1. New Attendee Welcome Breakfast FCLB HOSTS: Dr. Henry W. Hulteen Honorary Fellow & Former FCLB Chair Dr. Michael Coon (SC) FCLB District V Director

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

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

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 4

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 5

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 6

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 7

8. 2012:Student Outreach Program initiated – application support 2013:Officially Launching Certified Chiropractic Clinical Assistant (CCCA) Program 2014:Up to you! FCLB Milestones 8

9. Energetic, visionary governing board Involved, creative members Professional staff Efficient offices Expanded member services Connected with the larger regulatory community FCLB Today 9

10. Purpose Maintain high uniform standards — chiropractic licensure — regulation — discipline — education - FCLB Articles of Incorporation 10

11. 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

12. FCLB Board of Directors (10) FCLB Delegates / Alternates FCLB Member Boards ELECT DESIGNATE Districts elect 5 District Directors Delegate Assembly elects Officers, Administrative Fellow Director FCLB Leadership 12

13. Organization  Delegates and Districts: Each board is represented by a delegate (and alternate to serve in his/her absence) Delegate can be DC (Fellow or Honorary Fellow), public member, or Administrative Fellow (board decides) 5 geographical regions (districts) Delegates elect a director for each district 13

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15. District Directors (5) - serve a maximum of two 3 year terms Dr. Donn Fahrendorf (SD) – District l Dr. Gary Pennebaker (MN) – District ll * Dr. Ali Jafari (NY) – District lll Dr. Maggie Colucci (NV) – District lV Dr. Michael Coon (SC) – District V *Current Board Chair Organization 15

16. President: Dr. Lawrence O’Connor (NJ) Vice President: Dr. LeRoy Otto (MN) Treasurer: Dr. Farrel Grossman (SC) Imm. Past President: Dr. Daniel Saint-Germain (QC) 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

17. FCLB 2013 Elections Single two-year term: (Delegate Assembly) President Vice President Treasurer Initial three-year term: (District III delegates) District III Director and Alternate 17

18. 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 18

19. 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 19

20. –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 20

21. CBAC Chiropractic Board Administrators Committee –Beth Carter (OK), Chair –Marcia Walter (SD) –Larry Spicer, D.C. (MN) Board Liaison 21

22. Serving Member Boards Connecting, Communicating – Official Directory – PowerPolls – Educational conferences 22

23. Annual educational conference & delegate assembly meeting – Elections – Adoption of resolutions – Bylaws revisions District (Regional) Meetings – Informal networking & problem-solving sessions Serving Member Boards 23

24. Sharing resources to reduce workload CIN-BAD –Licensure & disciplinary info on the web PACE –Streamlines continuing education program approval & record keeping Serving Member Boards 24

25. –New board member orientation –Model code of conduct: board members –Model disciplinary code –Fraud task force – position papers Serving Member Boards Sharing resources to reduce workload 25

26. 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

27. Where is our energy currently focused? 27

28. CCCA Certified Chiropractic Clinical Assistants −Uniform standards −Verifiable credentials −Continuing education 28

29. Mobility & Regulation How to keep offenders from crossing borders? Worldwide regulation is just now emerging in many countries –FCLB working through ICRF with WFC and other global partners to increase awareness –Plan to expand CIN-BAD to international practitioner registry 29

30. Conversely, how do we increase mobility for ethical DCs? More chiropractic colleges outside US! What does a competent chiropractor look like? Can mutual recognition of accreditation and exams serve as common credentials “currency”? Mobility & Regulation 30

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 31

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 doc & rec in exams Federal OIG Report 32

33. What’s next ? 33

34. 2013 Fall Regional Meetings Districts III & V September 19-22 Washington, DC Districts I & IV September 19-22 Vancouver, WA District II October 17-20 Fort Walton Beach, FL What’s next ? 34

35. Staff Resources Donna M. Liewer, Executive Director Bridget Seader, Program Administrator Julie Finn, Executive Assistant Joan Carl, Finance & Benefits Manager Kelly Webb, PR & PACE Coordinator 35

36. Contact Us … By phone: (970) 356-3500 (Colorado) Greeley office hours 8 AM to 4 PM By e-mail: info@fclb.org Or visit our website: www.fclb.org 36