SB 1021 Arizona Senate · 57th Legislature - Second Regular Session

chiropractic board; complaints; training; authority

SB 1021 updates Arizona's chiropractic regulations to strengthen patient record-keeping and transparency. It requires chiropractors to maintain detailed patient records - including health history, treatment plans, and visit notes - for at least six years, and prohibits failing to disclose financial interests when referring patients to other providers. The bill also mandates written notice to the board about record storage locations when a practice closes. These changes directly affect licensed chiropractors and chiropractic assistants by setting clear standards for documentation and accountability.
Bill status failed 3 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Feb 2026
Senate Passage
Mar 2026
House Failed
Apr 2026
Governor
Introduced Dec 9, 2025 Last action Apr 27, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

House Engrossed Version (04/27/2026) Senate Engrossed Version (03/02/2026) · 8 edits · Mar 2, 2026
MODERATE
The bill was amended to shift its focus from general health profession regulatory boards to specifically regulating the State Board of Chiropractic Examiners. The changes introduce strict new requirements for patient record retention, mandatory conflict-of-interest training for board members, and immediate referral of criminal allegations to law enforcement. Additionally, the bill clarifies definitions regarding unprofessional conduct and establishes a formal discipline matrix to ensure consistent enforcement of rules.
Scope change
The bill's scope narrowed from a broad application to all health profession regulatory boards to a specific focus on the State Board of Chiropractic Examiners and chiropractic practice.
DEFINITION

New definitions were added for 'chiropractic assistant' and 'physical medicine modalities' to clarify the scope of practice and training requirements.

REQUIREMENT

A new section mandates that board members and employees complete annual conflict-of-interest disclosure forms and specific training on open meetings and board authority.

Strict patient record retention rules were added, requiring records to be kept for six years and mandating written notice of record locations if a practice closes.

The grounds for unprofessional conduct were expanded and clarified to include specific prohibitions on sexual contact with patients, misrepresentation of cures, and unauthorized use of physical medicine modalities.

New financial regulations require the board to disclose financial interests when referring patients to diagnostic or treatment facilities.

ENFORCEMENT

The board is now required to refer any information indicating a licensee committed a misdemeanor or felony to law enforcement within two business days.

A new 'discipline matrix' must be maintained by the executive director to ensure consistent punishment for similar violations, which must be available to licensees under investigation.

TIMELINE

Investigation timelines were standardized, with a requirement to complete initial reviews within 90 days and final decisions within 220 days.

Floor votes · House Apr 27, 2026

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
15
Key actions
6
Committee
1
Amendments
2
Apr 27, 2026
Vote failed
House Vote: fail (22-35-3)
house
Apr 16, 2026
Lower · Passed
DPA
lower
Mar 25, 2026
Lower · Passed
DPA/SE
lower
Mar 2, 2026
Upper · Passed
PASSED
upper
Feb 24, 2026
Upper · Passed
PASSED
upper
Feb 24, 2026
Upper · Passed
DP
upper
Feb 4, 2026
Upper · Passed
DP
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Janae Shamp
Janae Shamp
RRepublican
AZ
29