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The ACA Pushes for Clarification of PPACA Provision


There is political interaction between many different stakeholders in healthcare, and various entities within the government. With the passing of the Patient Protection and Affordable Care Act, there have been so many political attempts to have it deemed unconstitutional, specifically due to the individual mandate provision of the law. While the law has weathered the political storm and come out on the other side untouched, many politicians and healthcare stakeholders have problems with the vague language in the law.

In the case of chiropractic care, many different organizations have lobbied for clarification of certain provisions within the Patient Protection and Affordable Care Act that have impacted chiropractic care. Recently, the American Chiropractic Association work diligently to clear up Section 2706 (a) of the law. This provision was regarding the limited access to some disciplines of medicine, including chiropractic care, and the licensing qualifications for these professionals. The language of the law was quite clouded in that many states were lead to restrict certain types of medical care due to these vague licensing requirements.

The American Chiropractic Association viewed Section 2706 (a) as a significant setback for chiropractic care as chiropractic professionals are, as deemed by the Patient Protection and Affordable Care Act, non-MD/DO providers. The restrictions placed on these professionals had states misunderstanding the various different licensing structures and qualifications of non-MD/DO care providers. Thus, patients would have limited if not poor access to chiropractic care as many different professionals could not practice.

The result of the American Chiropractic Association’s efforts helped clarify what was so difficult to understand and in some ways, harmful to chiropractic professionals. The United States Center for Medicare and Medicaid Services released a list of Frequently Asked Questions about Section 2706 (a) to help various different stakeholders understand the interactions between the law, the licensing requirements, and the non-MD/DO professionals altogether.

In many cases, lobbying by large organizations can lead to great change in certain policies. Healthcare is one professional sector where this process is quite common.

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