AL HB136

Defines a chiropractic agreement as a contract between a chiropractor and patient for services at an agreed-upon fee and time period, explicitly exempting it from state insurance regulation.

Eliminates requirement for chiropractors to obtain additional licenses or certificates of authority beyond their current chiropractic license when offering, marketing, selling, or entering into chiropractic agreements.

Requires chiropractic agreements to be in writing, signed by both parties, include 30-day termination notice provision, describe covered services, specify fees and duration, and prominently disclose that the agreement is not health insurance and may not count toward insurance deductibles.

Limits advance payments to no more than 12 months of periodic fees and mandates return of unearned fees upon patient termination.

Permits chiropractors to decline patients or discontinue care for non-payment, fraud, failure to follow treatment plans, abusive behavior, practice closure, or other conditions consistent with state chiropractic practice laws.