Chiropractor (DC)

Michigan Public Act 333 of 2006,

§18351 (on Dietetics and Nutrition Licensing)

Impact To The Profession Of:

Chiropractor (DC)

Chiropractor Scope of Practice:

333.16401 Definitions; scope; principles of construction.

Sec. 16401.

(1) As used in this part:

(e) "Practice of chiropractic" means that discipline within the healing arts that deals with the human nervous system and the musculoskeletal system and their interrelationship with other body systems. Practice of chiropractic includes the following:

(iv) The use of physical measures, analytical instruments, nutritional advice, rehabilitative exercise, and adjustment apparatus regulated by rules promulgated under section 16423.

Source: Michigan Legislature. Section 333.18363. Last retrieved from Michigan Legislature on July 18, 2010 at http://www.legislature.mi.gov/(S(nhgqcj2pfob012333qacuh45))/mileg.aspx?page=getObject&objectName=mcl-333-18363

Recently Adopted Expanded Scope of Practice: Chiropractic Licensees

The chiropractor can use the following to evaluate conditions or symptoms related to subluxations, misalignments, and joint dysfunctions: physical examinations, the taking and reviewing of patient health information, the performance, ordering or use of tests and x-rays that were allowed prior to the expansion of the practice extended to subluxations, misalignments and joint dysfunctions; chiropractic adjustment of subluxations, misalignments, and joint dysfunctions and the treatment of related bones and tissues for the establishment of neural integrity and structural stability and the use of physical measures, analytical instruments, nutritional advice, rehabilitative exercise and adjustment apparatus if acceptable to the board and meet nationally recognized standards.

Blood – use of blood tests to measure the outcome of nutritional counseling or to determine the need to continue treatment or refer to another health care provider if a patient has not responded to treatment.

Urine – use to measure the outcome of nutritional counseling or to determine the need to continue treatment or to refer to another health care provider if a patient has not responded to treatment.

Hair – use to measure the outcome of nutritional counseling.

Saliva – use to measure the outcome of nutritional counseling.

Source: Michigan Department of Community Health/ Bureau of Health Professions. Approved List of Analytical Instruments, Adjustment Apparatus, Tests and Measures. Retrieved from Michigan Department of Community Health at http://www.michigan.gov/mdch/0,1607,7-132-27417_27529_27531---,00.html

Statute: Michigan Public Act 333 of 2006, §18351 Dietetics and Nutrition

333.18363 Inapplicability of act to certain individuals.

Sec. 18363.

This part does not apply to any of the following:

(a) An individual licensed under any other part or act who performs activities or services that are considered dietetics and nutrition care services if those activities or services are within the individual's scope of practice and if the individual does not use the titles protected under section 18353.

Source: Michigan Legislature. Section 333.18363. Last retrieved from Michigan Legislature on July 18, 2010 at http://www.legislature.mi.gov/(S(nhgqcj2pfob012333qacuh45))/mileg.aspx?page=getObject&objectName=mcl-333-18363

MNA Interpretation: It appears clear from the language that the new DC scope explicity includes nutrition counseling within chiropractors’ scope of practice. Our interpretation is that chiropractors will thus be exempt from the requirement of a license for Nutrition/Dietetics and may engage in the practice of dietetics and nutrition, and provide or offer to provide dietetics and nutrition care services, even if not licensed. HOWEVER, chiropractors may not refer to themselves as: "registered dietitian", "licensed dietitian", "dietitian", "licensed nutritionist", "nutritionist", "r.d.", "l.d.", or "l.n.", unless they obtain a Nutrition/Dietetics license.

As for your healthcare colleagues, our interpretation is that the vast majority of knowledgeable non-RD nutrition providers, including most highly credentialed nutritionists, will likely be barred from providing nutrition counseling.

Disclaimer:

The content of MichiganNutritionAssocation.org contains general legal information and should not be construed as legal advice to be applied to any specific factual situation. For legal advice or assistance, please consult an attorney.