S. 106 (119th)Bill Overview

Chiropractic Medicare Coverage Modernization Act of 2025

Health|Alternative treatmentsHealth
Cosponsors
Support
Republican
Introduced
Jan 16, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Finance.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

The bill amends Medicare law to broaden recognition of doctors of chiropractic as providers for physician services they are licensed to perform in a State. It conditions Medicare payment for such services on either (A) the chiropractor’s one-time verification of attendance at an educational/documentation webinar designed by the Secretary, or (B) that the service is manual manipulation of the spine to correct a subluxation.

Why people may split

Liberal emphasizes access and non-opioid benefits for beneficiaries

Watch point

Relative to its intended legislative type, this bill is a clear substantive amendment to Medicare law that broadens coverage for chiropractic providers by revising statutory definitions and payment rules.

The bill amends Medicare law to broaden recognition of doctors of chiropractic as providers for physician services they are licensed to perform in a State.

It conditions Medicare payment for such services on either (A) the chiropractor’s one-time verification of attendance at an educational/documentation webinar designed by the Secretary, or (B) that the service is manual manipulation of the spine to correct a subluxation.

The amendment removes prior narrow statutory language and lets chiropractors bill for services within their state-authorized scope, subject to the webinar/payment limitation.

Passage40/100

Modest chance as a rider or in a larger health package; standalone passage is harder due to cost questions and stakeholder debate.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a clear substantive amendment to Medicare law that broadens coverage for chiropractic providers by revising statutory definitions and payment rules. It gives the Secretary delegated authority for certain standards and a verification process but leaves substantial operational, fiscal, and oversight detail unspecified.

Contention65/100

Liberal emphasizes access and non-opioid benefits for beneficiaries

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedLikely burdened

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitExpands beneficiary access to a broader range of chiropractor-provided services under Medicare.
  • Potential benefitAligns Medicare coverage with VA, DoD, FEHB, and many private insurers, reducing coding differences.
  • Potential benefitMay reduce use of higher-cost interventions through conservative chiropractic care, potentially lowering downstream spe…
Likely burdened
  • Potential burdenLikely increases Medicare spending if utilization of chiropractic services rises substantially.
  • Potential burdenAdds administrative burdens for CMS and providers to verify webinar completion and enforce standards.
  • Potential burdenWebinar-based verification may be insufficient to prevent overbilling or inappropriate services without stronger oversi…
03 · Why people split

Why the argument around this bill splits.

Liberal emphasizes access and non-opioid benefits for beneficiaries
Progressive75%

Generally supportive of expanded access to non-opioid, conservative musculoskeletal care for Medicare beneficiaries.

Sees alignment with VA, DoD, FEHB, and private insurers as an equity improvement.

Concerned that the bill’s training requirement (a single webinar) may be too minimal and wants stronger quality and oversight provisions.

Leans supportive
Centrist60%

Cautiously favorable but pragmatic: supports improving beneficiary access and aligning federal programs while stressing need for guardrails.

Wants clearer statutory definitions, cost estimates, and anti-fraud measures before full endorsement.

Views a one-time webinar as a low-cost, simple implementation step but requests clearer minimum standards and oversight.

Split reaction
Conservative25%

Skeptical of expanding federal Medicare recognition and payment authority for chiropractors beyond traditional services.

Concerned this widens federal entitlements, increases spending, and raises fraud risk.

Might accept narrow, clearly limited changes but opposes open-ended coverage expansion tied to only a single webinar.

Likely resistant
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood40/100

Modest chance as a rider or in a larger health package; standalone passage is harder due to cost questions and stakeholder debate.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • Net fiscal cost and CBO score are absent
  • Level of stakeholder support or opposition (AMA, AARP, chiropractors)
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberal emphasizes access and non-opioid benefits for beneficiaries

Modest chance as a rider or in a larger health package; standalone passage is harder due to cost questions and stakeholder debate.

Unlocked analysis

Relative to its intended legislative type, this bill is a clear substantive amendment to Medicare law that broadens coverage for chiropractic providers by revising statutory definitions and payment rules. It gives the S…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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