Chiropractic Medicare Coverage Modernization Act of 2025
Sponsored By: Senator Cramer, Kevin [R-ND]
Introduced
Summary
This bill would expand Medicare coverage for chiropractic services beyond just spinal manipulation and create a national payment rule that ties reimbursement to a one-time Secretary‑designed verification.
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- Families and patients: Medicare beneficiaries would be able to receive a wider range of services from chiropractors so long as those services are allowed under the chiropractor's state license. Manual manipulation of the spine to correct a subluxation would remain covered without extra verification.
- Doctors of chiropractic: Chiropractors would be treated as physicians under Medicare for any care allowed by their state license. For most services, payment would require a one-time verification process such as an educational webinar or similar electronic product run by the Secretary.
- Medicare program and administration: The bill would add a nationwide payment limitation that makes the verification pathway the controlling rule for Medicare Part B payments for chiropractic services. The change is meant to align Medicare coverage with other federal programs like the Department of Veterans Affairs, the Department of Defense, and the Federal Employee Health Benefits Program.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
New Medicare rules for chiropractors
If enacted, Medicare would cover any service a state-licensed chiropractor is legally allowed to provide in that state. This would replace the old rule that only paid for spinal manipulation to fix a subluxation. Medicare would pay only if the chiropractor completes a one-time Secretary-designed verification, such as an educational webinar. Alternatively, Medicare would also pay for the traditional spinal manipulation to correct a subluxation without verification. This could affect access if some chiropractors do not complete the verification. The bill does not set an effective date or payment rates.
Sponsors & CoSponsors
Sponsor
Cramer, Kevin [R-ND]
ND • R
Cosponsors
Sen. Blumenthal, Richard [D-CT]
CT • D
Sponsored 1/16/2025
Sen. Daines, Steve [R-MT]
MT • R
Sponsored 1/16/2025
Sen. Baldwin, Tammy [D-WI]
WI • D
Sponsored 1/16/2025
Sen. Moran, Jerry [R-KS]
KS • R
Sponsored 1/16/2025
Sen. Shaheen, Jeanne [D-NH]
NH • D
Sponsored 1/16/2025
Mike Rounds
SD • R
Sponsored 1/16/2025
Amy Klobuchar
MN • D
Sponsored 1/16/2025
Sen. Heinrich, Martin [D-NM]
NM • D
Sponsored 1/16/2025
John Hoeven
ND • R
Sponsored 1/16/2025
Sen. Coons, Christopher A. [D-DE]
DE • D
Sponsored 1/16/2025
Sen. Lummis, Cynthia M. [R-WY]
WY • R
Sponsored 1/23/2025
Roger Wicker
MS • R
Sponsored 3/26/2025
Sen. Blunt Rochester, Lisa [D-DE]
DE • D
Sponsored 1/28/2026
Sen. Luján, Ben Ray [D-NM]
NM • D
Sponsored 2/4/2026
Sen. Hawley, Josh [R-MO]
MO • R
Sponsored 3/5/2026
Roll Call Votes
No roll call votes available for this bill.
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