1. New Attendee Welcome Breakfast CO-HOSTS: Dr. Daniel Saint Germain (PQ) FCLB Vice President Dr. Lawrence O’Connor (NJ) FCLB Treasurer

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

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) FCLB Milestones

5. 1968:Renamed to FCLB, designated non-profit organization: 501 (c) 6 by IRS 1974:Spearheaded CCE’s final recognition by U.S. Department of Education FCLB Milestones

6. 1987:Revamped the FCLB vision Upgraded education conferences 1991:Professional offices provided by NBCE 1993:CIN-BAD debut Computerized database of regulatory board actions FCLB Milestones

7. 1994:FCLB cited in Congressional legislation; regulators gain voice in military demonstration project 1996:CIN-BAD database recognized by US national insurance accreditor (NCQA) 2005:NBCE provides expanded office space and furnishings 2006:Launched PACE program FCLB Milestones

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

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 statute 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 Leadership FCLB Board of Directors (10) FCLB Delegates / Alternates FCLB Member Boards ELECT DESIGNATE Districts elect 5 District Directors (the Executive Board) Assembly elects Officers, Executive Fellow

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 Executive Fellow (up to each board to decide) 5 geographical regions (districts) Delegates elect a director for each district

14. District Directors (5) - serve a maximum of two three-year terms - also called the “Executive Board” Dr. Carol J. Davis (AK) – District l Dr. Gary Pennebaker (MN) – District ll Dr. Ali Jafari (NY) – District lll Dr. Ron Tripp (OK) – District lV * Dr. Farrel Grossman (SC) – District V *Current Executive Board Chair Organization

15. President: Dr. Oliver “Bud” Smith, Jr. (TX) Vice President: Dr. Daniel Saint-Germain (PQ) Treasurer: Dr. Lawrence O’Connor (NJ) Imm. Past President: Dr. N. Edwin Weathersby (AZ) Executive Board Fellow (1) – delegates elect a Board administrator to a 2 yr term Mr. Joe Baker (FL) Officers (4) - elected by delegates - one 2-year term in each office Organization

16.  Board of Directors – 10 members: 4 elected officers, 5 district directors and 1 Executive Fellow director  Executive Committee – executive board chair and 4 officers  Committees – 11 committees: 3 standing / 8 special committees  Staff – 5 staff (full-time and part-time) Organization

17. It all starts with our members! Member roles Fellow – DC or public board member: currently or within last 5 years Honorary Fellow – after 5 years still part of the FCLB family! Executive Fellow – top chiropractic board administrator of each board

18. FCLB is highly involved with other organizations –Appoint regulatory representatives to: Council on Chiropractic Guidelines & Practice Parameters Department of Defense Oversight Committee National Board of Chiropractic Examiners Federation of Associations of Regulatory Boards –Nominate regulatory reps (CCE) Other Organizations

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

20. ACBA Association of Chiropractic Board Administrators

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

22. Serving Member Boards Meeting Annual business meeting Elections Adoption of resolutions Bylaws revisions District (Regional) Meetings Informal networking & problem-solving sessions

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

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

25. 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

26. Where is our energy currently focused?

27. 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 Ethics – in Education

28. 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

29. 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

30. Global Regulation 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”?

31. 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

32. 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

33. What’s next ? FCLB 84th Annual Congress April 28 – May 2, 2010 Baltimore, Maryland

34. What’s next ? 2009 Fall Regional Meetings Districts III & V September 25-27 Dearborn, MI Districts I & IV October 1-4 Rapid City, SD District II October 1-4 Buffalo/Niagara Falls, NY

35. 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

36. Contact Us … By phone: (970) 356-3500 (Colorado) Greeley office hours – 9 a.m. to 3 p.m. By fax: (970) 356-3599 By e-mail: info@fclb.org Or visit our website: www.fclb.org