Chiropractic Medicare Coverage Modernization Act of 2025
Summary
SB 106, the Chiropractic Medicare Coverage Modernization Act of 2025, would expand Medicare coverage for services furnished by doctors of chiropractic. Under current law, Medicare coverage for chiropractic care is largely limited to manual manipulation of the spine to correct a subluxation. This bill would revise the Social Security Act so that a doctor of chiropractic could be treated as a physician for Medicare purposes when performing any function or action that is within the scope of the chiropractor’s state license.
The bill also adds a payment limitation framework for certain chiropractic services. Medicare payment would be available for covered services only if the chiropractor has completed a Secretary-designed educational documentation webinar or similar electronic training product, or if the service is manual manipulation of the spine to correct a subluxation. The bill’s findings state that chiropractic coverage should be modernized to better align Medicare with private insurance, the Department of Veterans Affairs, the Department of Defense, and the Federal Employees Health Benefits Program.
Impact
If enacted, SB 106 would amend sections 1861(r)(5) and 1833 of the Social Security Act, broadening the statutory definition and Medicare coverage rules for chiropractic services. It would move Medicare beyond the current narrow coverage model and allow payment for a wider range of services performed by chiropractors, so long as those services are authorized under state licensure and meet the bill’s payment conditions. The bill would affect Medicare beneficiaries, chiropractors, and Medicare administrative rules governing covered services and reimbursement.
Sentiment
The bill appears generally favorable and bipartisan in tone. Its sponsors include senators from both parties, and the findings frame the measure as a modernization and alignment effort rather than a controversial policy shift. No committee transcript or vote record is provided, so there is no evidence in the available materials of organized opposition or divided sentiment at this stage.
Contention
The main policy issue is the scope of Medicare coverage for chiropractic care. Supporters argue that the current statute is outdated and too restrictive, while the bill seeks to recognize chiropractors more broadly within Medicare when acting within state licensure. Potential points of contention include whether expanding coverage could increase Medicare spending, how to define and verify covered chiropractic services, and whether the Secretary’s webinar/training requirement is sufficient oversight. The bill text does not show explicit opposition, but these implementation and cost questions are the most likely areas of debate.