1. New Attendee Welcome Breakfast FCLB HOSTS: Dr. Lawrence O’Connor (NJ) FCLB Vice President Dr. LeRoy Otto (MN) FCLB Treasurer

2. “To protect the public by promoting excellence in chiropractic regulation through service to our member boards.” Mission

3. 1919:First meeting of chiropractic regulation 1926: Started meeting as Council of State Examining Boards 1947: Regulatory boards disaffiliated themselves from national professional associations FCLB Milestones

4. 1957:Council on Chiropractic State Examining Boards incorporated under Wyoming law 1961:Formed the NBCE (NBCE started testing in 1963) 1968:Renamed to FCLB, designated non- profit organization: 501 (c) 6 by IRS FCLB Milestones

5. 1974:Spearheaded CCE’s final recognition by U.S. Department of Education 1987:Revamped the FCLB vision Upgraded education conferences 1991:Professional offices provided by NBCE FCLB Milestones

6. 1993:CIN-BAD debut Computerized database of regulatory board actions 1994:FCLB cited in Congressional legislation; regulators gain voice in military demonstration project 1996:CIN-BAD database recognized by US national insurance accreditor (NCQA) FCLB Milestones

7. 2005:NBCE provides expanded office space and furnishings 2006:Launched PACE program 2008:Designated non-profit 501 (c) 3 by IRS 2009: New Web site launched to better serve our members FCLB Milestones

8. Energetic, visionary governing board Involved, creative members Professional staff Efficient offices Expanded member services Connected with the larger regulatory community FCLB Today

9. Purpose Maintain high uniform standards — chiropractic licensure — regulation — discipline — education - FCLB Articles of Incorporation

10. Authority We have no binding authority over state or provincial licensing boards Their authority comes from statutes and regulations specific to their state or province We do hold considerable authority as the national / international standard Our members help develop those standards!

11. FCLB Board of Directors (10) FCLB Delegates / Alternates FCLB Member Boards ELECT DESIGNATE Districts elect 5 District Directors Assembly elects Officers, Administrative Fellow Director FCLB Leadership

12. Organization  Delegates and Districts: Each board is represented by a delegate (and alternate to serve in his/her absence) Delegate can be DC, public member, or Administrative Fellow (board decides) 5 geographical regions (districts) Delegates elect a director for each district

14. District Directors (5) - serve a maximum of two 3 year terms Dr. Carol J. Davis (AK) – District l Dr. Gary Pennebaker (MN) – District ll Dr. Ali Jafari (NY) – District lll Dr. Maggie Colucci (NV) – District lV Dr. Farrel Grossman (SC) – District V * *Current Executive Board Chair Organization

15. President: Dr. Daniel Saint-Germain (QC) Vice President: Dr. Lawrence O’Connor (NJ) Treasurer: Dr. LeRoy Otto (MN) Imm. Past President: Dr. Oliver Smith, Jr. (TX) Administrative Fellow Director – elected by delegates, max two 3-year terms Dr. Larry Spicer (MN) Officers (4) – elected by delegates, one 2-year term in each office Organization

16. It all starts with our members! Member roles Fellow – DC or public board member Honorary Fellow – served on a board for 3 or more years; no longer on a board but still FCLB family! Administrative Fellow – top chiropractic board administrator of each board

17. FCLB is highly involved with other organizations –Appoints regulatory representatives to: –Council on Chiropractic Guidelines & Practice Parameters –National Board of Chiropractic Examiners –National Practitioner Databank Executive Committee –Federation of Associations of Regulatory Boards Other Organizations

18. –Works with other leading organizations to help chart the future of the profession, speaking for public protection –Presents official comments policy issues, from regulatory perspective Inter-jurisdictional mobility White paper on minimal qualifications to perform spinal manipulation Other Organizations

19. CBAC Chiropractic Board Administrators Committee –Beth Carter (OK), Chair –Glenn Parker (TX) –Marcia Walter (SD) –Larry Spicer, D.C. (MN) Board Liaison

20. Serving Member Boards Connecting, Communicating – Official Directory – PowerPolls – Educational conferences

21. Meeting Annual educational conference & delegate assembly meeting – Elections – Adoption of resolutions – Bylaws revisions District (Regional) Meetings – Informal networking & problem-solving sessions Serving Member Boards

22. Sharing resources to reduce workload CIN-BAD –Licensure & disciplinary info on the web PACE –Streamlines continuing education program approval & record keeping Serving Member Boards

23. –New board member orientation –Model code of conduct for boards –Model disciplinary code –Fraud task force – position papers Serving Member Boards Sharing resources to reduce workload

24. Advance Notification News Alerts – Advise of licensees in the media – Gives boards “heads-up” about DCs who may pose threat to public Serving Member Boards

25. Where is our energy currently focused?

26. Ethics – in Education Increased emphasis on ETHICS in the college classroom FCLB campaign for ethics –Continued dialogue with college presidents about importance of the ethical component –ACC-RAC presentations on ethics –Encouraging colleges to perform background checks

27. FCLB Campaign for Ethics –presentations & handouts available on our website –speaking engagements with practicing DCs –how do ethical breaches occur? –how can they be prevented? –patient protection is the responsibility of EVERY DC –endorsing the NBCE E&B exam Ethics – in Practice

28. Global Regulation How to keep offenders from crossing borders? Worldwide regulation is just now emerging in many countries –FCLB working with WFC to increase awareness –Plan to expand CIN-BAD to international practitioner registry

29. Conversely, how do we increase mobility for ethical DCs? More chiropractic colleges outside US! What does good education look like? Can mutual recognition of accreditation and exams serve as common credentials “currency”? Global Regulation

30. Federal OIG Report US Office of the Inspector General Documentation & record-keeping errors: – 2/3 of claims submissions have problems –Chiropractic leadership organizations working with CMS to address problem

31. FCLB 2006 Resolution Encourages member boards to require CE in documentation & recordkeeping Encourages CCE to include documentation & recordkeeping in chiropractic curriculum Suggests NBCE reflect topics in exams Federal OIG Report

32. What’s next ? FCLB 86th Annual Congress May 2 – 6, 2012 San Antonio, TX

33. 2011 Fall Regional Meetings Districts III & V Sept 9-11 Halifax, NS Districts I & IV September 22-25 Whitefish, MT District II October 13-16 Fort Walton Beach, FL What’s next ?

34. Staff Resources Donna M. Liewer, Executive Director Bridget Seader, Program Administrator Julie Finn, Executive Assistant Joan Carl, Finance & Benefits Manager Kelly Webb, PR and PACE Coordinator

35. Contact Us … By phone: (970) 356-3500 (Colorado) Greeley office hours 9 a.m. to 3 p.m. By e-mail: info@fclb.org Or visit our website: www.fclb.org