House Bill 593 Summary

• Creates a certificate in specialized clinical nutrition for chiropractors, required to administer nutritional substances via intravenous, intramuscular, intra-articular, subcutaneous, and subdermal routes; all licensed chiropractors may use oral, enteral, topical, and transdermal routes without the certificate.

• Establishes a five-member Chiropractic Nutritional Substance Formulary Council with two chiropractors, one pharmacist, one medical physician, and one public member to create and annually review an approved formulary of nutritional substances.

• Limits the formulary council to adding only vitamins, minerals, botanical/herbal nutrients, phytonutrients, antioxidants, and nondurable medical goods (needles, syringes, saline, etc.); prohibits controlled substances and legend drugs except those approved by the council.

• Requires certificate holders to complete 44 hours didactic nutrition, 44 hours practicum nutrition, and 32 hours practicum in injectable nutrients including sterile needle practices and intravenous safety; must maintain current CPR/BLS certification and complete continuing education.

• Most provisions effective July 1, 2017; establishment of formulary council and board rulemaking authority effective July 1, 2016.