Sponsored Free Health Care Events

The Board of Chiropractic Examiners (Board) is pleased to announce that on October 1, 2015, the regulations for out-of-state chiropractors to seek authorization to participate in sponsored free health care events went into effect.  This regulation specifies the requirements and procedures to authorize out-of-state chiropractors, who possess valid, current, and active licenses, to participate in sponsored free health care events for uninsured or underinsured people on a short-term voluntary basis in the State of California. 

ENACTING LEGISLATION:

On September 23, 2010, Governor Arnold Schwarzenegger signed Assembly Bill 2699 (Chapter 270, Statutes of 2010), enacting Business and Professions Code (“Section 901”), which took effect January 1, 2011.  Section 901 provides an exemption for a health care practitioner, licensed or certified in another state, from the licensing requirements of the applicable California healing arts board.  To be exempted from California licensure requirements, a health care practitioner must provide services at a sponsored free health care event to uninsured or underinsured people on a short-term, voluntary basis.  Section 901 requires the out-of-state health care practitioner to seek authorization from the applicable healing arts board in California and provides the regulatory framework for the approval of an out-of-state health care practitioner and a sponsoring entity to seek approval from the applicable healing arts boards.  However, each individual healing arts board is responsible for promulgating regulations to specify the requirements for the approval of an out-of-state practitioner and a sponsoring entity.

To view Assembly Bill 2699, (Chapter 270, Statutes of 2010), please click here.

GOVERNING BOARD REGULATIONS:

Although AB 2699 became effective in 2011, the Board could not implement the program until regulations were in place.  The Board has adopted Sections 309, 309.1, 309.2, 309.3 and 309.4 of Title 16 of the California Code of Regulations to implement the provisions of Section 901.  Click on this link to view the regulations.  These regulations only apply to out-of-state chiropractors.  Other health care professionals should check with the appropriate California licensing board for eligibility requirements to participate in sponsored free health care events. 

> Sponsored Free Healthcare Regulations

SPONSORING ENTITIES:

Sponsored free health care events may be sponsored by either a “sponsoring entity” or a local government, or both.  Sponsored free health care events provide health care to the public without compensation to health care practitioners and must not exceed 10 calendar days. 

A “sponsoring entity” means a non-profit organization organized pursuant to Section 501(c)(3) of the Internal Revenue Code or a “community-based organization”.

A “community-based organization” means a public or private non-profit organization that is representative of a community or a significant segment of the community, and is engaged in meeting human, educational, environmental, or public safety community needs. 

Registration Form: A sponsoring entity that wishes to provide, or arrange for health care services at a sponsored event shall register on the “Registration of Sponsoring Entity Under Business & Professions Code Section 901”, Form 901-A (DCA/2014 – revised).  The Board has delegated the registration process for sponsoring entities to the Department of Consumer Affairs. 

To register, please download this form.

This form must be completed and submitted by the sponsoring entity at least 90 calendar days prior to the sponsored event. 

This form must be submitted to the Department of Consumer Affairs, as indicated on Page 4 of this form.

Local government and sponsoring entities requiring more information about registration for sponsored free health care events should contact the Department of Consumer Affairs at:

Department of Consumer Affairs
Attn.: Sponsored Free Health-Care Events
Complaint Resolution Program
1625 North Market Blvd., Suite S-202
Sacramento, CA 95834


Telephone: (916) 574-7950
Fax: (916) 574-8676
E-mail: CRP2@dca.ca.gov

Recordkeeping Requirements:  Regardless of where it is located, a sponsored entity is required to maintain, at a physical location in California, a copy of all records required by Section 901, as well as a copy of the authorization for participation issued by the Board to an out-of-state practitioner.

These records are required to be maintained for a period of at least five years after the date on which a sponsored event ended.  The records may be maintained in either paper or electronic form.  The sponsoring entity shall notify the Board at the time of registration as to the form in which it will maintain the records. In addition, the sponsoring entity is required to keep a copy of all records required by Section 901(g) at the physical location of the sponsored event until that event has ended.  These records are required to be available for inspection and copying during the operating hours of the sponsored event upon request of any representative of the Board.  In addition, the sponsoring entity shall provide copies of any record required to be maintained by Section 901 to any representative of the Board within fifteen (15) calendar days of the request. 

Requirement for Prior Board Approval of Out-of-State Volunteers (DC):  A sponsoring entity shall not permit an out-of-state volunteer chiropractor (DC) to participate in a sponsored free health care event unless and until the sponsoring entity has received written approval of such practitioner from the Board. 

Reporting Requirement:  Within fifteen (15) calendar days after a sponsored health care event has concluded, the sponsoring entity is required to file a report with the Board summarizing the details of the sponsored event.  This report may be in a form of the sponsoring entity’s choosing, but is required to include, at a minimum, the following information:

  1. The date(s) of the sponsored event;
  2. The location(s) of the sponsored event;
  3. The type(s) and general description of all health care services provided at the sponsored event; and
  4. A list of each out-of-state practitioner granted authorization pursuant to this article who participated in the sponsored event, along with the license number of that practitioner.

OUT-OF-STATE CHIROPRACTIC VOLUNTEERS

 A person who is not licensed to practice chiropractic in California, but who holds a current, active and valid license in good standing in another state, district or territory of the United States to practice chiropractic may seek authorization from the Board to provide such health care services at the sponsored free health care event. 

Note for California Chiropractic Licensees:  A chiropractor licensed in the State of California may volunteer to provide chiropractic services at a sponsored event if their California license is current, valid and active.  No further action is required before offering volunteer services.

Application Process and Fees:  An out-of-state licensed chiropractor may request authorization to participate in a sponsored free health care event by submitting a completed “Request for Authorization to Practice Without a License at a Registered Free Health Care Event”, Form 901-B (BCE/2015), to the Board. 

Out-of-state licensed chiropractors, who are requesting authorization, are required to also furnish either two full sets of fingerprints or submit a Live Scan inquiry to establish identity and to permit the Board to conduct a criminal history record check.  This requirement applies only to the first application for authorization that is submitted to the Board by the applicant. 

If the application is approved, the Board will notify both the out-of-state chiropractor and the sponsoring entity that authorization has been given for the chiropractor to participate in a specific sponsored free health care event; the authorization period may not exceed 10 days. 

An out-of-state chiropractor must submit a new application and processing fee for each sponsored event at which he or she wants to volunteer.

To apply for authorization, download this form.

 This completed form must be submitted by the out-of-state chiropractor at least 20 calendar days prior to the sponsored event.  The form must be submitted to:

Board of Chiropractic Examiners
901 P Street, Suite 142A
Sacramento, CA 95814

Every application form must be accompanied by payment of a non-refundable processing fee of $59.00.

Fingerprinting Process and Fees:  For consumer protection, California law requires all applicants to undergo a criminal background check.  All applicants must submit their fingerprints by either using the Live Scan system or by submitting two sets of completed fingerprint cards with a fingerprint processing fee of $49 made payable to the Board of Chiropractic Examiners.  Fingerprint cards will be provided by the Board upon request.  If processing by Live Scan, the $49 processing fee will be paid directly to the Live Scan facility. The average processing time for fingerprint cards is six (6) weeks.

Requirement of Notice to Patients:  Each out-of-state chiropractor authorized to provide chiropractic services at a sponsored free health care event is required to post a notice (specified in Cal. Code of Regulations section 309.4) which is visible to all patients.

FOR MORE INFORMATION:
Sponsoring entities requiring more information about registration for sponsored free health care events should contact the Department of Consumer Affairs at:

Telephone: (916) 574-7950
Fax: (916) 574-8676
E-mail:  CRP2@dca.ca.gov

Out of state chiropractic volunteers requiring more information about registration for sponsored free health care events should contact the Board of Chiropractic Examiners at:

Telephone:  (916) 263-5355
Fax: (916) 327-0039

E-mail: chiro.info@dca.ca.gov