HR539119th CongressWALLET

Chiropractic Medicare Coverage Modernization Act of 2025

Sponsored By: Representative Steube

Introduced

Summary

Expands Medicare recognition of doctors of chiropractic as "physicians" so Medicare would cover any chiropractic service a State license allows. This bill would let Medicare pay for more than the current single spinal manipulation benefit when state law authorizes other chiropractic functions or actions.

Show full summary
  • Medicare beneficiaries and seniors: Could gain broader access to chiropractic treatments beyond spine manipulation when those treatments are allowed by State law. This may increase non-surgical options for pain and mobility care.
  • Doctors of chiropractic: Could bill Medicare for any services their State license permits after a one-time verification step. Payment requires either completing a Secretary-designed educational webinar or the service being the existing manual spinal manipulation benefit.
  • Medicare program and coverage rules: The bill would replace the current narrow federal standard with a State-licensure test for allowed chiropractic services. It keeps a specific payment limit only for services without the required verification.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

Wider Medicare chiropractic coverage with conditions

If enacted, Medicare would cover chiropractor services that state law allows, not only spinal manipulation. To get paid by Medicare, a chiropractor would need a one-time verification that they took an educational documentation webinar. Without that verification, Medicare would only pay for manual spinal manipulation to correct a subluxation. These rules would apply only to services done in the state where the chiropractor is licensed. The bill text does not set a start date.

Sponsors & CoSponsors

Sponsor

Steube

FL • R

Cosponsors

  • Larson (CT)

    CT • D

    Sponsored 1/16/2025

  • Smith (NE)

    NE • R

    Sponsored 1/16/2025

  • Boyle (PA)

    PA • D

    Sponsored 1/16/2025

  • Van Duyne

    TX • R

    Sponsored 1/16/2025

  • Davis (NC)

    NC • D

    Sponsored 1/16/2025

  • Zinke

    MT • R

    Sponsored 1/22/2025

  • Omar

    MN • D

    Sponsored 1/22/2025

  • Wasserman Schultz

    FL • D

    Sponsored 1/22/2025

  • Soto

    FL • D

    Sponsored 1/23/2025

  • Franklin, Scott

    FL • R

    Sponsored 1/23/2025

  • LaHood

    IL • R

    Sponsored 1/23/2025

  • Nehls

    TX • R

    Sponsored 1/23/2025

  • Sewell

    AL • D

    Sponsored 1/23/2025

  • Hoyle (OR)

    OR • D

    Sponsored 1/23/2025

  • Cherfilus-McCormick

    FL • D

    Sponsored 1/23/2025

  • Gooden

    TX • R

    Sponsored 1/23/2025

  • Hern (OK)

    OK • R

    Sponsored 1/23/2025

  • Burlison

    MO • R

    Sponsored 1/23/2025

  • Tlaib

    MI • D

    Sponsored 1/23/2025

  • Comer

    KY • R

    Sponsored 1/23/2025

  • Carey

    OH • R

    Sponsored 1/28/2025

  • Tiffany

    WI • R

    Sponsored 1/28/2025

  • Tokuda

    HI • D

    Sponsored 1/28/2025

  • Hageman

    WY • R

    Sponsored 1/28/2025

  • Scanlon

    PA • D

    Sponsored 1/28/2025

  • Graves

    MO • R

    Sponsored 1/28/2025

  • Davids (KS)

    KS • D

    Sponsored 1/28/2025

  • Himes

    CT • D

    Sponsored 1/28/2025

  • Hill (AR)

    AR • R

    Sponsored 2/4/2025

  • Goldman (TX)

    TX • R

    Sponsored 2/4/2025

  • McBride

    DE • D

    Sponsored 2/4/2025

  • Finstad

    MN • R

    Sponsored 2/4/2025

  • Leger Fernandez

    NM • D

    Sponsored 2/4/2025

  • Begich

    AK • R

    Sponsored 2/4/2025

  • Haridopolos

    FL • R

    Sponsored 2/4/2025

  • Grothman

    WI • R

    Sponsored 2/4/2025

  • Yakym

    IN • R

    Sponsored 2/4/2025

  • Gosar

    AZ • R

    Sponsored 2/4/2025

  • Rutherford

    FL • R

    Sponsored 2/5/2025

  • Fitzpatrick

    PA • R

    Sponsored 2/5/2025

  • Bost

    IL • R

    Sponsored 2/5/2025

  • Davidson

    OH • R

    Sponsored 2/5/2025

  • Massie

    KY • R

    Sponsored 2/5/2025

  • Aderholt

    AL • R

    Sponsored 2/6/2025

  • Mann

    KS • R

    Sponsored 2/6/2025

  • Johnson (SD)

    SD • R

    Sponsored 2/7/2025

  • Schneider

    IL • D

    Sponsored 2/7/2025

  • Sorensen

    IL • D

    Sponsored 2/7/2025

  • Fitzgerald

    WI • R

    Sponsored 2/7/2025

  • Huizenga

    MI • R

    Sponsored 2/10/2025

  • Flood

    NE • R

    Sponsored 2/10/2025

  • Strickland

    WA • D

    Sponsored 2/12/2025

  • Craig

    MN • D

    Sponsored 2/12/2025

  • Moran

    TX • R

    Sponsored 2/13/2025

  • McDonald Rivet

    MI • D

    Sponsored 2/13/2025

  • Wagner

    MO • R

    Sponsored 2/13/2025

  • Alford

    MO • R

    Sponsored 2/21/2025

  • Bilirakis

    FL • R

    Sponsored 2/21/2025

  • Van Orden

    WI • R

    Sponsored 2/25/2025

  • Smucker

    PA • R

    Sponsored 2/27/2025

  • Joyce (PA)

    PA • R

    Sponsored 3/3/2025

  • Cline

    VA • R

    Sponsored 3/3/2025

  • De La Cruz

    TX • R

    Sponsored 3/3/2025

  • Landsman

    OH • D

    Sponsored 3/10/2025

  • Houlahan

    PA • D

    Sponsored 3/18/2025

  • Kelly (PA)

    PA • R

    Sponsored 3/18/2025

  • Kiggans (VA)

    VA • R

    Sponsored 3/18/2025

  • Van Drew

    NJ • R

    Sponsored 3/25/2025

  • Rouzer

    NC • R

    Sponsored 3/25/2025

  • Frankel, Lois

    FL • D

    Sponsored 3/25/2025

  • Deluzio

    PA • D

    Sponsored 3/25/2025

  • Walberg

    MI • R

    Sponsored 3/26/2025

  • Wied

    WI • R

    Sponsored 3/27/2025

  • Stansbury

    NM • D

    Sponsored 3/27/2025

  • Moolenaar

    MI • R

    Sponsored 4/1/2025

  • Williams (TX)

    TX • R

    Sponsored 4/7/2025

  • Bacon

    NE • R

    Sponsored 4/7/2025

  • Thompson (PA)

    PA • R

    Sponsored 4/8/2025

  • Pocan

    WI • D

    Sponsored 4/28/2025

  • Vasquez

    NM • D

    Sponsored 4/28/2025

  • Guest

    MS • R

    Sponsored 4/30/2025

  • Fleischmann

    TN • R

    Sponsored 5/7/2025

  • Pfluger

    TX • R

    Sponsored 5/7/2025

  • Gonzalez, V.

    TX • D

    Sponsored 5/15/2025

  • Garcia (TX)

    TX • D

    Sponsored 5/15/2025

  • Harshbarger

    TN • R

    Sponsored 5/19/2025

  • Escobar

    TX • D

    Sponsored 5/19/2025

  • Gottheimer

    NJ • D

    Sponsored 5/20/2025

  • Moskowitz

    FL • D

    Sponsored 5/29/2025

  • Clarke (NY)

    NY • D

    Sponsored 6/5/2025

  • Bergman

    MI • R

    Sponsored 6/6/2025

  • Morelle

    NY • D

    Sponsored 6/11/2025

  • Stefanik

    NY • R

    Sponsored 6/23/2025

  • Moore (UT)

    UT • R

    Sponsored 6/23/2025

  • Kennedy (NY)

    NY • D

    Sponsored 6/23/2025

  • Wittman

    VA • R

    Sponsored 6/23/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 6/27/2025

  • Miller (WV)

    WV • R

    Sponsored 7/2/2025

  • Bell

    MO • D

    Sponsored 7/2/2025

  • Miller (IL)

    IL • R

    Sponsored 7/10/2025

  • Langworthy

    NY • R

    Sponsored 7/16/2025

  • Mackenzie

    PA • R

    Sponsored 7/17/2025

  • Stevens

    MI • D

    Sponsored 7/17/2025

  • Thanedar

    MI • D

    Sponsored 7/21/2025

  • Veasey

    TX • D

    Sponsored 7/21/2025

  • Weber (TX)

    TX • R

    Sponsored 7/21/2025

  • Thompson (MS)

    MS • D

    Sponsored 7/22/2025

  • McCollum

    MN • D

    Sponsored 7/29/2025

  • Carter (TX)

    TX • R

    Sponsored 8/26/2025

  • Kustoff

    TN • R

    Sponsored 9/3/2025

  • Tenney

    NY • R

    Sponsored 9/10/2025

  • Bynum

    OR • D

    Sponsored 9/11/2025

  • Evans (PA)

    PA • D

    Sponsored 9/30/2025

  • Malliotakis

    NY • R

    Sponsored 9/30/2025

  • Panetta

    CA • D

    Sponsored 9/30/2025

  • Salinas

    OR • D

    Sponsored 9/30/2025

  • Rose

    TN • R

    Sponsored 9/30/2025

  • Joyce (OH)

    OH • R

    Sponsored 9/30/2025

  • Bonamici

    OR • D

    Sponsored 9/30/2025

  • Bresnahan

    PA • R

    Sponsored 9/30/2025

  • Arrington

    TX • R

    Sponsored 10/8/2025

  • Dean (PA)

    PA • D

    Sponsored 10/8/2025

  • Schmidt

    KS • R

    Sponsored 10/17/2025

  • Cleaver

    MO • D

    Sponsored 10/17/2025

  • Schweikert

    AZ • R

    Sponsored 10/17/2025

  • Hayes

    CT • D

    Sponsored 10/28/2025

  • Pingree

    ME • D

    Sponsored 11/12/2025

  • Reschenthaler

    PA • R

    Sponsored 11/12/2025

  • Meuser

    PA • R

    Sponsored 11/17/2025

  • Rogers (AL)

    AL • R

    Sponsored 11/18/2025

  • McGovern

    MA • D

    Sponsored 12/2/2025

  • Lee (PA)

    PA • D

    Sponsored 12/4/2025

  • Trahan

    MA • D

    Sponsored 12/16/2025

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

    Sponsored 12/18/2025

  • Crawford

    AR • R

    Sponsored 1/15/2026

  • Biggs (SC)

    SC • R

    Sponsored 1/15/2026

  • Courtney

    CT • D

    Sponsored 1/22/2026

  • Bishop

    GA • D

    Sponsored 1/22/2026

  • Fedorchak

    ND • R

    Sponsored 1/22/2026

  • Babin

    TX • R

    Sponsored 1/22/2026

  • Mast

    FL • R

    Sponsored 1/22/2026

  • Evans (CO)

    CO • R

    Sponsored 1/27/2026

  • Stauber

    MN • R

    Sponsored 1/27/2026

  • Carter (GA)

    GA • R

    Sponsored 1/27/2026

  • Schakowsky

    IL • D

    Sponsored 1/27/2026

  • Suozzi

    NY • D

    Sponsored 2/2/2026

  • Kim

    CA • R

    Sponsored 2/10/2026

  • Kelly (MS)

    MS • R

    Sponsored 2/10/2026

  • Lieu

    CA • D

    Sponsored 2/11/2026

  • Tonko

    NY • D

    Sponsored 2/11/2026

  • Ezell

    MS • R

    Sponsored 2/23/2026

  • Sanchez

    CA • D

    Sponsored 3/4/2026

  • DelBene

    WA • D

    Sponsored 3/24/2026

  • Miller-Meeks

    IA • R

    Sponsored 3/24/2026

  • Brown

    OH • D

    Sponsored 3/24/2026

Roll Call Votes

No roll call votes available for this bill.

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