# 119-hr-539: Chiropractic Medicare Coverage Modernization Act of 2025

119-hr-539, Chiropractic Medicare Coverage Modernization Act of 2025, is a 119th Congress bill sponsored by Rep. Steube, W. Gregory [R-FL-17] (R-FL); status introduced; PRIA reads it as touching household money (as of 2026-09-30).

- Canonical: https://policyrisk.com/legislation/119-hr-539
- As of: 2026-09-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-539
- Congress: 119
- Title: Chiropractic Medicare Coverage Modernization Act of 2025
- Status: introduced
- Introduced: 2025-01-16
- Sponsor: Rep. Steube, W. Gregory [R-FL-17] (R-FL)
- Cosponsors: 174
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-30

## 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. - 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.

## Cosponsors (174)

- Rep. Horsford, Steven [D-NV-4] (D-NV), 2026-09-28T00:00:00.000Z
- Rep. Larson, John B. [D-CT-1] (D-CT), 2025-01-16T00:00:00.000Z
- Rep. Smith, Adrian [R-NE-3] (R-NE), 2025-01-16T00:00:00.000Z
- Rep. Boyle, Brendan F. [D-PA-2] (D-PA), 2025-01-16T00:00:00.000Z
- Rep. Van Duyne, Beth [R-TX-24] (R-TX), 2025-01-16T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-01-16T00:00:00.000Z
- Rep. Zinke, Ryan K. [R-MT-1] (R-MT), 2025-01-22T00:00:00.000Z
- Rep. Omar, Ilhan [D-MN-5] (D-MN), 2025-01-22T00:00:00.000Z
- Rep. Wasserman Schultz, Debbie [D-FL-25] (D-FL), 2025-01-22T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-01-23T00:00:00.000Z
- Rep. Franklin, Scott [R-FL-18] (R-FL), 2025-01-23T00:00:00.000Z
- Rep. LaHood, Darin [R-IL-16] (R-IL), 2025-01-23T00:00:00.000Z
- Rep. Nehls, Troy E. [R-TX-22] (R-TX), 2025-01-23T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-01-23T00:00:00.000Z
- Rep. Hoyle, Val T. [D-OR-4] (D-OR), 2025-01-23T00:00:00.000Z
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] (D-FL), 2025-01-23T00:00:00.000Z
- Rep. Gooden, Lance [R-TX-5] (R-TX), 2025-01-23T00:00:00.000Z
- Rep. Hern, Kevin [R-OK-1] (R-OK), 2025-01-23T00:00:00.000Z
- Rep. Burlison, Eric [R-MO-7] (R-MO), 2025-01-23T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-01-23T00:00:00.000Z
- Rep. Comer, James [R-KY-1] (R-KY), 2025-01-23T00:00:00.000Z
- Rep. Carey, Mike [R-OH-15] (R-OH), 2025-01-28T00:00:00.000Z
- Rep. Tiffany, Thomas P. [R-WI-7] (R-WI), 2025-01-28T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2025-01-28T00:00:00.000Z
- Rep. Hageman, Harriet M. [R-WY-At Large] (R-WY), 2025-01-28T00:00:00.000Z
- Rep. Scanlon, Mary Gay [D-PA-5] (D-PA), 2025-01-28T00:00:00.000Z
- Rep. Graves, Sam [R-MO-6] (R-MO), 2025-01-28T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-01-28T00:00:00.000Z
- Rep. Himes, James A. [D-CT-4] (D-CT), 2025-01-28T00:00:00.000Z
- Rep. Hill, J. French [R-AR-2] (R-AR), 2025-02-04T00:00:00.000Z
- Rep. Goldman, Craig A. [R-TX-12] (R-TX), 2025-02-04T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-02-04T00:00:00.000Z
- Rep. Finstad, Brad [R-MN-1] (R-MN), 2025-02-04T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-02-04T00:00:00.000Z
- Rep. Begich, Nicholas J. [R-AK-At Large] (R-AK), 2025-02-04T00:00:00.000Z
- Rep. Haridopolos, Mike [R-FL-8] (R-FL), 2025-02-04T00:00:00.000Z
- Rep. Grothman, Glenn [R-WI-6] (R-WI), 2025-02-04T00:00:00.000Z
- Rep. Yakym, Rudy [R-IN-2] (R-IN), 2025-02-04T00:00:00.000Z
- Rep. Gosar, Paul A. [R-AZ-9] (R-AZ), 2025-02-04T00:00:00.000Z
- Rep. Rutherford, John H. [R-FL-5] (R-FL), 2025-02-05T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-02-05T00:00:00.000Z
- Rep. Bost, Mike [R-IL-12] (R-IL), 2025-02-05T00:00:00.000Z
- Rep. Davidson, Warren [R-OH-8] (R-OH), 2025-02-05T00:00:00.000Z
- Rep. Massie, Thomas [R-KY-4] (R-KY), 2025-02-05T00:00:00.000Z
- Rep. Aderholt, Robert B. [R-AL-4] (R-AL), 2025-02-06T00:00:00.000Z
- Rep. Mann, Tracey [R-KS-1] (R-KS), 2025-02-06T00:00:00.000Z
- Rep. Johnson, Dusty [R-SD-At Large] (R-SD), 2025-02-07T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-02-07T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2025-02-07T00:00:00.000Z
- Rep. Fitzgerald, Scott [R-WI-5] (R-WI), 2025-02-07T00:00:00.000Z
- Rep. Huizenga, Bill [R-MI-4] (R-MI), 2025-02-10T00:00:00.000Z
- Rep. Flood, Mike [R-NE-1] (R-NE), 2025-02-10T00:00:00.000Z
- Rep. Strickland, Marilyn [D-WA-10] (D-WA), 2025-02-12T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-02-12T00:00:00.000Z
- Rep. Moran, Nathaniel [R-TX-1] (R-TX), 2025-02-13T00:00:00.000Z
- Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI), 2025-02-13T00:00:00.000Z
- Rep. Wagner, Ann [R-MO-2] (R-MO), 2025-02-13T00:00:00.000Z
- Rep. Alford, Mark [R-MO-4] (R-MO), 2025-02-21T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2025-02-21T00:00:00.000Z
- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2025-02-25T00:00:00.000Z
- Rep. Smucker, Lloyd [R-PA-11] (R-PA), 2025-02-27T00:00:00.000Z
- Rep. Joyce, John [R-PA-13] (R-PA), 2025-03-03T00:00:00.000Z
- Rep. Cline, Ben [R-VA-6] (R-VA), 2025-03-03T00:00:00.000Z
- Rep. De La Cruz, Monica [R-TX-15] (R-TX), 2025-03-03T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2025-03-10T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2025-03-18T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2025-03-18T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2025-03-18T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2025-03-25T00:00:00.000Z
- Rep. Rouzer, David [R-NC-7] (R-NC), 2025-03-25T00:00:00.000Z
- Rep. Frankel, Lois [D-FL-22] (D-FL), 2025-03-25T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2025-03-25T00:00:00.000Z
- Rep. Walberg, Tim [R-MI-5] (R-MI), 2025-03-26T00:00:00.000Z
- Rep. Wied, Tony [R-WI-8] (R-WI), 2025-03-27T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2025-03-27T00:00:00.000Z
- Rep. Moolenaar, John R. [R-MI-2] (R-MI), 2025-04-01T00:00:00.000Z
- Rep. Williams, Roger [R-TX-25] (R-TX), 2025-04-07T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-04-07T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2025-04-08T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-04-28T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-04-28T00:00:00.000Z
- Rep. Guest, Michael [R-MS-3] (R-MS), 2025-04-30T00:00:00.000Z
- Rep. Fleischmann, Charles J. "Chuck" [R-TN-3] (R-TN), 2025-05-07T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2025-05-07T00:00:00.000Z
- Rep. Gonzalez, Vicente [D-TX-34] (D-TX), 2025-05-15T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2025-05-15T00:00:00.000Z
- Rep. Harshbarger, Diana [R-TN-1] (R-TN), 2025-05-19T00:00:00.000Z
- Rep. Escobar, Veronica [D-TX-16] (D-TX), 2025-05-19T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-05-20T00:00:00.000Z
- Rep. Moskowitz, Jared [D-FL-23] (D-FL), 2025-05-29T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-06-05T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2025-06-06T00:00:00.000Z
- Rep. Morelle, Joseph D. [D-NY-25] (D-NY), 2025-06-11T00:00:00.000Z
- Rep. Stefanik, Elise M. [R-NY-21] (R-NY), 2025-06-23T00:00:00.000Z
- Rep. Moore, Blake D. [R-UT-1] (R-UT), 2025-06-23T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2025-06-23T00:00:00.000Z
- Rep. Wittman, Robert J. [R-VA-1] (R-VA), 2025-06-23T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-06-27T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-07-02T00:00:00.000Z
- Rep. Bell, Wesley [D-MO-1] (D-MO), 2025-07-02T00:00:00.000Z
- Rep. Miller, Mary E. [R-IL-15] (R-IL), 2025-07-10T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2025-07-16T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2025-07-17T00:00:00.000Z
- Rep. Stevens, Haley M. [D-MI-11] (D-MI), 2025-07-17T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-07-21T00:00:00.000Z
- Rep. Veasey, Marc A. [D-TX-33] (D-TX), 2025-07-21T00:00:00.000Z
- Rep. Weber, Randy K. Sr. [R-TX-14] (R-TX), 2025-07-21T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-07-22T00:00:00.000Z
- Rep. McCollum, Betty [D-MN-4] (D-MN), 2025-07-29T00:00:00.000Z
- Rep. Carter, John R. [R-TX-31] (R-TX), 2025-08-26T00:00:00.000Z
- Rep. Kustoff, David [R-TN-8] (R-TN), 2025-09-03T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-09-10T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2025-09-11T00:00:00.000Z
- Rep. Evans, Dwight [D-PA-3] (D-PA), 2025-09-30T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2025-09-30T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-09-30T00:00:00.000Z
- Rep. Salinas, Andrea [D-OR-6] (D-OR), 2025-09-30T00:00:00.000Z
- Rep. Rose, John W. [R-TN-6] (R-TN), 2025-09-30T00:00:00.000Z
- Rep. Joyce, David P. [R-OH-14] (R-OH), 2025-09-30T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2025-09-30T00:00:00.000Z
- Rep. Bresnahan, Robert P. [R-PA-8] (R-PA), 2025-09-30T00:00:00.000Z
- Rep. Arrington, Jodey C. [R-TX-19] (R-TX), 2025-10-08T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2025-10-08T00:00:00.000Z
- Rep. Schmidt, Derek [R-KS-2] (R-KS), 2025-10-17T00:00:00.000Z
- Rep. Cleaver, Emanuel [D-MO-5] (D-MO), 2025-10-17T00:00:00.000Z
- Rep. Schweikert, David [R-AZ-1] (R-AZ), 2025-10-17T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2025-10-28T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-12T00:00:00.000Z
- Rep. Reschenthaler, Guy [R-PA-14] (R-PA), 2025-11-12T00:00:00.000Z
- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2025-11-17T00:00:00.000Z
- Rep. Rogers, Mike D. [R-AL-3] (R-AL), 2025-11-18T00:00:00.000Z
- Rep. McGovern, James P. [D-MA-2] (D-MA), 2025-12-02T00:00:00.000Z
- Rep. Lee, Summer L. [D-PA-12] (D-PA), 2025-12-04T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-12-16T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2025-12-18T00:00:00.000Z
- Rep. Crawford, Eric A. "Rick" [R-AR-1] (R-AR), 2026-01-15T00:00:00.000Z
- Rep. Biggs, Sheri [R-SC-3] (R-SC), 2026-01-15T00:00:00.000Z
- Rep. Courtney, Joe [D-CT-2] (D-CT), 2026-01-22T00:00:00.000Z
- Rep. Bishop, Sanford D. [D-GA-2] (D-GA), 2026-01-22T00:00:00.000Z
- Rep. Fedorchak, Julie [R-ND-At Large] (R-ND), 2026-01-22T00:00:00.000Z
- Rep. Babin, Brian [R-TX-36] (R-TX), 2026-01-22T00:00:00.000Z
- Rep. Mast, Brian J. [R-FL-21] (R-FL), 2026-01-22T00:00:00.000Z
- Rep. Evans, Gabe [R-CO-8] (R-CO), 2026-01-27T00:00:00.000Z
- Rep. Stauber, Pete [R-MN-8] (R-MN), 2026-01-27T00:00:00.000Z
- Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA), 2026-01-27T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2026-01-27T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2026-02-02T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2026-02-10T00:00:00.000Z
- Rep. Kelly, Trent [R-MS-1] (R-MS), 2026-02-10T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2026-02-11T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2026-02-11T00:00:00.000Z
- Rep. Ezell, Mike [R-MS-4] (R-MS), 2026-02-23T00:00:00.000Z
- Rep. Sánchez, Linda T. [D-CA-38] (D-CA), 2026-03-04T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2026-03-24T00:00:00.000Z
- Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA), 2026-03-24T00:00:00.000Z
- Rep. Brown, Shontel M. [D-OH-11] (D-OH), 2026-03-24T00:00:00.000Z
- Rep. Menefee, Christian D. [D-TX-18] (D-TX), 2026-04-06T00:00:00.000Z
- Rep. Feenstra, Randy [R-IA-4] (R-IA), 2026-04-09T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2026-04-16T00:00:00.000Z
- Rep. Nunn, Zachary [R-IA-3] (R-IA), 2026-04-27T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2026-04-28T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2026-05-14T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2026-05-26T00:00:00.000Z
- Rep. James, John [R-MI-10] (R-MI), 2026-06-03T00:00:00.000Z
- Rep. Amodei, Mark E. [R-NV-2] (R-NV), 2026-06-08T00:00:00.000Z
- Rep. Edwards, Chuck [R-NC-11] (R-NC), 2026-06-24T00:00:00.000Z
- Rep. Downing, Troy [R-MT-2] (R-MT), 2026-06-29T00:00:00.000Z
- Rep. Watson Coleman, Bonnie [D-NJ-12] (D-NJ), 2026-07-20T00:00:00.000Z
- Rep. Gallagher, James [R-CA-1] (R-CA), 2026-08-03T00:00:00.000Z
- Rep. Mannion, John W. [D-NY-22] (D-NY), 2026-08-03T00:00:00.000Z
- Rep. Strong, Dale W. [R-AL-5] (R-AL), 2026-08-31T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2026-08-31T00:00:00.000Z
- Rep. McClain Delaney, April [D-MD-6] (D-MD), 2026-08-31T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-09-02T00:00:00.000Z

## Provisions PRIA read

- Wider Medicare chiropractic coverage with conditions: mixed, low. 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 s…

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## Sources
- [119-hr-539 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/539)

## Related
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-539 (as of 2026-09-30).