STAND. COM. REP. NO.  1171

Honolulu, Hawaii

                , 2011

RE:   S.B. No. 657

      S.D. 1

      H.D. 1

Honorable Calvin K.Y. Say

Speaker, House of Representatives

Twenty-Sixth State Legislature

Regular Session of 2011

State of Hawaii

Sir:

     Your Committee on Health, to which was referred S.B. No. 657, S.D. 1, entitled:

"A BILL FOR AN ACT RELATING TO CHIROPRACTIC,"

begs leave to report as follows:

     The purpose of this bill is to update the scope of practice of chiropractic to reflect standards, practices, and terminology accepted by the National Board of Chiropractic Examiners.

     The American Chiropractic Association, Hawaii State Chiropractic Association, Board of Chiropractic Examiners, and many concerned individuals testified in support of this bill.  The Hawaii Insurers Council opposed this measure.  The Hawaii Medical Association provided comments.

     Your Committee has amended this bill by:

     (1)  Clarifying that the imaging allowed to be used or ordered by licensees is for neuroskeletal purposes;

     (2)  Requiring the Board of Chiropractic Examiners and American Chiropractic Association to work together to define the scope of practice for chiropractic;

     (3)  Changing its effective date to July 1, 2050, to encourage further discussion; and

     (4)  Making technical, nonsubstantive amendments for clarity, consistency, and style.

     As affirmed by the record of votes of the members of your Committee on Health that is attached to this report, your Committee is in accord with the intent and purpose of S.B. No. 657, S.D. 1, as amended herein, and recommends that it pass Second Reading in the form attached hereto as S.B. No. 657, S.D. 1, H.D. 1, and be referred to the Committee on Consumer Protection & Commerce.

Respectfully submitted on behalf of the members of the Committee on Health,

____________________________

RYAN I. YAMANE, Chair