Thursday, April 11, 2013

No to Chiros Conducting School Bus Driver Mental and Physical Exams

The Texas Medical Association yesterday asked the Texas House Committee on Public Health to send House Bill 3183 back to the bus barn.

The bill would allow a chiropractor to conduct the required mental and physical examination of a school bus driver, but such examination is beyond the scope of practice of chiropractic in Texas.

The Texas Legislature must protect Texas schoolchildren by ensuring that the men and women behind the wheel of their bus have the mental and physical ability to drive them safely. The heart, lungs, vision, reflexes, hearing, and mental health should all be evaluated for a prospective school bus driver. Chiropractors have neither the statutory scope of practice nor the training to analyze, examine, or evaluate such important components of one’s health.

The Texas Chiropractic Act defines the practice of chiropractic as using “objective or subjective means to analyze, examine, or evaluate the biomechanical condition of the spine and musculoskeletal system of the human body,” or performing “nonsurgical, nonincisive procedures, including adjustment and manipulation, to improve the subluxation complex or the biomechanics of the musculoskeletal system.”

Mental health is not part of the “biomechanical condition of the spine and musculoskeletal system.” Thus it is not something that can be analyzed, examined, or evaluated by a chiropractor.

Likewise, many components of a physical examination exceed the biomechanical condition of the spine and musculoskeletal system. For example, cardiac, neurological, and pulmonary health are all important components to determine whether one is healthy enough to transport our youngest and most vulnerable citizens.  The heart, lungs, and central nervous system are not part of the “biomechanical condition of the spine and musculoskeletal system.” Thus they cannot be analyzed, examined, or evaluated by a chiropractor.

Vote "No" on HB 3183.

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