# Maryland HB 0514: Health Occupations - State Board of Chiropractic Examiners - Revisions Maryland HB 0514, Health Occupations - State Board of Chiropractic Examiners - Revisions, is a 2025 Regular Session House bill sponsored by Terri L. Hill (Democratic); status signed, last action 2025-04-08 (Approved by the Governor - Chapter 21); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/MD-HB0514-2025RS - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Maryland HB 0514 - State: Maryland - Session: 2025 Regular Session - Title: Health Occupations - State Board of Chiropractic Examiners - Revisions - Status: signed - Chamber: House - Introduced: 2025-01-22 - Last action: 2025-04-08, Approved by the Governor - Chapter 21 - Sponsor: Terri L. Hill (Democratic) - Cosponsors: 20 - Subjects: Health Occupations, Chiropractors, Committees and Commissions, Discipline, Health Occupations -see also- (specific health occupations), Inspections -see also- Motor Vehicle Inspection, Licenses -see also- AB Lic; Certifications; DrLic; Permits, Rules and Regulations - Touches household money: yes - Roll calls: 2 (184 yes, 0 no in all) - Economic provisions PRIA read: 10 ## Summary No summary available. ## Bill overview: provisions PRIA read - Physical therapy rights for qualified chiropractors: benefit, medium. Beginning July 1, 2025, qualified Maryland chiropractic applicants are entitled to a license that includes physical therapy practice rights. They must meet chiropractic licensing requirements and any added requirements the Board sets by regulation. - Supervised practice for chiropractic students: benefit, medium. Beginning July 1, 2025, eligible chiropractic students can practice without a license during a supervised clinical placement called a preceptorship. Students must be enrolled in a program accredited by a qualifying U.S. or foreign chiropractic accreditor. A Board-approved licensed chiropractor must… - Unannounced infection-control checks at chiropractic offices: benefit, low. Beginning July 1, 2025, the Board can inspect chiropractic offices without notice after a complaint alleges infection-control violations. Checks cover Centers for Disease Control and Prevention standard precautions and related Board rules. This authority excludes offices in hospitals, related insti… - Chiropractors face discipline and $5,000 fines: cost, high. Beginning July 1, 2025, discipline grounds include violating accepted professional standards, refusing criminal history checks, or disobeying Board orders. They also include failing to cooperate with lawful investigations or follow Centers for Disease Control and Prevention standard infection preca… - Training and fees to reactivate chiropractic licenses: cost, low. Beginning July 1, 2025, chiropractors reactivating inactive Maryland licenses must meet the current renewal period's continuing-education requirements. They must also meet that period's cardiopulmonary resuscitation (CPR) requirements and pay the Board's reactivation fee. The law does not state the… - Required chiropractor fitness exams, Board paid: mixed, medium. Beginning July 1, 2025, the Board must order a fitness exam during application reviews or investigations when evidence meets the threshold. It must have reason and objective evidence that the applicant or chiropractor may harm people affected by their practice. The Board must request the exam in wr… - Temporary chiropractic licenses with supervision requirements: mixed, medium. Beginning July 1, 2025, the Board can grant temporary licenses to accredited-program graduates who have begun applying for full licenses. Applicants must have either two years of out-of-state licensure or an accredited-program graduation within the past six months. They must apply, show good moral… - Updated education paths for Maryland chiropractors: mixed, medium. Beginning July 1, 2025, Maryland applicants can qualify through a chiropractic program accredited when they graduated. Another route requires at least two years licensed in another state and program accreditation within four years after graduation. The Board must also find that the program met comp… - Chiropractic exam standards and retake fees: mixed, low. Beginning July 1, 2025, applicants must apply at least 45 days before the Maryland chiropractic exam. The exam covers Maryland practice laws and infection control; passing requires 75% overall, plus 60% per subsection where required. Applicants must also pass all applicable sections of the National… - New nomination rules for chiropractic board: mixed, low. Beginning July 1, 2025, Maryland's chiropractic board remains seven members: five chiropractors and two consumers. Chiropractor members must live in Maryland, hold active licenses in good standing, and have practiced there for five consecutive years. The law removes the resident-course graduation r… ## Sponsors and cosponsors - Sponsor: Terri L. Hill (Democratic), House - Cosponsor: Heather Bagnall (Democratic), House - Cosponsor: Harry Bhandari (Democratic), House - Cosponsor: Brian Chisholm (Republican), House - Cosponsor: Bonnie Cullison (Democratic), House - Cosponsor: Pam Lanman Guzzone (Democratic), House - Cosponsor: Thomas S. Hutchinson (Republican), House - Cosponsor: Anne R. Kaiser (Democratic), House - Cosponsor: Kenneth Kerr (Democratic), House - Cosponsor: Nicholaus R. Kipke (Republican), House - Cosponsor: Lesley J. Lopez (Democratic), House - Cosponsor: Ashanti Martinez (Democratic), House - Cosponsor: Joseline A. Peña-Melnyk (Democratic), House - Cosponsor: Teresa E. Reilly (Republican), House - Cosponsor: Samuel I. Rosenberg (Democratic), House - Cosponsor: Steve Johnson (Democratic), House - Cosponsor: Kathy Szeliga (Republican), House - Cosponsor: Deni Taveras (Democratic), House - Cosponsor: Jennifer White Holland (Democratic), House - Cosponsor: Jamila J. Woods (Democratic), House - Cosponsor: Teresa Woorman (Democratic), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-03-31 | Senate | Third Reading Passed | pass | 47 | 0 | | | 2025-03-06 | House | Third Reading Passed | pass | 137 | 0 | 2 | ## Actions (12) - 2025-04-08: Approved by the Governor - Chapter 21 - 2025-04-01: Returned Passed (House) - 2025-03-31: Third Reading Passed (47-0) (Senate) - 2025-03-25: Favorable Adopted Second Reading Passed (Senate) - 2025-03-24: Favorable Report by Finance (Senate) - 2025-03-10: Referred Finance (Senate) - 2025-03-06: Third Reading Passed (137-0) (House) - 2025-03-04: Second Reading Passed with Amendments (House) - 2025-03-04: Favorable with Amendments {413524/1 Adopted (House) - 2025-03-03: Favorable with Amendments Report by Health and Government Operations (House) - 2025-01-22: Hearing 2/18 at 1:00 p.m. (House) - 2025-01-22: First Reading Health and Government Operations (House) ## Bill text - Enacted, 2025-04-08: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_21_hb0514t.pdf) - Third Reading, 2025-03-04: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0514t.pdf) - First Reading, 2025-01-22: [PDF](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0514f.pdf) ## Related bills - HB 0384: Maryland Disability Service Animal Program - Established (vetoed) - SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions (vetoed) - HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination Review Process (vetoed) - SB 0157: Maryland Disability Service Animal Program - Established (vetoed) - HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization (became law) - HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard (signed) ## Sources - [Enacted (PDF)](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_21_hb0514t.pdf) - [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0514t.pdf) - [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/hb/hb0514f.pdf) ## Related - [HB 0384: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-HB0384-2025RS) - [SB 0227: Workers' Compensation - Payment From Uninsured Employers' Fund - Revisions](https://policyrisk.com/state-bill/MD-SB0227-2025RS) - [HB 0482: Occupational Licensing and Certification - Criminal History - Predetermination…](https://policyrisk.com/state-bill/MD-HB0482-2025RS) - [SB 0157: Maryland Disability Service Animal Program - Established](https://policyrisk.com/state-bill/MD-SB0157-2025RS) - [HB 1294: Commercial Law - Credit Regulation - Earned Wage Access and Credit Modernization](https://policyrisk.com/state-bill/MD-HB1294-2025RS) - [HB 0228: Maryland Veterans Trust – Assistance to Members of the Maryland National Guard](https://policyrisk.com/state-bill/MD-HB0228-2025RS) - [Maryland bills](https://policyrisk.com/states/maryland/bills) - [Maryland state hub](https://policyrisk.com/states/maryland) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/MD-HB0514-2025RS (as of 2026-10-17).