PA HB1106

Creates a new "Certified Chiropractic Assistant" (CCA) credential in Pennsylvania requiring applicants to be at least 18, hold a high school diploma, graduate from a nationally recognized program, and pass a board-approved examination

Temporary certificates valid for 6 months allow practice under direct on-premises supervision while awaiting exam results; applicants who fail may retake the exam once between 60 days and one year after the first attempt

CCAs may provide, demonstrate, administer, or observe therapeutic exercise but cannot perform evaluations, adjustments, test interpretations, or modify patient care plans

Licensed chiropractors are limited to supervising no more than 3 certified chiropractic assistants at any time and remain responsible for all CCA-performed acts and services

Certificate renewal every 2 years requires at least 16 hours of continuing education, including 8 hours of in-person learning; the act takes effect 60 days after enactment