules, and scope of practice that applicants must pass to obtain a chiropractic license.
- Reciprocity/endorsement
- A pathway to licensure for chiropractors already licensed in another state whose requirements are substantially equivalent to New Hampshire's and who hold a current, unrestricted license.
- Grounds for discipline
- Reasons the Board may sanction a licensee, including unprofessional conduct, gross negligence, fraud in obtaining a license, practicing beyond scope, and violating Board rules.
- Board sanctions
- Penalties the Board may impose, such as reprimand, suspension, revocation, probation, administrative fines, and required remedial education.
- Address change reporting
- Licensees must notify the Board of a change of name or address within 30 days; failure to do so may result in a fine or suspension.
- Subpoena power
- The Board may subpoena witnesses and records during investigations and hearings, and may seek injunctive relief through the Attorney General against unlicensed practice.
- Chiropractic scope
- Diagnosis, treatment, and prevention of human disorders, especially neuromusculoskeletal, through manual or mechanical means including spinal adjustment and manipulation.
- Permitted modalities
- Include adjustment, mobilization, manual therapy, traction, therapeutic exercise, and physical therapy modalities like heat, cold, electrical stimulation, and ultrasound.
- Nutritional counseling
- Chiropractors may provide nutritional counseling and recommend or dispense dietary supplements, but may not prescribe legend drugs or perform surgery.
- Acupuncture restriction
- Chiropractors may not perform acupuncture unless separately licensed under RSA 328-G; dry needling is not within chiropractic scope unless authorized by the Board.
- Diagnostic imaging
- Chiropractors may order and interpret diagnostic imaging, including X-rays, and clinical laboratory tests for diagnosis and treatment within the chiropractic scope.
- Duty to refer
- Chiropractors must refer patients to other licensed providers when conditions are beyond their scope or when progress is not being made; failure may be unprofessional conduct.
- Title use
- Chiropractors must clearly identify themselves as chiropractors and may use "Dr." only in conjunction with "Chiropractor" or "D.C."; misleading use is prohibited.
- Chiropractic assistants
- Assistants may perform certain delegated tasks under direct supervision but may not perform spinal adjustments or independent patient evaluations.
- License term
- Initial chiropractic licenses are issued for two years and expire on the licensee's birthdate in the second year, unless renewed.
- Renewal requirements
- Renewal requires a completed application, payment of the renewal fee, and attestation of completion of continuing education requirements.
- CE hours
- The continuing education requirement is 40 hours per two-year renewal cycle, including at least 2 hours in ethics, 2 in jurisprudence, and 2 in substance use disorder management.
- CE provider approval
- CE hours must be obtained from Board-approved providers; courses must be relevant to chiropractic practice and may include online or home-study formats if approved.
- CE record retention
- Licensees must maintain records of CE completion for at least four years and provide them to the Board upon request.
- Late renewal
- A license may be renewed late with a penalty fee; practicing on an expired license is grounds for discipline and may result in additional fines.
- Inactive status
- Inactive or retired status may be available upon application; while inactive, the licensee may not practice chiropractic in New Hampshire.
- Reinstatement
- Reinstatement of a lapsed or revoked license requires application, fees, and demonstration of current competence, which may include passing the jurisprudence exam or additional CE.
- New licensee orientation
- New licensees must complete a Board-approved orientation or jurisprudence course within the first renewal cycle if required by Board rule.
- Patient confidentiality
- Chiropractors must maintain patient confidentiality in accordance with HIPAA and state law; unauthorized disclosure is unprofessional conduct.
- Informed consent
- Before treatment, chiropractors must obtain informed consent by explaining the diagnosis, proposed treatment, risks, benefits, and alternatives.
- Sexual misconduct
- Sexual misconduct with a patient is prohibited and constitutes grounds for license revocation; consensual relationships with current patients are also prohibited.
- Advertising rules
- Chiropractors must not engage in false, deceptive, or misleading advertising, including guarantees of cure or unsubstantiated claims of superior results.
- Disciplinary process
- Begins with a complaint to the Board; the Board may investigate, offer a settlement, or hold a contested case hearing under RSA 541-A.
- Interim suspension
- The Board may impose interim suspensions or restrictions if there is an immediate threat to public health and safety.
- National database reporting
- Disciplinary actions are reported to national databases such as the NPDB and may affect licensure in other states; licensees must report adverse actions to the Board within 30 days.
- Duty to cooperate
- Licensees must cooperate with Board investigations; failure to respond to a subpoena or provide requested records is itself a violation.
- Impairment examination
- The Board may require a licensee to undergo a mental or physical examination if there is reason to believe the licensee is impaired; refusal may result in suspension.
- Appeal of Board decision
- Appeals of final Board decisions are made to the New Hampshire Supreme Court under RSA 541; the standard is whether the decision is unlawful, unreasonable, or unsupported by evidence.