1. Kirk Shilts, D.C., FCLB Model Practice Act Chair Dale Atkinson, J.D., FCLB Legal Counsel

2. All major professions’ federations offer model language To assist members boards to develop own regulatory oversight –Encourage uniformity –Avoid inadvertent errors / omissions 11 jurisdictions have some type of CA oversight –Most do not – may benefit from FCLB assistance Why Model Language?

3. To best protect the public, –Boards should have authority to permit and remove clinical CA practice privilege –FCLB supports “registering” rather than “licensing” although terms are substantially similar Approved by FCLB Board of Directors January 2013 FCLB Model Language for Chiropractic Clinical Assistants

4. www.fclb.org

5. Two sections: –Statute –Regulations Totally congruent with CCCA –Allows the board to regulate clinical CAs –Can rely on CCCA for part of the credentials process –Saves jurisdictions time and money Structure

6. Already regulate clinical CAs? –Add section on CCCA to your language No regulations yet? –FIRST: Be sure you have statutory authority to regulate clinical CAs Best to have specific reference to assistants in your statute Some boards already have broad powers in statute Function

7. No regulations yet? –SECOND: Bring this information back to your board Have your legal counsel review model language See what can be adopted or adapted to meet your needs Function

8. Statute: Three Articles –Plus a reference to a 4 th (Discipline) 1.Definitions 2.Board Powers 3.Legal framework for RCAs Let’s look at the document

9. 1.Scope of services General heath data collection Assisting with therapies 2.Required supervision: DC on site 3.Qualifications Background check The rest coordinates with CCCA requirements 4.Registration by examination or endorsement 5.Renewal: 2 years and CE requirement Matches CCCA requirements 6.Disciplinary grounds Legal framework for RCAs

10. Board approved education, training, exam –24 hours educational instruction –300 hours supervised clinical training –Board approved exam –Refers to endorsement provision Identifies FCLB CCCA program as meeting the board’s qualification requirements Criteria for approved education Regulations

11. Renewal –Model suggests 2 years, expires on birthday Continuing competence –6 hours every 2 years Improper Conduct / Grounds for Discipline –CA is responsible for proper behavior regardless of employer’s direction Regulations