# Maryland SB 0052: Health Occupations - State Board of Chiropractic Examiners - Revisions

Maryland SB 0052, Health Occupations - State Board of Chiropractic Examiners - Revisions, is a 2025 Regular Session Senate bill sponsored by Malcolm Augustine (Democratic); status signed, last action 2025-04-08 (Approved by the Governor - Chapter 22); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/MD-SB0052-2025RS
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Maryland SB 0052
- State: Maryland
- Session: 2025 Regular Session
- Title: Health Occupations - State Board of Chiropractic Examiners - Revisions
- Status: signed
- Chamber: Senate
- Introduced: 2024-09-24
- Last action: 2025-04-08, Approved by the Governor - Chapter 22
- Sponsor: Malcolm Augustine (Democratic)
- Cosponsors: 0
- 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, Notices, Rules and Regulations
- Touches household money: yes
- Roll calls: 2 (184 yes, 0 no in all)
- Economic provisions PRIA read: 8

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Supervised clinical training for chiropractic students: benefit, medium. Beginning July 1, 2025, eligible chiropractic students can practice through organized clinical training called a preceptorship without a full license. They must work under the direct supervision of a Board-approved licensed chiropractor. A qualifying accredited chiropractic program or foreign equiv…
- Chiropractors face rules for restarting inactive licenses: cost, low. Beginning July 1, 2025, chiropractors restarting an inactive license must meet continuing-education and CPR requirements for the applicable renewal period. They must also pay a Board-set reactivation fee. The law does not state the fee amount.
- New paths to Maryland chiropractic licenses: mixed, medium. Beginning July 1, 2025, Maryland removes prior bachelor's-degree and college-course requirements for chiropractic licenses. Applicants can qualify through a chiropractic program accredited at graduation by a qualifying accreditor or equivalent foreign agency. Another path requires at least two year…
- Temporary chiropractic licenses allow supervised practice: mixed, medium. Beginning July 1, 2025, the Board can grant temporary licenses to applicants still completing full licensing requirements. Applicants must have two years of out-of-state licensure or have graduated from an accredited chiropractic program within the previous six months. They must show good character…
- Chiropractic applicants face application and exam rules: mixed, low. Beginning July 1, 2025, chiropractic applications must include coursework, any preceptorship experience, certified transcripts, degree records, and good-character evidence. Applicants must also submit criminal-history-check evidence and an application fee at least 45 days before an exam. They must…
- New nomination rules for chiropractic board members: mixed, low. Beginning July 1, 2025, chiropractor board nominees can come from the Maryland Chiropractic Association or nominations signed by 20 Maryland-licensed chiropractors, up from 15. The Association's list must contain three times the number of vacancies, down from five times. Members must be Maryland re…
- Chiropractic oversight adds inspections and penalties: mixed, low. Beginning July 1, 2025, the Board can inspect chiropractic offices without notice after complaints alleging CDC standard-precautions violations. This power excludes residential settings and offices in hospitals, related institutions, freestanding medical facilities, or freestanding birthing centers…
- Chiropractic safety reviews require health exams: mixed, low. Beginning July 1, 2025, the Board must order a health exam during application reviews or investigations when objective evidence supports concern about harm. A Board-designated provider performs the exam, and the Board pays its cost. A written request counts as consent and waives confidentiality pro…

## Sponsors and cosponsors

- Sponsor: Malcolm Augustine (Democratic), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-03 | House | Third Reading Passed | pass | 138 | 0 |   |
| 2025-02-27 | Senate | Third Reading Passed | pass | 46 | 0 | 1 |

## Actions (14)

- 2025-04-08: Approved by the Governor - Chapter 22
- 2025-04-04: Returned Passed (Senate)
- 2025-04-03: Third Reading Passed (138-0) (House)
- 2025-03-28: Favorable Adopted Second Reading Passed (House)
- 2025-03-28: Favorable Report by Health and Government Operations (House)
- 2025-03-11: Hearing 3/18 at 1:00 p.m. (House)
- 2025-02-28: Referred Health and Government Operations (House)
- 2025-02-27: Third Reading Passed (46-0) (Senate)
- 2025-02-25: Second Reading Passed with Amendments (Senate)
- 2025-02-25: Favorable with Amendments {713023/1 Adopted (Senate)
- 2025-02-24: Favorable with Amendments Report by Finance (Senate)
- 2025-01-14: Hearing 1/28 at 1:00 p.m. (Senate)
- 2025-01-08: First Reading Finance (Senate)
- 2024-09-24: Pre-filed (Senate)

## Bill text

- Enacted, 2025-04-08: [PDF](https://mgaleg.maryland.gov/2025RS/Chapters_noln/CH_22_sb0052t.pdf)
- Third Reading, 2025-02-25: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0052t.pdf)
- First Reading, 2025-01-08: [PDF](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0052f.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_22_sb0052t.pdf)
- [Third Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0052t.pdf)
- [First Reading (PDF)](https://mgaleg.maryland.gov/2025RS/bills/sb/sb0052f.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-SB0052-2025RS (as of 2026-10-17).
