|(a) Condition of Renewal. A licensee is required to
attend continuing education courses as a condition of renewal of a
(1) Live format--any educational course that is not
pre-recorded and is presented in real time through an interactive
medium such as a live webinar or at an in-person training event.
(2) Online course--any pre-recorded or live format
educational course that is delivered through an internet-based platform.
All online courses shall have the means to verify attendance through
testing on the material presented or other approved format.
(1) Every licensee shall complete 16 hours of continuing
education each year unless a licensee is exempted under subsection
(e) of this section. Each licensee's reporting year shall begin on
the first day of the month in which his or her birthday occurs.
(2) The 16 hours of continuing education may be completed
through any course or seminar elected by the licensee that has been
approved by the Board.
(A) A licensee must attend any course designated as
a "TBCE Required Course" in a live format, and the course may be counted
as part of the 16 hour requirement. A minimum of four of the 16 annual
required hours of continuing education shall include topics designated
by the Board.
(i) A minimum of three hours of the total required
continuing education shall consist of a course specifically related
to the Board's rules including the Board's code of ethics, recordkeeping,
documentation, and coding.
(ii) A minimum of one hour of the total required continuing
education shall relate to risk management in chiropractic practice.
Risk management means the identification, investigation, and evaluation
of risks and methods to correct and eliminate those risks.
(iii) This may be taken online through a course offered
by the Board or in any live format course approved by the Board. An
instructor for this continuing education must meet one of the following
(I) hold a doctorate degree and hold an active license
to practice chiropractic or law;
(II) is part of the full-time faculty of a chiropractic
college accredited by the Council of Chiropractic Education;
(III) is some other qualified health care provider;
(IV) is an individual with substantial knowledge, skill,
and ability in chiropractic practice.
(iv) Licensees who were initially licensed on or after
September 1, 2012, must complete at least eight hours of continuing
education in coding and documentation for Medicare claims no later
than their second renewal period unless they are exempted under subsection
(e) of this section. The eight hours in coding and documentation for
Medicare claims may be counted as part of the total 16 continuing
education hours required during the year in which the eight hours
(v) The Board may issue public memoranda on urgent
public health issues. The Board will publish these on the Board's
website and distribute them to the major continuing education providers.
(B) A licensee who serves as an examiner for the National
Board of Chiropractic Examiners' Part IV Examination may receive credit
for this activity, not to exceed eight hours each year.
(C) A licensee is only allowed to take up to ten hours
of online courses that are not live format.
(3) A list of approved courses, including "TBCE Required
Courses", will be available on the Board's website. The Board will
also post notice of TBCE courses in its newsletter.
(4) A licensee who is unable to travel to attend a
continuing education course due to an illness or disability may satisfy
the Board's requirements by completing 16 hours of approved courses
online. If a licensee is unable to take an online course, the licensee
must submit a request for special accommodations to complete their
(1) At the Board's request, a licensee shall submit
written verification from each sponsor of the licensee's completion
of each continuing education course hour used to fulfill the required
hours for all years requested.
(2) A licensee submitting hours as a National Boards
examiner must submit written verification of the licensee's participation
from the National Boards, on National Boards letterhead. The verification
must include the licensee's name, board license number, and the date,
time, and place of each examination attended by the licensee as an
(3) Failure to submit verification as required by paragraph
(1) of this subsection shall be considered the same as failing to
meet the continuing education requirements of subsection (c) of this
(e) Exemption. The following are exempt from the requirements
of subsection (c) of this section:
(1) a licensee who holds an inactive license. If an
individual wishes to resume the practice of chiropractic during the
reporting year for which this exemption applies, the individual cannot
begin to practice until first obtaining all required continuing education
(2) a licensee who is a military member, veteran, or
military spouse during part of the 12 months immediately preceding
the annual license renewal date;
(3) a licensee who submits proof satisfactory to the
Board that the licensee suffered an illness or disability which prevented
the licensee from complying with the requirements of this section
during the 12 months immediately preceding the annual license renewal
(4) a licensee who is in their first renewal period.
(f) A military member who holds a license is entitled
to two years of additional time to complete:
(1) any continuing education requirements; and
(2) any other requirement related to the renewal of
the military member's license.