← The business of practice, every jurisdiction
Each jurisdiction’s entry for this topic, in alphabetical order, quoted as published with its citation, source and the date we read it.
Other topics: Advertising · Titles and claims · Prepaid care and financial arrangements · Record retention · Assistants and delegation · Corporate practice and ownership · Telehealth
(b) The State Board of Chiropractic Examiners may invoke disciplinary action as outlined in subsection (c) whenever the licensee or permit holder shall be found guilty of any of the following:Section 34-24-166(b) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
(8) Division of fees or agreeing to split or divide fees received for professional services with any person for bringing or referring a patient.Section 34-24-166(b)(8) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
(4) A chiropractor shall not engage in the following:190-X-5-.08(4) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
(a) Routinely waive copayments or deductibles for the purpose of financial gain; or190-X-5-.08(4)(a) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
(b) Waive copayments or deductibles for the purpose of enticing or encouraging individuals to become patients.190-X-5-.08(4)(b) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
Conduct that does not conform to minimum professional standards in this chapter includes12 AAC 16.920(a) · www.commerce.alaska.gov · ChiropracticStatutes.pdf · read 9 October 2026
(12) exploiting a patient for financial gain or offering, giving, soliciting, or receiving fees for referral of a patient;12 AAC 16.920(a)(12) · www.commerce.alaska.gov · ChiropracticStatutes.pdf · read 9 October 2026
A. The following are grounds for disciplinary action, regardless of where they occur:32-924(A) · www.azleg.gov · viewdocument?docName=https://www.azleg.gov/ars/32/00924.htm · read 9 October 2026
11. Giving or receiving or aiding or abetting the giving or receiving of rebates, either directly or indirectly.32-924(A)(11) · www.azleg.gov · viewdocument?docName=https://www.azleg.gov/ars/32/00924.htm · read 9 October 2026
25. Advertising chiropractic services, appliances, tests, equipment, x-ray examinations or other procedures as free without also disclosing what services or items are included in the advertised service or item.32-924(A)(25) · www.azleg.gov · viewdocument?docName=https://www.azleg.gov/ars/32/00924.htm · read 9 October 2026
26. Billing or charging a patient or third-party payor a higher price than the advertised price in effect at the time the services, appliances, tests, equipment, x-ray examinations or other procedures were provided.32-924(A)(26) · www.azleg.gov · viewdocument?docName=https://www.azleg.gov/ars/32/00924.htm · read 9 October 2026
2. Unprofessional acts. The following acts or activities by a licensee of this Board are considered to constitute unprofessional conduct and grounds for disciplinary action.007.33.8-2-C(2) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
(s) Paying or promising to pay, or leading any person to reasonably believe that they would receive any consideration or anything of value in an attempt to induce such person or minor under such person’s guardianship or parental control to present to the office of a chiropractic physician as a new patient; or if already a patient, in connection with any incident of injury that is or may be the basis of an insurance claim. This provision explicitly includes inducements made through an agent, procurer, contractor, or employee; this provision does not prohibit informing members of the public that a chiropractic physician provides transportation for treating patients.007.33.8-2-C(2)(s) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
4. Limitations to advertising/marketing free or reduced charges. The offering by doctors of chiropractic in advertisements or other solicitations to the public of initial services at no charge or at reduced charges shall be considered misleading or untruthful if, at the time of such advertised no-charge or reduced-charge visit.007.33.8-2-D(4) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
(a) Charges are made to the patient’s account for services not specified in such advertisement or solicitation and which are provided on the same visit or same day and are hidden to the patient or not explained in advance to the patient.007.33.8-2-D(4)(a) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
(b) The patient and any other person responsible for payment has the right to refuse to pay or cancel payment or be reimbursed for payment for any service, examination or treatment which is performed as a result of and within 72 hours of responding to advertising for free service examination or treatment unless before any service, examination or treatment is provided that patient and any other person responsible, for payment enters into a written agreement consenting to be charged, for said service, examination or treatment.007.33.8-2-D(4)(b) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
4. Improper Charges, Fraud. Improper charges constitute a form of fraudulent and deceptive practice. Without limiting the definition of improper charges, the following may be considered improper:007.33.8-2-C(4) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
(e) Announcing to the public, individually or through advertising, marketing, or public relations efforts, prior to the rendition of services, that payment made by an insurance carrier or a third-party payer with co-payment or deductible features will be accepted by the licensee as payment in full, or reduced payment, unless if, at the time the billing is made, licensee discloses such agreement, services rendered and the amount billed for each service to both the patient and insurance carrier or third-party payer. This disclosure must be made on the face of the statement, or on a label affixed to the statement, by type printed or stamped in legible characters of at least ten (10) points in height. Provided, however, that this subsection shall not prohibit a discount, credit or reduction of charges provided under an agreement between the holder of a license and an insurance company, health service corporation or health maintenance organization licensed under the laws of this State; or governmental third-party payment program; or self-insurance program organized, managed or funded by a business entity for its own employees or labor organization for its members.007.33.8-2-C(4)(e) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
Advertising free x-ray services without explanation of need or otherwise implying indiscriminate use of x- radiation is prohibited.007.33.8-2-D(2) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
(s) The employment or use of persons known as cappers or steerers to obtain business;§317. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
(t) The offering, delivering, receiving or accepting of any rebate, refund, commission, preference, patronage, dividend, discount or other consideration as compensation or inducement for referring patients to any person;§317. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
(v) Entering into an agreement to waive, abrogate, or rebate the deductible and/or co-payment amounts of any insurance policy by forgiving any or all of any patient's obligation for payment thereunder, when used as an advertising and/or marketing procedure, unless the insurer is notified in writing of the fact of such waiver, abrogation, rebate, or forgiveness in each such instance.§317. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
In all insurance billings where a waiver of a deductible or a co-payment is intended as an advertising and/or marketing procedure, the chiropractor's statement and insurance billing shall contain the following statement:§317. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
I/WE WAIVE CO-PAYMENT AND/OR DEDUCTIBLES. IT IS MY/OUR INTENTION TO DO THE FOLLOWING: (Indicate one choice below)§317. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
Licensees may advertise that they will perform certain designated routine professional services free or at a discount if such advertising claims are truthful. However, no charge shall be made for any other professional services rendered or commodities provided to a patient during any office visit in which free or discounted services are offered or provided unless, prior to the accrual of any charges, the patient shall have been informed of the cost of such additional services and/or commodities and shall have agreed to pay for them.§319. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
For the purposes of this section, no separate charge shall be made for the professional evaluation of diagnostic tests or procedures which are provided free or without cost, or at a discount, whether such professional evaluation is made at the time of the initial office visit or at any later time.§319. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
(1) Upon any of the following grounds, the board may take disciplinary or other action as specified in section 12-20-404 or impose conditions on a licensee's license:12-215-115 (1) · olls.info · crs2026-title-12.htm · read 9 October 2026
(r) Offering, giving, or receiving commissions, rebates, or other forms of remuneration for the referral of clients; except that a licensee may compensate an independent advisory or marketing agent for advertising or marketing services, which services may include the referral of patients identified through the services, and a licensee may give an incidental gift to a patient in appreciation for a referral;12-215-115 (1)(r) · olls.info · crs2026-title-12.htm · read 9 October 2026
(17) Engaging directly or indirectly in the division, transferring, signing, rebating or refunding of fees received for professional services or profiting by means of a credit or other valuable consideration such as wages, an unearned commission, discount or gratuity with any person who referred a patient, or with any relative or business associate of the referring person. Nothing in this paragraph shall be construed as prohibiting the members of any regularly or properly organized entity recognized under Delaware law and comprised solely of chiropractors from making any division of their total fees among themselves as they determine by contract necessary to defray their joint operating costs. This paragraph shall not apply to chiropractic positions held by chiropractors employed by or contracted with a Delaware licensed medical doctor or doctor of osteopathy that works in the State a minimum of 10 hours per week. It will also not apply to any Delaware-licensed hospitals. The estate of a licensed chiropractor shall have 1 year to divest of the chiropractic business.§ 711(b)(17) · delcode.delaware.gov · index.html · read 9 October 2026
Offering free or discounted examinations unless all charges associated with such examinations, including all x-ray fees and charges, are conspicuously set out in writing at the time of and in conjunction with such offer and unless such examinations are offered regardless of the availability of insurance coverage of any recommended subsequent treatment.6.2.2 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
(a) Each board, subject to the right of a hearing as provided by this subchapter, on an affirmative vote of a majority of a quorum of its appointed members may take one or more of the disciplinary actions provided in subsection (c) of this section against any applicant for a license, registration, or certification, or a person permitted by this subchapter to practice a health occupation regulated by the board in the District who:§ 3–1205.14(a) · code.dccouncil.gov · 3-1205.14 · read 9 October 2026
(14) Pays or agrees to pay anything of value to, or to split or divide fees for professional services with, any person for bringing or referring a patient;§ 3–1205.14(a)(14) · code.dccouncil.gov · 3-1205.14 · read 9 October 2026
4809.15 A licensee shall not:17 DCMR § 4809.15 · dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf · read 9 October 2026
(c) Refer a patient to a diagnostic or treatment facility or prescribe goods and services to be purchased from another facility, in which the chiropractor has a pecuniary interest, without first disclosing that interest in writing to the patient or third party payor.17 DCMR § 4809.15(c) · dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf · read 9 October 2026
(1) The following acts constitute grounds for denial of a license or disciplinary action, as specified in s. 456.072(2):460.413(1) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
(n) Exercising influence on the patient or client in such a manner as to exploit the patient or client for financial gain of the licensee or of a third party which shall include, but not be limited to, the promotion or sale of services, goods or appliances, or drugs.460.413(1)(n) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
(z) Offering to accept or accepting payment for services rendered by assignment from any third-party payor after offering to accept or accepting whatever the third-party payor covers as payment in full, if the effect of the offering or acceptance is to eliminate or give the impression of eliminating the need for payment by an insured of any required deductions applicable in the policy of the insured.460.413(1)(z) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
(bb) Advertising a fee or charge for a service or treatment which is different from the fee or charge the licensee submits to third-party payors for that service or treatment.460.413(1)(bb) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
(cc) Advertising any reduced or discounted fees for services or treatments, or advertising any free services or treatments, without prominently stating in the advertisement the usual fee of the licensee for the service or treatment which is the subject of the discount, rebate, or free offering.460.413(1)(cc) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
In any advertisement for a free, discounted fee, or reduced fee service, examination, or treatment by a health care practitioner licensed under chapter 458, chapter 459, chapter 460, chapter 461, chapter 462, chapter 463, chapter 464, chapter 465, chapter 466, chapter 467, chapter 478, chapter 483, part I of chapter 484, chapter 486, chapter 490, or chapter 491, the following statement shall appear in capital letters clearly distinguishable from the rest of the text: THE PATIENT AND ANY OTHER PERSON RESPONSIBLE FOR PAYMENT HAS A RIGHT TO REFUSE TO PAY, CANCEL PAYMENT, OR BE REIMBURSED FOR PAYMENT FOR ANY OTHER SERVICE, EXAMINATION, OR TREATMENT THAT IS PERFORMED AS A RESULT OF AND WITHIN 72 HOURS OF RESPONDING TO THE ADVERTISEMENT FOR THE FREE, DISCOUNTED FEE, OR REDUCED FEE SERVICE, EXAMINATION, OR TREATMENT. However, the required statement shall not be necessary as an accompaniment to an advertisement of a licensed health care practitioner defined by this section if the advertisement appears in a classified directory the primary purpose of which is to provide products and services at free, reduced, or discounted prices to consumers and in which the statement prominently appears in at least one place.456.062 · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0456/0456.html · read 9 October 2026
(1) As used in this section, the term “kickback” means a remuneration or payment, by or on behalf of a provider of health care services or items, to any person as an incentive or inducement to refer patients for past or future services or items, when the payment is not tax deductible as an ordinary and necessary expense.456.054(1) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0456/0456.html · read 9 October 2026
(2) It is unlawful for any health care provider or any provider of health care services to offer, pay, solicit, or receive a kickback, directly or indirectly, overtly or covertly, in cash or in kind, for referring or soliciting patients.456.054(2) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0456/0456.html · read 9 October 2026
(1) A chiropractor shall not compensate or give anything of value to a person or organization to recommend or secure the services of the chiropractor by a specific patient.Ga. Comp. R. & Regs. R. 100-7-.03(1) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(4) Licensees may advertise that they will perform designated chiropractic services free or at a discount if, in fact, no compensation in any form for such services will be requested from the patient, their insurer, or any third party subject to the following provisions:Ga. Comp. R. & Regs. R. 100-4-.01(4) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(i) A detailed account of the advertised services being offered free or at a discount must be presented in writing to, and signed by, the patient, clearly explaining that ANY FURTHER TREATMENT WILL BE PROVIDED AT RATES REGULARLY CHARGED BY THIS OFFICE. A copy of this document must be given to the patient and the original must be maintained in the patient record in keeping with Rule 100-10-.01(h)(i) which requires that such records be retained for not less than seven (7) years from the date of service.Ga. Comp. R. & Regs. R. 100-4-.01(4)(i) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(ii) If a charge is made for any service rendered on the same day that an advertised free or discounted service is rendered, a detail account of those services offered for a fee must be provided in writing to, and signed by the patient, clearly explaining that these treatments are not a part of any offer of free or discounted services. A copy of this document must be given to the patient and the original must be maintained in the patient record in keeping with Rule 100-10-.01(h)(i) which requires that such records be retained for not less than seven (7) years from the date of services.Ga. Comp. R. & Regs. R. 100-4-.01(4)(ii) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(iii) For the purpose of this Section, no separate charge shall be made for the professional evaluation of diagnostic tests or procedures which are provided without cost or at a discount whether such professional evaluation is made at the time of the initial office visit or at a later date.Ga. Comp. R. & Regs. R. 100-4-.01(4)(iii) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(5) Nothing is this Section shall be so interpreted as to interfere with or prohibit fee discounts or offers of discounted fees in connection with any managed care plan, group plan, Medicare, or similar entity.Ga. Comp. R. & Regs. R. 100-4-.01(5) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(b) Professional misconduct includes, but is not limited to, the following:§16-76-56(b) · cca.hawaii.gov · har_76-c2.pdf · read 9 October 2026
(17) Offering, delivering, receiving, or accepting of any rebate, refund, commission, preference, patronage, dividend, discount, or other consideration as compensation or inducement for referring patients to any person;§16-76-56(b)(17) · cca.hawaii.gov · har_76-c2.pdf · read 9 October 2026
(a) A licensee under this Act may not directly or indirectly divide, share or split any professional fee or other form of compensation for professional services with anyone in exchange for a referral or otherwise, other than as provided in this Section 22.2.225 ILCS 60/22.2, Sec. 22.2(a) · www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION · read 9 October 2026
(b) Nothing contained in this Section abrogates the right of 2 or more licensed health care workers as defined in the Health Care Worker Self-referral Act to each receive adequate compensation for concurrently rendering services to a patient and to divide the fee for such service, provided that the patient has full knowledge of the division and the division is made in proportion to the actual services personally performed and responsibility assumed by each licensee consistent with the licensee's license, except as prohibited by law.225 ILCS 60/22.2, Sec. 22.2(b) · www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION · read 9 October 2026
(f) Excluding payments that may be made to the owners of or licensees in the licensee's practice under subsection (c), a licensee under this Act may not divide, share or split a professional service fee with, or otherwise directly or indirectly pay a percentage of the licensee's professional service fees, revenues or profits to anyone for: (i) the marketing or management of the licensee's practice, (ii) including the licensee or the licensee's practice on any preferred provider list, (iii) allowing the licensee to participate in any network of health care providers, (iv) negotiating fees, charges or terms of service or payment on behalf of the licensee, or (v) including the licensee in a program whereby patients or beneficiaries are provided an incentive to use the services of the licensee.225 ILCS 60/22.2, Sec. 22.2(f) · www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION · read 9 October 2026
(g) A violation of any of the provisions of this Section constitutes an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act. All remedies, penalties, and authority granted to the Attorney General by the Consumer Fraud and Deceptive Business Practices Act shall be available to him or her for the enforcement of this Section. This subsection does not apply to hospitals and hospital affiliates licensed in Illinois.225 ILCS 60/22.2, Sec. 22.2(g) · www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION · read 9 October 2026
Sec. 27. It is unlawful and punishable under Section 59 for any person licensed under this Act to knowingly advertise that the licensee will accept as payment for services rendered by assignment from any third-party payor the amount the third-party payor covers as payment in full, if the effect is to give the impression of eliminating the need of payment by the patient of any required deductible or copayment applicable in the patient's health benefit plan.225 ILCS 60/27, Sec. 27 · www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION · read 9 October 2026
As used in this Section, "advertise" means solicitation by the licensee or through another by means of handbills, posters, circulars, motion pictures, radio, newspapers, television, or in any other manner.225 ILCS 60/27, Sec. 27 · www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION · read 9 October 2026
843.9(8) For cases not involving third-party payers, nothing in this rule will prevent a chiropractic physician from providing a fee reduction for reasonable time of service or substantiated hardship cases. The chiropractic physician will document time of service or hardship case fee reduction provisions in the patient record.481—843.9(8) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
843.9(9) The chiropractic physician will not enter into an agreement to waive, abrogate, or rebate the deductible or copayment amounts of any third-party payer contract by forgiving any or all of any patient’s obligation for payment thereunder, except in substantiated hardship cases, unless the third-party payer is notified in writing of the fact of such waiver, abrogation, rebate, or forgiveness in accordance with the third-party payer contract. The chiropractic physician will document any hardship case fee reduction provisions in the patient record.481—843.9(9) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
Any licensee who offers to perform a free examination, service or procedure for a patient, shall, during the initial visit, only perform the examination, service or procedure contained in the offer.100-18a-1. · www.ksbha.ks.gov · 638672564453800000 · read 9 October 2026
Before any other examinations, services or procedures are performed, the licensee shall explain the nature and purpose of the examination, service or procedure and specifically disclose to the patient, to the greatest extent possible, the cost of the examination, service or procedure.100-18a-1. · www.ksbha.ks.gov · 638672564453800000 · read 9 October 2026
(b) "Unprofessional conduct" means:65-2837. · www.ksrevisor.org · 065_028_0037.html · read 9 October 2026
(19) Directly or indirectly giving or receiving any fee, commission, rebate or other compensation for professional services not actually and personally rendered, other than through the legal functioning of lawful professional partnerships, corporations, limited liability companies or associations.65-2837. · www.ksrevisor.org · 065_028_0037.html · read 9 October 2026
(29) Referring a patient to a healthcare entity for services if the licensee has a significant investment interest in the healthcare entity, unless the licensee informs the patient in writing of such significant investment interest and that the patient may obtain such services elsewhere.65-2837. · www.ksrevisor.org · 065_028_0037.html · read 9 October 2026
Division of a professional fee shall not be made, except upon the basis of actual services rendered.201 KAR 21:015 Section 1(4)(a) · apps.legislature.ky.gov · 015 · read 9 October 2026
Unless prohibited by law, each licensed chiropractor of a business entity shall be allowed to pool or apportion fees received in accordance with a business agreement.201 KAR 21:015 Section 1(4)(b) · apps.legislature.ky.gov · 015 · read 9 October 2026
A licensee shall not pay or receive compensation for the referral or unlawful solicitation of patients.201 KAR 21:015 Section 1(5)(a) · apps.legislature.ky.gov · 015 · read 9 October 2026
A licensee, employee of a licensee, agent of a licensee, contractor of a licensee, or anyone acting in concert with the licensee shall not provide monetary compensation or other consideration of value to an individual in order to induce or entice the individual to commence a chiropractor-patient relationship or continue as a patient of the licensee.201 KAR 21:015 Section 1(5)(b) · apps.legislature.ky.gov · 015 · read 9 October 2026
The board may choose, in accordance with this administrative regulation, to require a licensee to place a consumer notice of a seventy-two (72) hour right of rescission on any advertisement offering a free or discounted service.201 KAR 21:065 Section 2(1)(a) · apps.legislature.ky.gov · 065 · read 9 October 2026
A chiropractor advertising free or discounted services shall in any advertisement or solicitation provide the consumer with notice, in print of no less than ten (10) point font, of the seventy-two (72) hour right of rescission. The notice shall include information on the form and manner in which the patient shall exercise the right of rescission.201 KAR 21:065 Section 2(1)(b) · apps.legislature.ky.gov · 065 · read 9 October 2026
Unprofessional conduct shall include any departure or the failure to conform to the minimal standards of acceptable chiropractic practice or the willful or careless disregard for the health, welfare, or safety of patients, in any of which cases proof of actual injury need not be established. Unprofessional conduct shall include, but not be limited to, the following acts of a chiropractor:312.150(2) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
Accepting for services rendered assigned payments from any third-party payor as payment in full, if the effect is to eliminate the need for payment by the patient of any required deductible or copayment applicable in the patient's health benefit plan, or collecting a fee or charge the licensee submits to a third-party payor for that service or treatment. However, in instances where the intent is not to collect excessive remuneration from a third-party payor but rather to provide services at a reduced rate to a patient unable to afford the deductible or copayment, the services may be performed for a lesser charge or fee. The third-party payor shall be informed by the licensee of the reduced charge; or312.150(2)(g) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
B. No healthcare provider shall offer, make, solicit, or receive payment, directly or indirectly, overtly or covertly, in cash or in-kind, for referring or soliciting patients. Payments representing a return on investment based upon a percentage of ownership are not considered a direct or indirect payment for the purposes of this Section.§1745 · www.legis.la.gov · law.aspx?d=93441 · read 9 October 2026
(2) Any activity permissible under the corresponding provisions of Title XVIII of the Social Security Act shall not be a violation of this Section.§1745 · www.legis.la.gov · law.aspx?d=93441 · read 9 October 2026
The chiropractor must notify any third party liable for payment if any co-payment or deductible has been waived or met by a certificate issued by the chiropractor or an agent of the chiropractor. Such notification must be in writing and submitted with the first submission of a claim for payment for services.§307 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
Advertisement may offer free goods or services or discounts in connection with chiropractic care only if the usual charge for those goods or services and the type of goods or services which are free or discounted are included in the advertising.§307 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
This rule shall not be construed to relate to the negotiation of fees between a chiropractor and a patient or managed care organization or to prohibit the rendering of chiropractic services pro bono.§307 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
I. Cash or in-kind payments for patient referrals is prohibited.§307 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
A. A chiropractic physician shall not knowingly and willfully make or offer to make any payment, directly or indirectly, overtly or covertly, in cash or in kind, to induce another person to refer an individual to the chiropractic physician for the furnishing or arranging for the furnishing of any health care item or service.§905 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
B. A chiropractic physician shall not knowingly and willfully solicit, receive or accept any payment, directly or indirectly, overtly or covertly, in cash or in kind, in return for referring patient to a health care provider for the furnishing or arranging for the furnishing of any health care item or service.§905 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
In addition to the grounds enumerated in Title 10, section 8003, subsection 5‑A, paragraph A, the board may deny a license, refuse to renew a license or impose the disciplinary sanctions authorized by Title 10, section 8003, subsection 5‑A for:§503-B · legislature.maine.gov · title32sec503-B.html · read 9 October 2026
Fee-splitting. Splitting or dividing a fee with an individual who is not an associate licensed as a chiropractor.§503-B · legislature.maine.gov · title32sec503-B.html · read 9 October 2026
Subject to the hearing provisions of § 3–315 of this subtitle, the Board may deny a license to any applicant, reprimand any licensee, place any licensee on probation, with or without conditions, or suspend or revoke a license, or any combination thereof, if the applicant or licensee:§3–313 · mgaleg.maryland.gov · gho.pdf · read 9 October 2026
(15) Pays or agrees to pay any sum to any person for bringing or referring a patient;§3–313(15) · mgaleg.maryland.gov · gho.pdf · read 9 October 2026
B. A chiropractor may not:COMAR 10.43.13.04B · regs.maryland.gov · index.full.html · read 9 October 2026
(2) Receive remuneration from, or provide remuneration to, or split a fee, for either making or accepting a referral of the patient to or from another health care provider;COMAR 10.43.13.04B(2) · regs.maryland.gov · index.full.html · read 9 October 2026
An advertisement may not contain statements that:COMAR 10.43.03.03 · regs.maryland.gov · index.full.html · read 9 October 2026
I. Promise payment, compensation, prizes, or remuneration of any intrinsic value.COMAR 10.43.03.03I · regs.maryland.gov · index.full.html · read 9 October 2026
Subject to section 16221b, the department shall investigate any allegation that 1 or more of the grounds for disciplinary subcommittee action under this section exist, and may investigate activities related to the practice of a health profession by a licensee, a registrant, or an applicant for licensure or registration.Sec. 16221 · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
The disciplinary subcommittee shall proceed under section 16226 if it finds that 1 or more of the following grounds exist:Sec. 16221 · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(d) Except as otherwise specifically provided in this section, unethical business practices, consisting of 1 or more of the following:Sec. 16221(d) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(ii) Dividing fees for referral of patients or accepting kickbacks on medical or surgical services, appliances, or medications purchased by or in behalf of patients.Sec. 16221(d)(ii) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(e) Except as otherwise specifically provided in this section, unprofessional conduct, consisting of 1 or more of the following:Sec. 16221(e) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(iv) Either of the following:Sec. 16221(e)(iv) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(A) A requirement by a licensee other than a physician or a registrant that an individual purchase or secure a drug, device, treatment, procedure, or service from another person, place, facility, or business in which the licensee or registrant has a financial interest.Sec. 16221(e)(iv)(A) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(B) A referral by a physician for a designated health service that violates 42 USC 1395nn or a regulation promulgated under that section. For purposes of this subdivision, 42 USC 1395nn and the regulations promulgated under that section as they exist on June 3, 2002 are incorporated by reference. A disciplinary subcommittee shall apply 42 USC 1395nn and the regulations promulgated under that section regardless of the source of payment for the designated health service referred and rendered. If 42 USC 1395nn or a regulation promulgated under that section is revised after June 3, 2002, the department shall officially take notice of the revision. Within 30 days after taking notice of the revision, the department shall decide whether or not the revision pertains to referral by physicians for designated health services and continues to protect the public from inappropriate referrals by physicians. If the department decides that the revision does both of those things, the department may promulgate rules to incorporate the revision by reference. If the department does promulgate rules to incorporate the revision by reference, the department shall not make any changes to the revision. As used in this sub-subparagraph, "designated health service" means that term as defined in 42 USC 1395nn and the regulations promulgated under that section and "physician" means that term as defined in sections 17001 and 17501.Sec. 16221(e)(iv)(B) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
(a) The state Board of Chiropractic Examiners may refuse to grant, or may revoke, suspend, condition, limit, restrict or qualify a license to practice chiropractic, or may cause the name of a person licensed to be removed from the records in the office of the court administrator of the district court for:Minn. Stat. 148.10, subd. 1(a) · www.revisor.mn.gov · full · read 9 October 2026
(16) splitting fees, or promising to pay a portion of a fee or a commission, or accepting a rebate;Minn. Stat. 148.10, subd. 1(a)(16) · www.revisor.mn.gov · full · read 9 October 2026
Unprofessional conduct shall include, but not be limited to, the following acts of a chiropractor:Minn. Stat. 148.10, subd. 1(e) · www.revisor.mn.gov · full · read 9 October 2026
(8) accepting for services rendered assigned payments from any third-party payer as payment in full, if the effect is to eliminate the need of payment by the patient of any required deductible or co-payment applicable in the patient's health benefit plan, except as hereinafter provided; andMinn. Stat. 148.10, subd. 1(e)(8) · www.revisor.mn.gov · full · read 9 October 2026
(a) Free or discounted examinations must provide sufficient information to allow for a diagnosis and initiation of treatment, with the exception of examinations clearly identified as for the purpose of screening. Free or discounted chiropractic treatments shall be comparable to similar nondiscounted chiropractic treatments.Minn. Stat. 148.10, subd. 1a(a) · www.revisor.mn.gov · full · read 9 October 2026
(b) When using the word "free," or any other term with essentially the same meaning in reference to delivering any service, examination, or treatment, the following statement must be presented to the patient or guardian for signature and kept on file: "I understand that one or more services provided have been or will be free of charge. Any subsequent services provided will be provided at the fees that have been or will be explained to me."Minn. Stat. 148.10, subd. 1a(b) · www.revisor.mn.gov · full · read 9 October 2026
(a) Notwithstanding any provision of chapter 148 or any other provision of law to the contrary, a health care provider may provide care to a patient at a discounted payment amount, including care provided for free.Minn. Stat. 62J.83(a) · www.revisor.mn.gov · 62J.83 · read 9 October 2026
(b) This section does not apply in a situation in which the discounted payment amount is not permitted under federal law.Minn. Stat. 62J.83(b) · www.revisor.mn.gov · 62J.83 · read 9 October 2026
Disclosure of Costs. All chiropractors may not offer a service or exam at a discounted price without also disclosing the undiscounted price of the same service or exam.Rule 11.2 · www.msbce.ms.gov · Final 2.12.26.pdf · read 9 October 2026
A chiropractor may not receive a fee, rebate, rental payment, or any other form of remuneration for the referral of a patient to a clinic, laboratory, or other health service entity.Rule 16.18 · www.msbce.ms.gov · Final 2.12.26.pdf · read 9 October 2026
2. The board may cause a complaint to be filed with the administrative hearing commission as provided by chapter 621 against any holder of any certificate of registration or authority, permit or license required by this chapter or any person who has failed to renew or has surrendered his certificate of registration or authority, permit or license for any one or any combination of the following causes:331.060.2 · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(14) Use of any advertisement or solicitation which is false, misleading or deceptive to the general public or persons to whom the advertisement or solicitation is primarily directed. False, misleading or deceptive advertisements or solicitations shall include, but not be limited to:331.060.2(14) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(c) Any misleading or deceptive statement offering or promising a free service. Nothing herein shall be construed to make it unlawful to offer a service for no charge if the offer is announced as part of a full disclosure of routine fees including consultation fees;331.060.2(14)(c) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(5) A licensed chiropractic physician shall not increase charges when a patient utilizes a third-party payment program.20 CSR 2070-2.060(5) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(8) Violation of the Health Care Payment Fraud and Abuse Act, Missouri Revised Statutes section 191.900 et seq. or the “anti-kickback” portions of the Medicare/Medicaid anti-fraud and abuse statute, 42 United States Code section 1320a-7b[b], by knowingly and willingly offering, paying, soliciting, or receiving remuneration in order to induce business reimbursed under the Medicare or state administered health care programs will be considered, at minimum, unprofessional or improper conduct in the practice of chiropractic.20 CSR 2070-2.060(8) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
Conduct will not be considered a violation of this rule, if the ownership or investment interest in such service meets the requirements of the “safe harbor” provisions of Title 42 Code of Federal Regulations part 1001.20 CSR 2070-2.060(8) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(D) A solicitation shall not refer to phrases such as “no out-of-pocket expense,” “we accept what your insurance will pay” or any similar statement prior to the retention of services that a payment made by an insurance carrier or other third party payor with copayment or deductible features will be accepted by the licensee as payment in full.20 CSR 2070-2.060(7)(D) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(3) It is unprofessional conduct for a licensee to engage in the following billing misconduct:24.126.2301(3) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(a) giving or receiving money for referring patients to a company or another professional, also known as "fee splitting";24.126.2301(3)(a) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(b) charging or collecting from a private insurance company or government-funded insurance program the costs of treatment and waiving a patient's deductible or co-payment in the absence of a documented financial hardship;24.126.2301(3)(b) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(c) charging different fees to insurance companies and patients. A discounted fee to a patient must result in billing the same to the third-party payor; and24.126.2301(3)(c) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(d) charging a patient a clearly excessive fee or charging for services not rendered or not fully rendered.24.126.2301(3)(d) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
4. The agency has amended ARM 24.126.301, 24.126.401, 24.126.412, 24.126.504, 24.126.511, 24.126.515, 24.126.701, 24.126.704, 24.126.2103, and 24.126.2301 as proposed.Montana Administrative Register 12-6/21/24 (no section number printed), item 4 · boards.bsd.dli.mt.gov · 24-126-39adp-arm-Final-Notice.pdf · read 9 October 2026
For purposes of section 38-178, unprofessional conduct means any departure from or failure to conform to the standards of acceptable and prevailing practice of a profession or the ethics of the profession, regardless of whether a person, consumer, or entity is injured, or conduct that is likely to deceive or defraud the public or is detrimental to the public interest, including, but not limited to:38-179 · dhhs.ne.gov · UniformCredentialingAct.pdf · read 9 October 2026
(2) Division of fees, or agreeing to split or divide the fees, received for professional services with any person for bringing or referring a consumer other than (a) with a partner or employee of the applicant or credential holder or his or her office or clinic, (b) with a landlord of the applicant or credential holder pursuant to a written agreement that provides for payment of rent based on gross receipts, or (c) with a former partner or employee of the applicant or credential holder based on a retirement plan or separation agreement;38-179(2) · dhhs.ne.gov · UniformCredentialingAct.pdf · read 9 October 2026
1. As used in subsection 10 of NRS 634.018, the Board will interpret the phrase “conduct unbecoming a person licensed to practice chiropractic or detrimental to the best interests of the public” to include, without limitation:NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(d) Entering into a financial agreement or making a financial arrangement with a potential or existing patient as an inducement to enter into or continue care. This paragraph does not prohibit a licensee from providing complimentary chiropractic services to an existing patient.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(e) Participating in any verbal or written arrangement that involves capping or fee splitting.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(g) Engaging in a practice of waiving, abrogating or rebating the deductible or copayment required to be paid by a policy of insurance or a third party if the practice is used as a device for advertising or marketing, or both.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(u) Paying or receiving any remuneration in such a manner and amount as would constitute a violation of 42 U.S.C. § 1320a-7b(b), regardless of whether the patient for whom the remuneration is paid or received is a patient under a federal health care program.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(a) “Capping” means the use by a licensee of the services of a person who is remunerated for referring to the licensee a new patient who has been involved in a motor vehicle accident or who has been injured as a result of the actions of another person.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(b) “Fee splitting” means the acceptance of remuneration by a licensee for referring a patient to another provider of health care or a health care facility or the provision of remuneration by a licensee for a referral to the business of the licensee.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
4. No separate charge may be made for the professional evaluation of diagnostic tests or procedures which are provided free of charge or at a discount, regardless of whether the professional evaluation is made at the time of the initial office visit or at a later time.NAC 634.556 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
I. No chiropractor shall advertise directly or indirectly, through any device or artifice, that the advertising chiropractor will not collect from any prospective patient, that patient’s insurance deductible or co-payment obligations arising by virtue of any medical insurance policy provided for the payment, in whole or in part, of any chiropractor’s charge.16.4.20.9 · www.srca.nm.gov · 16.004.0020.html · read 9 October 2026
D. Advertisements may quote fixed prices for specific routine services if such advertising clearly and conspicuously states whether or not additional charges may be incurred for related services and the possible range of such additional charges if such charges may be incurred.16.4.20.9 · www.srca.nm.gov · 16.004.0020.html · read 9 October 2026
A. The board may refuse to issue or may suspend or revoke any license or may censure, reprimand, fine or place on probation and stipulation any licensee in accordance with the procedures as contained in the Uniform Licensing Act [61-1-1 to 61-1-31 NMSA 1978] upon the grounds that the licensee or applicant:61-4-10 · nmonesource.com · document.do · read 9 October 2026
is guilty of unprofessional conduct that includes but is not limited to the following:61-4-10 · nmonesource.com · document.do · read 9 October 2026
(g) fee splitting;61-4-10 · nmonesource.com · document.do · read 9 October 2026
B. “Unprofessional conduct” means, but is not limited to because of enumeration:16.4.8.10 · www.srca.nm.gov · 16.004.0008.html · read 9 October 2026
(9) accept rebates, or split fees or commissions from any source associated with the service rendered to a patient;16.4.8.10 · www.srca.nm.gov · 16.004.0008.html · read 9 October 2026
Unprofessional conduct in the practice of any profession licensed, certified or registered pursuant to title VIII of the Education Law, except for cases involving those professions licensed, certified or registered pursuant to the provisions of Article 131 or 131-B of such law in which a statement of charges of professional misconduct was not served on or before July 26, 1991, the effective date of Chapter 606 of the Laws of 1991, shall include:§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
exercising undue influence on the patient or client, including the promotion of the sale of services, goods, appliances or drugs in such manner as to exploit the patient or client for the financial gain of the practitioner or of a third party;§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
directly or indirectly offering, giving, soliciting, or receiving or agreeing to receive, any fee or other consideration to or from a third party for the referral of a patient or client or in connection with the performance of professional services;§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
permitting any person to share in the fees for professional services, other than: a partner, employee, associate in a professional firm or corporation, professional subcontractor or consultant authorized to practice the same profession, or a legally authorized trainee practicing under the supervision of a licensed practitioner. This prohibition shall include any arrangement or agreement whereby the amount received in payment for furnishing space, facilities, equipment or personnel services used by a professional licensee constitutes a percentage of, or is otherwise dependent upon, the income or receipts of the licensee from such practice, except as otherwise provided by law with respect to a facility licensed pursuant to Article 28 of the Public Health Law or Article 13 of the Mental Hygiene Law;§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
advertising or soliciting for patronage that is not in the public interest:§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
Advertising or soliciting not in the public interest shall include, but not be limited to, advertising or soliciting that:§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
offers bonuses or inducements in any form other than a discount or reduction in an established fee or price for a professional service or product.§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
Generally speaking, discounts cannot be limited to one segment of your practice without offering the same discount to the rest of your practice.Use of Internet Coupons (no section number printed) · www.op.nysed.gov · use-internet-coupons · read 9 October 2026
Unethical conduct is defined as:§ 90-154.2 · www.ncleg.gov · Article_8.html · read 9 October 2026
(2) The billing or otherwise charging of a fee to a third party payor for a service offered by the doctor as a free service, which service is accepted as a free service by any patient when, in fact, the doctor of chiropractic is transmitting any charge to a third-party payor for payment.§ 90-154.2 · www.ncleg.gov · Article_8.html · read 9 October 2026
A health care provider shall not financially compensate in any manner a person, firm, or corporation for recommending or securing the health care provider's employment by a patient, or as a reward for having made a recommendation resulting in the health care provider's employment by a patient.§ 90-401 · www.ncleg.gov · GS_90-401.html · read 9 October 2026
No health care provider who refers a patient of that health care provider to another health care provider shall receive financial or other compensation from the health care provider receiving the referral as a payment solely or primarily for the referral.§ 90-401 · www.ncleg.gov · GS_90-401.html · read 9 October 2026
This section shall not be construed to prohibit a health care provider's purchase of advertising which does not entail direct personal contact or telephone contact of a potential patient.§ 90-401 · www.ncleg.gov · GS_90-401.html · read 9 October 2026
Payment by or to a licensee solely for the referral of a patient is unethical.REFERRAL FEES AND FEE SPLITTING (no section number printed) · ncchiroboard.com · Referral-Fees-and-Fee-Splitting_082019.pdf · read 9 October 2026
It is unethical for licensees to offer financial incentives or other valuable considerations to patients in exchange for recruitment of other patients.REFERRAL FEES AND FEE SPLITTING (no section number printed) · ncchiroboard.com · Referral-Fees-and-Fee-Splitting_082019.pdf · read 9 October 2026
Except in instances permitted by statute, it is the position of the Board that a licensee cannot share revenue on a percentage basis with a non-licensee.REFERRAL FEES AND FEE SPLITTING (no section number printed) · ncchiroboard.com · Referral-Fees-and-Fee-Splitting_082019.pdf · read 9 October 2026
The board may revoke, suspend, or deny a license to any person otherwise qualified or licensed by the board who is found to have committed unprofessional conduct. Unprofessional conduct includes, but is not limited to, the following:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
14. The offering, delivering, receiving, or accepting of any rebate, refund, commission, preference, patronage, dividend, discount, or other consideration as compensation or inducement for referring patients to any person.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
20. Advertising or soliciting for patronage that is not in the public interest, which includes:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
f. Advertising no out-of-pocket expenses or practicing same.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
The board may deny an application for licensure and may revoke, suspend, or take such other action as provided in this section regarding the license of any chiropractor in this state who:43-06-15(1) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
e. Has engaged in unprofessional or dishonorable conduct, including false or misleading advertising, rendering excessive or inappropriate treatment, or charging unconscionable fees.43-06-15(1)(e) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
7. The regulations in this section do not release a chiropractor from any contractual obligations that the chiropractor has with an insurer or other entity. A chiropractor who is contracted with an insurance carrier shall adhere to the terms of their provider contract in regards to the collection of copayments, co-insurances, and applied deductibles.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
(5) Licensees may offer free or reduced cost services to any patient of their choice. However, it is the licensee's responsibility to comply with other applicable federal and state laws regarding billing practices.811-015-0000(5) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=255710 · read 9 October 2026
Unprofessional conduct shall include, but not be limited to, the following acts of a chiropractic physician and certified chiropractic assistants:811-035-0015 · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456 · read 9 October 2026
(30) Fee splitting means compensation by or to a chiropractic physician or chiropractic clinic solely for referral of a patient.811-035-0015(30) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456 · read 9 October 2026
(a) Chiropractic physicians may not refer patients based on whether the referring chiropractic physician has negotiated a discount for specialty services. Chiropractic physicians may not accept:811-035-0015(30)(a) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456 · read 9 October 2026
(A) Any compensation of any kind, from any source for referring a patient other than distributions of a health care organization’s revenues as permitted by law.811-035-0015(30)(a)(A) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456 · read 9 October 2026
(B) Compensation for services relating to the care of a patient from any health care facility/organization to which the physician has referred the patient.811-035-0015(30)(a)(B) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456 · read 9 October 2026
(C) Compensation for referring a patient to a research study with the exception of remuneration for administrative costs.811-035-0015(30)(a)(C) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456 · read 9 October 2026
Compensation offered or received in excess of a token or de minimis gift over the course of a year is prohibited.GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 020 · www.oregon.gov · 25-10-22_P&P.pdf · read 9 October 2026
No chiropractic physician may directly or indirectly receive payment, reimbursement, compensation, or fee for a referral to any clinical laboratory.§ 5-30-16 · webserver.rilegislature.gov · 5-30-16.htm · read 9 October 2026
A violation of the provisions of this section constitutes a misdemeanor and upon conviction may be punished by imprisonment for not longer than one year or a fine of not more than five hundred dollars ($500), or by both fine and imprisonment.§ 5-30-16 · webserver.rilegislature.gov · 5-30-16.htm · read 9 October 2026
Except as expressly provided in this chapter, all provisions of chapter 37 of this title apply to the practice of chiropractic medicine, and to persons practicing chiropractic medicine within the state.§ 5-30-17 · webserver.rilegislature.gov · 5-30-17.htm · read 9 October 2026
The term “unprofessional conduct” as used in this chapter includes, but is not limited to, the following items or any combination of these items and may be further defined by regulations established by the board with the prior approval of the director:§ 5-37-5.1 · webserver.rilegislature.gov · 5-37-5.1.htm · read 9 October 2026
(12) Dividing fees or agreeing to split or divide the fees received for professional services for any person for bringing to or referring a patient;§ 5-37-5.1(12) · webserver.rilegislature.gov · 5-37-5.1.htm · read 9 October 2026
(13) Agreeing with clinical or bioanalytical laboratories to accept payments from these laboratories for individual tests or test series for patients;§ 5-37-5.1(13) · webserver.rilegislature.gov · 5-37-5.1.htm · read 9 October 2026
(B) Unprofessional Acts. The following acts or activities by a licensee of this Board constitute unprofessional, unethical or illegal conduct and grounds for disciplinary action:25–6(B) · www.scstatehouse.gov · Chapter 25.pdf · read 8 October 2026
(12) A chiropractor shall not receive payment, commission, or any type of gratuity for referral of patients.25–6(B)(12) · www.scstatehouse.gov · Chapter 25.pdf · read 8 October 2026
D. A communication, solicitation or advertisement shall not:25–8(D) · www.scstatehouse.gov · Chapter 25.pdf · read 8 October 2026
(7) advertise free x-ray services without explanation of need or otherwise imply indiscriminate use of x-radiation.25–8(D)(7) · www.scstatehouse.gov · Chapter 25.pdf · read 8 October 2026
Advertising must be consistent, i.e. if a service is offered free or advertised as free it must be free to the consumer, a patient and free from insurance billing.Frequently Asked Questions (no section number printed) · llr.sc.gov · faq.aspx · read 9 October 2026
If coupons are issued or advertised, they should be time sensitive and the expiration date clearly indicated.FAQ (no section number printed), listed under Recommendations: · llr.sc.gov · faq.aspx · read 9 October 2026
If service is offered for free, i.e. free spinal adjustment, the licensee cannot later bill the insurance company or receive cash payment.FAQ (no section number printed), listed under Recommendations: · llr.sc.gov · faq.aspx · read 9 October 2026
If money coupons are offered or a monetary discount is offered for chiropractic service, the amount must be claimed as income by the chiropractor.FAQ (no section number printed), listed under Recommendations: · llr.sc.gov · faq.aspx · read 9 October 2026
A person engages in unprofessional conduct if the person:58-73-501 · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
(13) directly or indirectly gives or receives any fee, commission, rebate, or other compensation for professional services not actually rendered or supervised, but this subsection does not preclude the legal relationships within lawful professional partnerships, corporations, or associations;58-73-501(13) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
(16) shares professional fees with a person that is not licensed under this chapter; and58-73-501(16) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
(17) pays a person for a patient referral.58-73-501(17) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
Beginning January 1, 2011, a chiropractic physician licensed under this chapter shall, when requested by a consumer:58-73-603 · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
(2) provide the consumer with information regarding any discount available for:58-73-603(2) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
(a) services not covered by insurance; or58-73-603(2)(a) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
(b) prompt payment of billed charges.58-73-603(2)(b) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
Unprofessional conduct means the following conduct and the conduct set forth in 3 V.S.A. § 129a:§ 541 · legislature.vermont.gov · 010 · read 9 October 2026
(15) Failing to inform a patient verbally and to obtain signed written consent from a patient before proceeding from advertised chiropractic services for which no payment is required to chiropractic services for which payment is required.§ 541(15) · legislature.vermont.gov · 010 · read 9 October 2026
A. The Board may refuse to issue a certificate or license to any applicant; reprimand any person; place any person on probation for such time as it may designate; impose a monetary penalty or terms as it may designate on any person; suspend any license for a stated period of time or indefinitely; or revoke any license for any of the following acts of unprofessional conduct:§ 54.1-2915 A · law.lis.virginia.gov · chapter29 · read 9 October 2026
9. Violating provisions of this chapter on division of fees or practicing any branch of the healing arts in violation of the provisions of this chapter;§ 54.1-2915 A 9 · law.lis.virginia.gov · chapter29 · read 9 October 2026
(2) When a chiropractic service is represented in public advertising as available without cost, or at a reduced cost, that service must be made available to everyone who wishes to take advantage of the offer on an equal basis. No charge may be made to any individual or third-party health care payor for any services which have been provided on a free basis.WAC 246-808-630 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
(4) Billings to patients or to third-party health care payors shall accurately reflect the actual charge to the patient, including any discounts, reduced fees, or waiver of copayment.WAC 246-808-630 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
(5) Because of the potential element of fraud being present, advertising full or partial forgiveness of coinsurance shall be prohibited unless the insurance company is given accurate and complete information relating to the actual charge to the patient and that coinsurance has been fully or partially waived.WAC 246-808-630 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
The following acts shall constitute grounds for which disciplinary action may be taken:WAC 246-808-545 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
(1) Rebating or offering to rebate to an insured any payment to the licensee by the third-party payor of the insured for services or treatments rendered under the insured's policy.WAC 246-808-545 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
All offers of free X-rays shall be accompanied by a disclosure statement that X-rays shall only be taken if clinically necessary in order to avoid unnecessary radiation exposure.WAC 246-808-585 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
The acceptance directly or indirectly by any person so licensed of any rebate, refund, commission, unearned discount, or profit by means of a credit or other valuable consideration whether in the form of money or otherwise, as compensation for referring patients to any person, firm, corporation or association as set forth in RCW 19.68.030 , constitutes unprofessional conduct.RCW 19.68.020 · app.leg.wa.gov · default.aspx?cite=19.68&full=true · read 9 October 2026
(1) Nothing in this chapter may be construed to limit or prohibit the donation of electronic health record technology or other activity by any entity, including a hospital licensed under chapter 70.41 RCW that operates a clinical laboratory, when the donation or other activity is allowed by or otherwise does not violate, 42 U.S.C. Sec. 1320a-7b(b) or the federal rules adopted to implement 42 U.S.C. Sec. 1320a-7b(b).RCW 19.68.900 · app.leg.wa.gov · default.aspx?cite=19.68&full=true · read 9 October 2026
(a) The board may take disciplinary action against any licensee or certificate holder holding a license or certificate issued under this article after giving reasonable notice and an opportunity to be heard pursuant to the provisions of section one, article five, chapter twenty-nine-a of this code, when it finds that any person has engaged in conduct in violation of the rules adopted by the board, including, but not limited to, the following:§30-16-11 · code.wvlegislature.gov · 30-16 · read 9 October 2026
(20) Directly or indirectly giving or receiving any fee, commission, rebate or other compensation for professional services not actually rendered: Provided, That this prohibition does not preclude the legal functioning of lawful professional partnerships, corporations or associations;§30-16-11 · code.wvlegislature.gov · 30-16 · read 9 October 2026
(a) A chiropractor may waive all or a portion of an insured patient’s copayments, coinsurance, or deductibles due to a chiropractor who engages in the practice of chiropractic on behalf of the insured patient if all of the following are satisfied:446.02(10)(a) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
1. The chiropractor receives from and maintains written documentation of the patient’s financial hardship, as defined by the examining board by rule.446.02(10)(a)1. · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
2. The chiropractor accurately reports to the patient’s insurer the actual fee charged, if any, to the patient. If the chiropractor waives all or a portion of the patient’s copayments, coinsurance, or deductibles due to the chiropractor, the chiropractor may not seek payment from the insurer for any portion of the copayment, coinsurance, or deductible waived by the chiropractor unless the claim for the services related to the copayment, coinsurance, or deductible is reduced by an equal amount. In this subdivision and in par. (b) , “insurer” has the meaning given in s. 600.03 (27) .446.02(10)(a)2. · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
(b) A chiropractor who violates par. (a) shall refund the insurer for all payments received from the insurer that are related to the day on which a patient’s payment was waived or reduced or for the course of treatment for which the patient’s payment was waived or reduced.446.02(10)(b) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
Unprofessional conduct. Unprofessional conduct by a chiropractor includes all of the following:Chir 6.02 · docs.legis.wisconsin.gov · Chir 6.02 · read 9 October 2026
(29) Negating the co-payment or deductible provisions of a contract of insurance by agreeing to forgive any or all of the patient’s obligation for payment under the contract, unless the chiropractor reduces the chiropractor’s claim to the insurance carrier in regard to that patient by an equal proportion.Chir 6.02(29) · docs.legis.wisconsin.gov · Chir 6.02 · read 9 October 2026
Note: It is no violation of this rule for a chiropractor to adjust fees, but the fee charged must be accurately reported to any third party payor. It is no violation of this rule for a chiropractor to provide treatment without any charge.Chir 6.02 Note (following (29)) · docs.legis.wisconsin.gov · Chir 6.02 · read 9 October 2026
Note: The use by a licensee of “no out-of-pocket expense” payment arrangements may constitute insurance fraud, and may therefore violate this subsection as well as s. 943.395 , Stats.Chir 6.02 Note (following (14)) · docs.legis.wisconsin.gov · Chir 6.02 · read 9 October 2026
Services under a prepaid care plan may cost less than if the services were purchased individually.Chapter 11, Section 6(a) · rules.wyo.gov · DownloadFile.aspx?source_id=21742&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21742.pdf&token=091221103184091248141176225030187197016006191176 · read 9 October 2026
The reduction in cost must bear a reasonable relationship to the expense avoided by the provider due to reduced accounting and debt collection activities.Chapter 11, Section 6(a) · rules.wyo.gov · DownloadFile.aspx?source_id=21742&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21742.pdf&token=091221103184091248141176225030187197016006191176 · read 9 October 2026
A licensee who has contracted with an insurance carrier shall adhere to the terms of their provider contract in regard to the collection of copayments, co-insurances, and applied deductibles.Chapter 11, Section 6(a)(vii) · rules.wyo.gov · DownloadFile.aspx?source_id=21742&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21742.pdf&token=091221103184091248141176225030187197016006191176 · read 9 October 2026
A licensee may not bill a reimbursement entity or a patient for any amount exceeding what is earned and distributed to the licensee.Chapter 11, Section 6(a)(vii) · rules.wyo.gov · DownloadFile.aspx?source_id=21742&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21742.pdf&token=091221103184091248141176225030187197016006191176 · read 9 October 2026
The jurisdiction is the authority on everything here. These pages quote what the statute, the rules and the board publish and the date we read them; they do not interpret it. Laws and rules change. Confirm anything you intend to act on with the board.