Practice of Chiropractic Medicine
Summary
Practice of Chiropractic Medicine ; Revises definition of term "practice of chiropractic medicine"; authorizes chiropractic physicians to possess, for emergency purposes only at chiropractic physician's office or place of business, prescription medical oxygen; authorizes chiropractic physicians to order, store, possess, prescribe, & administer, only by means of injection at chiropractic physician’s office, sterile substances, including vitamins, minerals, & nutritional supplements; prohibits chiropractic physicians from administering certain sterile substances by means of injection unless he or she has been certified by board; prohibits chiropractic physicians from administering certain any substance through intravenous therapy; requires chiropractic physician to be certified before administering sterile substances in specified manner; requires Board of Chiropractic Medicine to establish minimum standards of practice for administration of certain sterile substances by means of injection by chiropractic physicians; provides requirements for such standards; requires board to issue chiropractic physician letter certifying that he or she is authorized to administer specified sterile substances by means of injection under certain conditions.
Bill status
died
3 of 5 stages cleared
Introduction
Nov 2025
Committee Review
Feb 2026
House Passage
Feb 2026
Senate Passage
Governor
Introduced Nov 17, 2025
Last action Mar 13, 2026
Maddy AI version diff · 2 comparisons
What changed between versions
H 439 c1
→
H 439 c2
·
3 edits
MINOR
The bill was renumbered from CS/HB 439 to CS/CS/HB 439, indicating it has been amended by the Senate. The substantive policy changes involve reorganizing how chiropractic physicians can administer sterile substances. The original version allowed ordering, storing, possessing, prescribing, and administering sterile substances (vitamins, minerals, nutritional supplements) via injection. The revised version separates these powers: chiropractic physicians retain the ability to order, store, possess, prescribe, and administer sterile substances via injection, but the ability to possess prescription medical oxygen for emergency purposes was moved to a different subsection.
Scope change
The bill's scope regarding sterile substance administration remains largely the same, but the organizational structure of the statute was reorganized to clarify the separation between injection privileges and emergency oxygen possession.
REQUIREMENT
Reorganized the statutory language regarding sterile substance administration to separate the authority to order, store, possess, prescribe, and administer sterile substances via injection from the authority to possess prescription medical oxygen for emergency purposes.
DEFINITION
Reordered the subsections within the definitions of chiropractic physician practices to improve clarity on what actions are permitted versus restricted.
TECHNICAL
The bill was amended by the Senate, changing the designation from CS/HB 439 to CS/CS/HB 439 to reflect the Senate's version of the House bill.
Floor votes · House Feb 25, 2026
How they voted
111–2
Passed · 5 other
Total votes 118
Feb 25, 2026
D
Democratic34
85% Yea
R
Republican84
97% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
30
Key actions
9
Committee
13
Feb 26, 2026
Committee
Referred to Rules
upper
Feb 25, 2026
Lower · Passed
CS passed; YEAS 110, NAYS 2
lower
Feb 13, 2026
Committee
Bill referred to House Calendar
lower
Feb 12, 2026
Lower · Passed
Reported out of Health & Human Services Committee
lower
Feb 10, 2026
Lower · Passed
Favorable with CS by Health & Human Services Committee
lower
Feb 6, 2026
Lower · Passed
Added to Health & Human Services Committee agenda
lower
Feb 6, 2026
Lower · Passed
Now in Health & Human Services Committee
lower
Feb 6, 2026
Committee
Referred to Health & Human Services Committee
lower
Feb 4, 2026
Lower · Passed
Reported out of Health Professions & Programs Subcommittee
lower
Feb 3, 2026
Lower · Passed
Favorable with CS by Health Professions & Programs Subcommittee
lower
Jan 30, 2026
Lower · Passed
Added to Health Professions & Programs Subcommittee agenda
lower
Nov 24, 2025
Lower · Passed
Now in Health Professions & Programs Subcommittee
lower
Nov 24, 2025
Committee
Referred to Health & Human Services Committee
lower
Nov 24, 2025
Committee
Referred to Health Professions & Programs Subcommittee
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Nan Cobb
RRepublican
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