An Act amending the act of December 16, 1986 (P.L.1646, No.188), known as the Chiropractic Practice Act, in preliminary provisions, further providing for definitions; in licensure and regulation, further providing for refusal, suspension or revocation of license and for reporting of multiple licensure; providing for certified chiropractic assistants; in supportive personnel, further providing for supportive personnel; in penalty provisions, further providing for violation of other provisions and for civil penalty; and making an editorial change.

Added formal definitions for 'Certified Chiropractic Assistant,' 'Direct On-Premises Supervision,' and 'Therapeutic Exercise' to clarify legal standards.

Established new eligibility criteria and a formal certification process for chiropractic assistants, including requirements for continuing education.

Clarified that certified assistants may only perform specific therapeutic exercises as documented in the patient's plan of care under direct supervision.

Created new grounds for refusing, suspending, or revoking licenses or certificates, including failure to supervise assistants properly.

Mandated that chiropractors and certified assistants report multiple licenses or disciplinary actions in other jurisdictions to the state board.

Introduced new criminal penalties (misdemeanors) and civil penalties (up to $1,000) for practicing without a license or certificate.