FCLB s 92nd Annual Educational Congress

Transcription

1 FCLB 2018 Annual Congress Page 1 FCLB s 92nd Annual Educational Congress Dallas, Texas May 3-6, 2018 Hyatt Regency Dallas

2 FCLB 2018 Annual Congress Page 2 Wednesday May 2 8:00 AM - 5:00 PM Windsor Updated 4/24/2018 Agenda subject to change FCLB Office - Dallas Belt ~ NBCE Office - Shawnee Trail FCLB BOARD OF DIRECTORS MEETING 2:00-4:00 PM FCLB COMMITTEE MEETINGS - determined by chairs 2:00-4:00 PM Dallas Belt FCLB CONFERENCE CHECK-IN Thursday May 3 5:00 PM DEADLINE TO SUBMIT FCLB RESOLUTIONS Wednesday evening on your own. 7:00-8:00 AM Dallas Belt 7:30 AM Pegasus Ballroom Foyer 7:00 AM Cockrell FCLB CONFERENCE CHECK-IN BREAKFAST Full breakfast for registrants. NEW ATTENDEE ORIENTATION & BREAKFAST Is this your first meeting? Learn more about the missions and work you are taking part in. EDUCATIONAL PROGRAM - PEGASUS BALLROOM - LOBBY LEVEL GUEST HOST: Karlos Boghosian, D.C. (CT) 8:15 AM 8:30 AM WELCOME & OPENING REMARKS Maggie Colucci, D.C (NV) - FCLB President UPDATE ON THE PROFESSION George Curry, D.C. - President - ICA N. Ray Tuck, Jr., D.C. - President - ACA Kurt Hamilton, D.C. - Standard Process

3 FCLB 2018 Annual Congress Page 3 8:45 AM 28th ANNUAL JOSEPH JANSE LECTURE Frank Nicchi, D.C., M.S. ABOUT THE LECTURE SERIES...Speakers for the Janse Lecture series are chosen by a committee of the FCLB board based on their oratory skills, ability to envision future possibilities, and to encourage the audience of regulators to consider new points of view, new perspectives in their approaches to public protection. The Janse Lecture is successful if the speaker presents a different viewpoint and rekindles passion. 9:30 AM EDUCATIONAL SESSION - Opioid Epidemic Sherry McAllister, MS(ed), D.C. Executive Vice President Foundation for Chiropractic Progress 10:15 AM MIDMORNING BREAK 10:30 AM CONCURRENT PRESENTATIONS EDUCATIONAL SESSION - WHOSE IN CHARGE: DELEGATION & CONFLICT OF INTEREST Dale Atkinson, Esq., Atkinson & Atkinson Moreno AB Atrium Level ANIMAL CHIROPRACTIC Bill Ormston, DVM & Amy Hayek, DVM 11:15 AM STROKE IN CHIROPRACTIC Gerard W. Clum, D.C., FICA 12:15 PM 12:30 PM COCSA UPDATE Don Cross, D.C., President CCE- US UPDATE Craig Little, D.C., M.Ed. - President - CCE-US 12:45 PM LUNCH ON YOUR OWN 1:00 PM Cockrell FCLB ALUMNI LUNCHEON - HONORARY FELLOWS Hosted by Maggie Colucci, D.C. (NV), FCLB President By invitation only.

4 FCLB 2018 Annual Congress Page 4 AFTERNOON SESSIONS 2:00-2:45 PM Pegasus Ballroom 2:45-3:30 PM Pegasus Ballroom START WITH WHY Dale Atkinson, Esq., Atkinson & Atkinson ATTORNEY PANEL: Dale Atkinson, Esq., Atkinson & Atkinson - Moderator Panel Members: Mona Baskin, Esq., (AZ) Ajay Gohil, Esq., (DC) and Louis Ling, Esq., (NV) Board attorneys from across the country will discuss various legal topics in their states and focus on the issue of multi disciplinary concerns. 2:00 PM Windsor 2:30-3:30 PM Gaston A 3:30-4:30 PM Cockrell FCLB FINANCE COMMITTEE MEETING Carol Winkler, D.C. (ND) - FCLB Treasurer, Chair WORKSHOP: FCLB SERVICES Ms. Kelly Webb & Ms. Bridget Seader (FCLB) Discover the services your board may access through FCLB membership. Learn more about CIN-BAD, PACE, CCCA, PowerPolls, meetings, and more. MEMBERSHIP FORUM Moderator: Kirk Shilts, D.C. (MA) Review proposed bylaws and resolutions Meet Districts IV & V Director and Alternate Director candidates, Administrative Fellow Director candidates & Nominating Committee candidates Learn about committee and task force service 5:30-7:00 PM Cumberland Friday May 4 NATIONAL BOARD DAY RECEPTION Come catch up with your regulatory friends for a light reception and some heavy reminiscing. 7:00-8:00 AM Windsor Bryan Beeman A 7:30 AM Cockrell See separate Agenda FCLB COMMITTEE MEETINGS - determined by chairs Speciality Council Taskforce - Kirk Shilts, D.C. (MA) - Chair CCCA Committee - Carol Winkler, D.C. (ND) - Chair CHIROPRACTIC BOARD ADMINISTRATORS COMMITTEE (CBAC) BREAKFAST & MEETING Ms. Beth Carter (OK) - Chair & Ms. Patricia Oliver (LA) FCLB Board Liaison

5 FCLB 2018 Annual Congress Page 5 7:30 AM Reunion ABC 7:30 AM Reunion ABC 8:00 AM Dallas Belt BREAKFAST Full breakfast for registrants NBCE CHECK-IN FOR VOTING DELEGATES / ALTERNATES For information contact Kay Leff FCLB CREDENTIALS COMMITTEE MEETING Staff support: Ms. Vicki Young (FCLB) EDUCATIONAL PROGRAM BEGINS - NATIONAL BOARD DAY - PEGASUS BALLROOM 8:30 AM WELCOME and OPENING REMARKS Sal LaRusso, D.C. (FL), NBCE President 8:40 AM KEYNOTE ADDRESS Mr. John F. Floyd, Sr. - Floyd Law Group PLC, Nashville, Tennessee Mr. Floyd is a board-certified medical malpractice attorney who has tried to verdict more than 90 medical malpractice trials during his 28 year career. This presentation will focus on the defense of the chiropractic physician from the beginning of the suit through trial. After a brief presentation on some of the basic legal concepts involved in the professional liability claims and the defense of the chiropractic physician, the presentation will focus on one of the most controversial and oftentimes, the most devastating claims of vertebral and carotid artery dissections that are generally attributed to the chiropractic physician s treatment. Mr. Floyd will take the audience through the actual trial (through video) of a chiropractic physician who was alleged to have cause bilateral dissections that resulted in permanent brain injury. During the presentation, the audience is encouraged to ask questions and provide opinions on the subject matter. 9:50 AM NBCE PLENARY SESSIONS, including: NBCE : The State of the Organization Norman Ouzts, D.C., Executive Vice President NBCE Pychometric Practices Dr. Igor Himelfarb, Psychometrician EBAS: Evolution of EBAS In and Outside of the Chiropractic Profession Steve Conway, D.C., NBCE Vice President

6 FCLB 2018 Annual Congress Page 6 10:50 AM MIDMORNING BREAK 11:00 12:00 N NBCE Breakout Sessions, including: Please note: These concurrent sessions, each 15 minutes in length, will be repeated up to four times. Windsor Bryan Beeman A Cotton Bowl Bryan Beeman B Ethics and Boundaries: Updates on Examination Procedures Ms. Stacey Kjeldgaard, EBAS Executive Director; Steve Conway, D.C., Vice President and Paul Morin, D.C., Secretary & District III Director Communications: Interaction with State Board & Delegates Benjamin Lurie, D.C., District IV Director, Farrel Grossman, D.C., At-Large Director, John McGinnis, D.C., District V Director, Kirk Shilts, D.C. FCLB Appointed Director Part IV: Meet the New Part IV Director & Update on Evidence- Based Examinations & Diagnostic Imaging LeRoy Otto, D.C., District II Director & Andrew Gow, D.C., Part IV Director of Practical Testing NBCE Computerized Examination Update John Nab, D.C., Treasurer; Norman Ouzts, D.C., Executive Vice President; Salvatore LaRusso, D.C., President and Daniel Côté, D.C., District I Director 12:15 2:15 PM Reunion ABC 2:15-4:15 PM See separate Agenda Baker 2:15-4:15 PM Pegasus Ballroom NBCE LUNCHEON and ANNUAL BUSINESS MEETING CHIROPRACTIC BOARD LEGAL ADVISORS COMMITTEE MEETING (CBLAC) Mr. Ajay Gohill, Esq., (DC) Chair NBCE AFTERNOON SESSION Sharpen Your Skills, a two-hour presentation offering 2 PACE CE credits Malpractice Defense Perspective & Review of Regulatory Vignettes Mr. John Floyd, Steven Conway, D.C., Salvatore LaRusso, D.C. & Ms. Stacey Kjeldgaard

7 FCLB 2018 Annual Congress Page 7 2:15-3:15 PM Bryan Beeman A 4:30-5:00 PM Windsor FCLB MODEL PRACTICE ACT COMMITTEE MEETING Kirk Shilts, D.C. (MA), Chair FCLB RESOLUTIONS & BYLAWS COMMITTEE MEETING Kevin Fogarty, D.C. (FL), Chair Open session review of proposed bylaws amendments and resolutions. 4:45-10:00 PM NBCE Friday Event 5:00 p.m. & 6:00 p.m. board buses in lobby of the Hyatt. The buses will return to the Hyatt at 10:00 p.m. We will head to the House of Blues in Dallas for a night of music, line dancing and a Texas BBQ dinner buffet. The cost of the evening is covered in your registration, as well as two drink tickets. The cost for your guest is $ Saturday May 5 7:30 AM Reunion ABC DISTRICT BREAKFASTS ELECTIONS Hosts: FCLB District Directors District Director & Alternate Director elections for Districts IV & V Updates from your district director Fall meeting information EDUCATIONAL PROGRAM CONTINUED - PEGASUS BALLROOM GUEST HOST: Lisa Kouzes, D.C., (OR) 8:15 AM INTRODUCTION - WELCOME BACK TO THE FCLB PROGRAM Maggie Colucci, D.C. (NV), FCLB President International Update: David Hayes, D.C. - President - FCC HOPE Farm Friends of FCLB benefactor: Mr. Nobel Crawford 8:30 AM ANNUAL AWARDS PRESENTATION Maggie Colucci, D.C. (NV), FCLB President

8 FCLB 2018 Annual Congress Page 8 9:00 AM CONCURRENT PRESENTATIONS DOT PHYSICALS TO INFINITY AND BEYOND! Mike Megehee, D.C. Performing physical exams for commercial drivers is just the tip of the iceberg. Get the most up to date information regarding CDL physicals. The VA requirement to provide CDL physicals for veterans, FAA BasicMed exams for private pilots, USCG Merchant Mariner physicals, FRA locomotive engineer and conductor exams, Homeland Security Civil Surgeon physical exams and the vas number of private serctor physical exams. How does performing physical exams affect the chiropractic profession s standing in the health care arena. Bryan Beeman A & B Robert s Rules Overview Paul Morin, D.C. (ME) 9:45 AM PRESENTATION: Call to Action Carol Winkler, D.C. (ND) Now that you ve learned the information, commit to use it. Transform education in action. 10:15 AM OPEN FORUM - REGULATORY BOARD CONCERNS & ACHIEVEMENTS Moderator: Cynthia Tays, D.C. (TX) 11:00 AM MIDMORNING BREAK ANNUAL MEETING OF THE DELEGATE ASSEMBLY 11:15 AM Foyer DISTRIBUTION OF VOTING PADDLES - Tellers Committee 11:30 AM FCLB ANNUAL BUSINESS MEETING Maggie Colucci, D.C. (NV), FCLB President, Meeting Chair Seating of the Delegates Financial Report Resolutions & Bylaws Elections: Nominating Committee Announcements New Business Installation of the New FCLB Board of Directors 1:15 PM LUNCH ON YOUR OWN

9 FCLB 2018 Annual Congress Page 9 1:30-2:30 PM Windsor 2:30-4:00 PM Windsor Sunday May 6 8:30-9:30 AM Dallas Belt POST-CONFERENCE BOARD OF DIRECTORS MEETING FCLB Board of Directors FCLB BOARD OF DIRECTORS - NEW DIRECTOR ORIENTATION Training for newly-elected board members and alternates. WEEK IN REVIEW - Keita Vanterpool, D.C. (DC) Plan for 2019 in Mission Bay, California May 1-5, 2019 Hilton San Diego Resort and Spa Room rate: $219/night + taxes - single/double

10 FCLB 2018 Annual Congress Page 10 Annual Meeting Meeting Agenda Business Meeting Rules Minutes of the 91st Annual Congress Voting Delegate/Alternate Designation Delegates & Alternates Policy Delegate Responsibilities Proposed Bylaws Amendment Current Bylaws

11 FCLB 2018 Annual Congress Page nd Annual Congress Agenda Annual Meeting of the Delegate Assembly Chair: Maggie Colucci, D.C. FCLB President Saturday, May 5, Call to Order 2. Credentials Committee Report / Seating of the Delegates 3. Roll Call: Establishment of Quorum 4. Adoption of Business Meeting Rules and Protocol 5. Approval of Agenda 6. Dedication to Service 7. Announcement of the Approval of the 2017 Minutes by Committee: Orlando, Florida 8. Financial Report 9. Standing Committees & Special Committees or Task Forces 10. Introduction of Representatives to other organizations to which FCLB has voting representation # National Board of Chiropractic Examiners # Federation of Associations of Regulatory Boards # The Chiropractic Summit

12 FCLB 2018 Annual Congress Page 12 AGENDA: FCLB 2018 Annual Meeting of the Delegate Assembly May 5, 2018 page Business Reports # President # Executive Director # Legal Report 12. Resolutions and Bylaws Committee Report Nominating Committee Report: Elections # FCLB Administrative Fellow Director # Nominating Committee Members 14. New Business Members are invited to share announcements, significant developments or projects with the delegate assembly 15. Future Conference Sites 16. Installation Ceremony 17. Adjournment Protecting the public by promoting excellence in chiropractic regulation

13 FCLB 2018 Annual Congress Page 13 PROPOSED RULES ANNUAL BUSINESS MEETING May 5, 2018 Dallas, Texas In the interest of conducting an efficient, fair and effective annual meeting of the Federation, particularly in light of the limited time available, the FCLB Board of Directors recommends that the membership adopt the following rules to govern the business meeting: 1. Only the seated delegate shall speak for the member licensing board, including voting and making any motions, and 2. All comments or questions shall be addressed to the meeting Chair, unless the Chair specifically authorizes another individual to respond to comments, and 3. Comments or questions from the floor shall be made at the floor microphone, to enable everyone to hear clearly, and for the record, and 4. Presentation of each resolution shall be limited to no more than five minutes for the Resolutions Committee report, five minutes for the sponsor's comments, and five minutes total for questions and answers from the floor, and 5. Any delegate who speaks shall identify his/her full name and the name of the member licensing board prior to commenting, making motions or seconding motions, and 6. The membership agrees that the business meeting may be recorded electronically to preserve an accurate record of the proceedings.

14 FCLB 2018 Annual Congress Page st Annual Congress of the Federation of Chiropractic Licensing Boards MINUTES 2017 Annual Business Meeting Orlando, Florida Saturday, May 6, 2017 Chair: Farrel Grossman, D.C. - FCLB President Approved by the 2017 Minutes Committee: Dr. Greg Palkowski (OH) - Chair Dr. Lisa Kouzes (OR) Ms. Lisa Blanchard (ND) 1. Call to Order Dr. Farrel Grossman (SC) called the Annual Meeting of the Delegate Assembly of the Federation of Chiropractic Licensing Boards to order at 11:32 a.m. He announced he would serve as chair, Dr. Jon Schwartzbauer would serve as recording secretary and Dr. Paul Morin (ME) parliamentarian. The Federation s Board of Directors were introduced. 2. Credentials Committee Report - Mr. Justin Bohall (AZ), Chair Mr. Bohall reported that the committee which included himself, Dr. Patricia Schumacher (WI), and Dr. Glenn Taylor (OR) reviewed the credentials of the delegates and found that those delegates and alternates were properly registered should be seated. Hearing no objections, the chair declared the delegates and alternates seated. 3. Roll Call Dr. Jon Schwartzbauer called the roll. Based on 38 as the number of properly registered delegates present, the chair declared 20 as the number of votes which constituted a simple majority, and 26 as the number for a 2/3 majority vote. [A list of the registered delegates present is attached.] 4. Business Meeting Rules and Protocol Delegates were referred to the proposed business meeting rules and protocol as recommended by the board of directors. The intention is to conduct business in the time available and provide a clear and accurate record. Hearing no objections or amendments, the chair declared the Business Rules and Protocol adopted as presented. 5. Business Meeting Agenda Delegates were referred to the proposed agenda as recommended by the board of directors. The intent is to conduct business in a timely manner and have a clear and accurate record of the proceedings. Hearing no objections or amendments, the chair declared the agenda adopted as presented. Min u te s FCLB An n u al Busin e s s Me e tin g O rlan d o, FL May 6, 2017 Pag e 1 o f 7

15 6. Dedication to Service - presented by Dr. Karlos Boghosian FCLB 2018 Annual Congress Page Minutes - 90th Annual Congress, Phoenix, AZ The chair announced that the minutes for the 2016 Annual Meeting were approved by the minutes committee which was chaired by Ms. Emily Cronbaugh (WY), and included Dr. Kevin Donovan (RI) and Dr. Lee Hudson (MT). The minutes committee for 2017 will be chaired by Dr. Greg Palkowski (OH), and include Dr. Lisa Kouzes (OR) and Ms. Lisa Blanchard (ND). 8. Introduction of Honored Attendees The chair then recognized special guests, including FCLB past presidents, and board members; NBCE Board of Directors, the NBCE executive vice president and staff; representatives from the Federation of Canadian Chiropractic, the Chiropractic Summit and CCE-US, ACA, ICA, and ICRS; our college leaders and our 2017 supporters of the 91 st Annual FCLB Congress. NBCE was thanked for their shared conference expenses support and ongoing support of chiropractic regulation. 9. Finance Report - Dr. Kirk Shilts (MA), Finance Committee Chair Dr. Shilts, FCLB Treasurer, thanked Dr. Robert Daschner (MN) and Dr. Michael Cavanaugh (LA) for serving on the Finance and Audit Committee, but mentioned that Dr. Cavanaugh was unable to be present. He also thanked Ms. Vicki Young, the Finance and Benefits Manager. The committee met on May 4, 2017 and reviewed the 2016 financial report and also the membership dues abatement. The Finance Committee received a proposal from the Board of Directors to lower the dues adjustment to 2.5% from 5%. The Finance Committee will be recommending this adjustment for adoption. The committee also reviewed the audit, as prepared by the certified public accountant firm of Anderson Whitney for the year ended December 31, 2016 as well as other financial reports, financial policies, and the budget for Dr. Shilts referred members to the annual report section of the attendee materials for a summary of the 2016 figures and the 2017 budget, and presented the highlights of 2016 and projections for There were no questions. 10. Introduction of Standing Committees and Special Committees or Task Forces The chair recognized the chairs of the FCLB standing committees and special committees and task forces for their contributions to the Federation. 11. Other organizations to which FCLB has voting representation The chair thanked everyone who represents the FCLB to the National Board of Chiropractic Examiners (NBCE), the Federation of Associations of Regulatory Boards (FARB) and the National Practitioner Databank Executive Committee (NPDBEC). 12. Business Reports A. President s Report Dr. Grossman recognized the FCLB staff. He commented that regulators are helping make patients safer by educating chiropractors. He stated this is a global healthcare age and era of renewal based on our ability to perform at optimum levels with ongoing educational processes that keep us current. We are also growing by making chiropractic more accessible. PACE certifies quality continuing education to the profession and it Min u te s FCLB An n u al Busin e s s Me e tin g O rlan d o, FL May 6, 2017 Pag e 2 o f 7

16 works. While the majority of the boards are now accepting PACE, what about the rest? He urged the remaining states to reconsider using PACE to justify quality CE for their doctors. He reported that he has had three objectives as President: PACE, remodel management and to restructure the finance model. By rethinking the PACE financials we have made PACE viable and accessible. With the new executive director on board we have become lean and mean while the FCLB staff continues to produce more with less. And by restructuring the financial model we have nearly doubled our net worth and are able, for the first time in years, to reduce our membership dues increase. We have successfully created a new format for our educational conference as well as continue to provide states with the support they need from the FCLB. Now we will be focusing on the road ahead as people around the world will look at chiropractic as a force for good health. This global information network will give patients a chance to choose the health care they need. This integration creates opportunities but it also subjects us to destruction. We must not disentangle ourselves from the world but embody shared values and assume shared responsibilities. He stated that health care wars have taught us we achieve our aims by defending the values and lead forces of healthcare freedoms. B. Executive Director s Report Dr. Jon Schwartzbauer thanked Dr. Grossman and the Board of Directors for their support, dedication and commitment to our staff. That support allows us to show the numbers our Treasurer just reported. He also thanked the member boards because without them we wouldn t exist. Dr. Schwartzbauer recognized our conference sponsors for their passion for regulation and also thanked Dr. Colucci, Chair of the Conference Support Committee, as well as the honorary fellows in the room. He commended them for coming back, giving their expertise, knowledge and history, playing a role in moving forward. He also recognized the board administrators (CBAC), stating they were the glue that holds the boards together. And lastly he thanked our neighbors across the parking lot, the NBCE. Dr. Schwartzbauer commented that aside from our mission of protecting the public and serving our member boards, our greatest asset is human resources staff, board members, volunteers and the people in this room. Dr. Schwartzbauer announced that we are excited to launch a new vision statement. After 91 years without one we asked how do we see ourselves 15 years down the road. The first step in creating our vision statement was to agree on our core values. After much discussion, our board agreed on the following core values: public protection, advocate for uniform licensing, lessening burdens of government, promote service excellence and inter-intra professional cooperation. The spirit of these core values are reflected in our vision statement which reads: The FCLB is the premier international resource for information and consolidated services for ensuring the safe, ethical practice of chiropractic. Dr. Grossman thanked Dr. Schwartzbauer for giving 100% every day. FCLB 2018 Annual Congress Page Resolutions and Bylaws Committee Report - Dr. Kevin Fogarty (FL), Chair Dr. Fogarty expressed appreciation to his fellow members of the committee, Dr. Mark Bledsoe (SD), Dr. Daniel Côté (OR), and Dr. Ben Lurie (NV) and Dr. George Curry (CT). The committee met Friday, May 5, 2017 and he reported that the committee reviewed one bylaws amendment and voted to accept all seven sections. Min u te s FCLB An n u al Busin e s s Me e tin g O rlan d o, FL May 6, 2017 Pag e 3 o f 7

17 FCLB 2018 Annual Congress Page 17 A. Vote on proposed Bylaws Amendments The Resolutions and Bylaws Committee voted to accept the bylaws modification as a slate for all seven sections to include: Section 1, A - Nominating Committee; Section 4, B - Sanction or Termination of Membership of a Member Board; Section 5 - Reinstatement of Membership; Section 6, B - Sanction or Termination of a Fellow, Honorary Fellow or Administrative Fellow; Section 7 - Reinstatement of a Fellow, Honorary Fellow or Administrative Fellow; Section 6, A - Elections; Section 2 - Adoption. The committee moves to adopt this amendment as presented. No second is necessary and there was no discussion. Motion passes with 2/3 vote. B. Vote on proposed Resolutions Dr. Fogarty also reported there was one resolution submitted by the May 3, 2017 deadline. Resolution #1-17: Chiropractic Licensing Boards Affirmation on Chiropractic Pediatric Practice as submitted by the FCLB Board of Directors, and recommends that no member jurisdiction prohibits pediatric chiropractic. The committee moves to adopt this resolution as presented. No second is necessary and there was no discussion. Motion passes with a simple majority. 14. Modification of FCLB Dues The finance committee has received a proper proposal from the Board of Directors to lower the annual member dues adjustment from 5% to 2.5% to be revisited annually. The finance committee recommends adoption of this proposal and moves that the membership amend its current dues structure and lower the annual adjustment from 5% to 2.5%. Motion passes with 2/3 vote. 15. Nominating Committee Report - Dr. LeRoy Otto (MN), Chair Dr. Otto reported committee members as elected by the membership in 2016 included: Dr. Matthew Waldron (WA); Dr. Brian McIntyre (MO); Dr. Scott Storozuk (MA); Dr. Richard Guarino (AZ); and Dr. Mark Kruse (LA). As FCLB Immediate Past President, Dr. Otto served as chair. A. FCLB Officers President, Vice President and Treasurer Dr. Otto noted it was the committee s task to review candidates for The Nominating Committee nominated Dr. Margaret Colucci (NV) for the office of President. Dr. Fedorczyk (MD) made a motion to close nominations; Seconded by Dr. Palkowski (OH) Motion passes and Dr. Colucci was declared President for Min u te s FCLB An n u al Busin e s s Me e tin g O rlan d o, FL May 6, 2017 Pag e 4 o f 7

18 The Nominating Committee nominated Dr. Kirk Shilts (MA) for the office of Vice President. Dr. Fogarty (FL) made a motion to close nominations; Seconded by Dr. DeFranco (AL) Motion passes and Dr. Shilts was declared Vice President for The Nominating Committee nominated Dr. Carol Winkler (ND) for the office of Treasurer. Dr. Waddell (OK) made a motion to close nominations; Seconded by Dr. Salita (MN). Motion passes and Dr. Winkler was declared Treasurer for B. Nominating Committee FCLB 2018 Annual Congress Page 18 Dr. Otto noted it was the Nominating Committee s task to review candidates for the Nominating Committee and to recommend this slate to the delegate assembly. No candidates sent in their appropriate qualifying information to the FCLB executive offices by the March 7, 2016 deadline. The chair reviewed the qualifications to serve and noted that the bylaws require at least one person from each district be nominated, with the immediate past president of the FCLB designated as committee chair. Elected members will serve for a one-year term commencing at the close of this year s annual meeting. They must have attended two FCLB annual meetings and currently serving on a board or serving as an Administrative Fellow, and the candidate will not be eligible to be slated to serve on the board during their committee term. He called for nominations from the floor: District I: District II: District III: District IV: District V: Dr. Matthew Waldron (WA) nominated Dr. Glenn Taylor (OR) Dr. Margaret Freihaut (MO) nominated Dr. Scott Salita (MN) Dr. Keita Vanterpool (DC) nominated Dr. Lisa Lanzara-Bazzani (NH) Dr. James Badge (AZ) nominated Dr. Richard Guarino (AZ) Dr. Ned Martello (LA) nominated Dr. Dorothey Pernell (MS) Hearing no further nominations and with no objections from the membership, the chair declared the nominations for the Nominating Committee closed and by acclamation, elected the slate of nominees to the committee. 16. Announcement of District Election A. District I - Director and Alternate The chair announced the Saturday, May 6, 2017, district election results: District I Director - Dr. James Buchanan (WY) District I Alternate Director - Dr. Lisa Kouzes (OR) District II Director - Dr. Robert Daschner (MN) District II Alternate Director - Dr. Brian McIntyre (MO) Min u te s FCLB An n u al Busin e s s Me e tin g O rlan d o, FL May 6, 2017 Pag e 5 o f 7

19 17. New Business The chair announced they will be formally installed at the close of the meeting. Dr. Deb Hoffman (FL), on behalf of the Florida Chiropractic Association, extended an invitation to everyone to attend their national conference on August 24-27, No other new business. 18. Passing of the Gavel Dr. Colucci came forward to receive the passing of the gavel from Dr. Grossman. 19. Installation Ceremony - Dr. Lawrence O Connor (NJ) Dr. Grossman invited FCLB Past President, Dr. Lawrence O Connor (NJ) to do the honor of installing Dr. Maggie Colucci, Dr. Kirk Shilts, Dr. Carol Winkler, Dr. James Buchanan, Dr. Lisa Kouzes, Dr. Robert Daschner and Dr. Brian McIntyre to their duly elected offices. 20. Adjournment FCLB 2018 Annual Congress Page 19 With no further business, the 2017 Annual Meeting of the Delegate Assembly of the Federation of Chiropractic Licensing Boards was adjourned at 12:45 p.m. until May 5, 2018, in Dallas, TX. Jon Schwartzbauer, D.C. Executive Director / Recording Secretary Attached: List of Delegates present at roll call Page 6 of 7

20 FCLB 91 st Annual Congress Saturday, May 6, 2017 Voting Delegate / Alternate Present at Roll Call FCLB 2018 Annual Congress Page 20 Canadian Boards Nova Scotia Quebec Alabama Arizona California Colorado Connecticut District of Columbia Florida Idaho Illinois Kansas Louisiana Maine Maryland Massachusetts Minnesota Mississippi Missouri Montana Nevada New Hampshire New Jersey New Mexico North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania South Carolina Tennessee Texas Vermont Washington West Virginia Wisconsin Wyoming Janis Noseworthy, D.C. David Hayes, D.C. US Boards Peter DeFranco, D.C. Richard Guarino, D.C. Heather Dehn, D.C. Chad Hawk, D.C. Karlos Boghosian, D.C. Keita Vanterpool, D.C. Kevin Fogarty, D.C. Mary Jo White, D.C. Brian Zachariah, D.C. Terry Webb, D.C. R. Buckley VanBreemen, D.C. Paul Morin, D.C. Michael Fedorczyk, D.C. Glenn Dodes, D.C. Scott Salita, D.C. Dorothey Pernell, D.C. Margaret Freihaut, D.C. Lee Hudson, D.C. Jason Jaeger, D.C. Lisa M. Lanzara-Bazzani, D.C. Lawrence O Connor, D.C. Cathy Riekeman, D.C. Bruce Hilton, D.C. Michael Remmick, D.C. Gregory Palkowski, D.C. Chris Waddell, D.C. Glenn Taylor George Khoury, D.C. Ralph D. Roles, D.C. Michael Sobowale Mark Bronson, D.C. Vernon Temple, D.C. Matthew K. Waldron, D.C. Holly Harvey, D.C. Patricia Schumacher, D.C. James Buchanan, D.C. Page 7 of 7

21 FCLB 2018 Annual Congress Page Annual Meeting Delegates and Alternates Jurisdiction Delegate Alternate Alabama Dr. Allan Lowman Dr. Toya Burton Alaska Dr. Brian Larson Arizona Dr. Richard Guarino Dr. James Badge Arkansas Dr. Kent Moore Dr. Dustin Heard California Dr. Heather Dehn Dr. Corey Lichtman Colorado Dr. Randy Knoche Dr. Michelle Wendling Connecticut Delaware Dr. Karlos Boghosian District of Columbia Dr. Keita Vanterpool Dr. Justin Klein Florida Dr. Danita Heagy Dr. Christopher Fox Georgia Dr. Robert Alpert Dr. Andrew Krantz Hawaii Idaho Dr. Herbert Oliver Dr. Kathleen McKay Illinois Indiana Iowa Dr. Brian Zachariah Kansas Dr. Steven Gould Dr. Terry Webb Kentucky Dr. Jeff Smith Dr. Chad Henderson Louisiana Dr. Ned Martello Dr. Jon Zeagler Maine Dr. Paul Morin Dr. Chandra Sasseville Maryland Dr. Michael Fedorczyk Dr. Kindra Ingram Massachusetts Dr. Kirk Shilts Michigan Dr. Ronald H. Wilcox, Jr. Dr. Donald M. Reno Minnesota Dr. Scott Salita Dr. Ridge Pidde Mississippi Dr. Dorothey Pernell Dr. Kathryn Stanek Missouri Dr. Margaret "Marty" Freihaut Dr. Brian McIntyre Montana Dr. Amy Pezo Nebraska Dr. Jeremiah Rethwisch Dr. David Lauer Nevada Dr. Benjamin Lurie Dr. Margaret Colucci New Hampshire Dr. Lisa M. Lanzara-Bazzani Dr. Keith J. Zimmermann New Jersey Dr. Albert Stabile Dr. David Allen

22 FCLB 2018 Annual Congress Page 22 New Mexico Dr. Cathy Riekeman Dr. Michael Pendleton New York Dr. Bruce Steinberg Dr. Fiona Jarrett-Thelwell North Carolina Dr. Kevin Sharp Dr. Thomas Ayres, III North Dakota Dr. Michael Remmick Ms. Lisa Blanchard Ohio Dr. Gregory Palkowski Dr. Mickey Frame Oklahoma Dr. Chris Waddell Dr. Amanda Miller Oregon Mr. Glenn Taylor Ms. Amber Reed Pennsylvania Dr. George Khoury Dr. Joseph Halloran Rhode Island Dr. Charles Kevin Donovan Dr. Frances Aragao South Carolina Dr. Beth Ehlich Dr. Antony Kyles South Dakota Ms. Marcia Walter Dr. Jeff Kramer Tennessee Dr. Christopher Alexander Dr. Curtis Damien Texas Dr. Nicholas Baucum Dr. Mark Bronson Utah Dr. Terry Martin Dr. Jay Anderson Vermont Dr. Heather Rice Dr. James McDaniel Virginia Dr. Ray Tuck, Jr. Washington Dr. Aaron Chan Dr. David Folweiler West Virginia Dr. Holly Harvey Dr. Jeffrey Summers Wisconsin Dr. Patricia Schumacher Dr. Bryan Gerondale Wyoming Dr. James Buchanan Nova Scotia Dr. Janis Noseworthy Dr. Cora-Lee Peddle Quebec Dr. David O. Hayes

23 FCLB 2018 Annual Congress Page 23 FCLB POLICY # AC-7 Adopted by the FCLB Board of Directors POLICY TITLE Reference Documents DELEGATES AND ALTERNATES DESIGNATION Designation of Delegates and Alternates for Official Business Meetings of the Federation of Chiropractic Licensing Boards FCLB Bylaws - Article III, Sections 7 & 8; Article VI, Sections 1-3 Adopted 4/27/2010 Effective Date 4/27/2010 Last Reviewed 5/3/2017 Next Scheduled Review Date 5/2/2018 POLICY (add explanatory notes if applicable) BACKGROUND Eligibility to serve as a delegate or alternate is determined by the FCLB bylaws. (See Articles III and VI.) With respect to the process of registering designated delegates, the FCLB Board of Directors is committed to ensuring that our member boards have sufficient time to study pending issues and participate meaningfully in the annual business meeting or any other duly called business meeting. In furtherance of these goals, the FCLB Board has adopted the following policy: POLICY 1. ELIGIBILITY CRITERION Delegates and alternate delegates must be a Fellow of the Member Board, or an Honorary Fellow who has served on that board in the preceding five (5) years, or the Member Board s Administrative Fellow from the appointing member chiropractic board, and duly registered for the annual conference. 2. REGISTRATION DEADLINE Written notification of the member board's duly designated delegate and alternate must be postmarked or faxed to the FCLB no later than 30 days prior to the opening session of a duly called official business meeting of the FCLB. ed notifications are acceptable and must comply with all other registration requirements. 3. FORM OF NOTIFICATION Notification must be received on the FCLB s official Delegate and Alternate Designation Form or on the member chiropractic board s letterhead, and must be signed by an authorized representative of the member board. # Notifications must identify by name the delegate and a statement that the board, at an official board meeting, has approved the selection of such delegates. Appointments are effective upon postmark and until replaced by the member board, not to exceed one year. At a minimum, delegates and alternates must re-register prior to each annual business meeting of the FCLB. # If the notification is signed by anyone other than the board chair, it must include a certifying statement p. 1

24 FCLB 2018 Annual Congress Page 24 that references that the board has approved the selection of the designated delegates, and that the notification is sent at the request of the board and board chair. 4. LATE NOTIFICATION Registrations received by FCLB after the deadline will not be accepted unless the member board is accepted into membership pursuant to the FCLB bylaws after the deadline. Chiropractic boards who are not members due only to nonpayment of current dues may register a delegate and alternate, but timely registered designees may not participate in the annual business meeting unless the dues are paid prior to the commencement of this meeting. 5. SWITCHING DELEGATE AND ALTERNATE In general, the designation of an alternate delegate shall be sufficient to accommodate the need for a "backup" representative in the event the member board would not otherwise be represented. Switching the delegate and alternate are specifically not allowed after the notification deadline has passed. However, if the delegate does not attend the business meeting, the properly registered alternate automatically assumes delegate status. 6. SPECIAL CIRCUMSTANCES The FCLB recognizes that extraordinary circumstances may arise whereby a member board would be otherwise disenfranchised from voting, for example, when neither the designated delegate nor the alternate are able to attend the meeting. A written request (to allow the member board to designate a replacement delegate) may be presented to the FCLB Board of Directors. Such request must be on official board letterhead, must describe in detail why the member board would otherwise be disenfranchised from voting, and must be signed by the ranking officer of the board. The decision of the FCLB Board of Directors shall be reviewed by the Credentials Committee prior to the business meeting, and reported to the membership at the business meeting. 7. APPEAL OF VOTING STATUS If the decision to seat or not seat a delegate is contested by any duly registered delegate, the membership shall by majority vote determine whether to seat the new delegate. Such vote shall occur immediately after the remaining delegates are seated. REFERENCES - FCLB BYLAWS ARTICLE III. DEFINITIONS Section 7. Delegate. "Delegate" means an individual designated by a Member Board to serve as its representative to the Federation. This individual shall be a Fellow of the Member Board, or an Honorary Fellow who has served on that board in the preceding five (5) years, or the Member Board s Administrative Fellow. Delegates must be properly registered in writing in accordance with policies set by the Board of Directors. Section 8. Alternate Delegate. p. 2

25 FCLB 2018 Annual Congress Page 25 "Alternate Delegate" means an individual designated by a Member Board to serve as its representative to the Federation in the absence of the Delegate. This individual shall be a Fellow of the Member Board, or an Honorary Fellow who has served on that board in the preceding five (5) years, or the Member Board s Administrative Fellow. Alternate Delegates must be properly registered in writing in accordance with policies set by the Board of Directors. ARTICLE VI. DELEGATE PRIVILEGES AND RESPONSIBILITIES Section 1. Duties and Responsibilities. At the Annual Meeting of the Delegate Assembly, the Delegates shall provide direction to the Federation by consideration of such bylaw amendments and properly submitted resolutions that are expedient or desirable to fulfill and implement the stated purposes of the Federation. Section 2. Privilege of the Floor. Fellows, Honorary Fellows, Administrative Fellows, committee members, Board of Director members, and Delegates have the privilege of the floor during any meeting of the Delegate Assembly. At the discretion of the presiding officer, other attendees may be granted the privilege of the floor. Section 3. Voting Absentee voting and voting by proxy are not allowed. Filepath: Z:\a-FCLB\2018 Conference - Dallas\Annual Business Meeting\Delegate Designation Policy.wpd p. 3

26 FCLB 2018 Annual Congress Page 26 Responsibilities of FCLB Voting Delegates and Alternates Being a delegate or alternate to the FCLB is a two way street. The delegates bring their boards concerns and successes to their FCLB directors and in return the things they learn need to be taken back to their boards so they can educate their fellow board members about FCLB and its services. Below is a list of responsibilities for a Voting Delegate or Alternate of the FCLB. 1. Get to know your FCLB district director 2. Communicate your board s needs and successes with your district director 3. Add FCLB to your regulatory board s agenda as an ongoing agenda item FCLB Highlight Moment where you can share and report information about the FCLB and its services 4. Your district director will contact you with this information 5. Attend the FCLB district and annual meetings

27 FCLB 2018 Annual Congress Page 27 From: FCLB BoD To: FCLB Bylaws & Resolutions Committee RE: Proposed Creation of an Investment Committee as a standing committee Date: ARTICLE IX. COMMITTEES Section 4. Investment Committee. A. Composition and Appointment There shall be three (3) members on the Investment Committee, one of whom shall be the Treasurer and who shall select the Chair. Investment Committee members shall be appointed by the President with the input and approval of the Board of Directors. The term of the Investment Committee members shall be two (2) years. B. Duties The Investment Committee shall advise the Board of Directors on issues related to the Federation's longterm investments to assure prudence and integrity in financial planning for economic stability. The Investment Committee shall recommend investment policies and financial strategies. C. Vacancies In the event of a vacancy on the Investment Committee, the President with the input and approval of the Board of Directors shall appoint a qualified individual to serve. Section 5. Ad-Hoc Committees. Ad-hoc committees may be established and appointed by the President as needed. The composition and tenure of committee members shall be determined by the President in accordance with policies adopted by the Board of Directors. Section 6. Removal of Committee Members With the exception of the Nominating Committee, appointed committee members may be removed prior to the end of his/her term when, in the judgment of the Board of Directors, the best interest of the Federation would be served. Removal shall require a majority vote of the Board of Directors.

28 Federation of Chiropractic Licensing Boards BYLAWS FCLB 2018 Annual Congress Page 28 Current as of May 2017 ARTICLE I. NAME The name of this organization is the Federation of Chiropractic Licensing Boards (also referred to as the Federation or FCLB ). ARTICLE II. PURPOSE The Federation is organized for charitable and educational purposes to provide programs and services that assist member chiropractic licensing boards to fulfill their statutory obligations to regulate the profession in the interest of public protection and for the purpose of lessening the burdens of government. These programs and services shall include, but not be limited to, those that promote uniform standards among licensing boards, examination and testing services, and chiropractic educational programs leading to the Doctor of Chiropractic degree, postgraduate chiropractic education, diplomate and certification programs, and continuing education for relicensure purposes. Section 1. ARTICLE III. DEFINITIONS Federation or FCLB. "Federation" or FCLB means the Federation of Chiropractic Licensing Boards. Section 2. Chiropractic Licensing Board Chiropractic Licensing Board means the governmental agency empowered to credential and regulate the practice of chiropractic within established jurisdictions, territories, or insular possessions of a sovereign country. Section 3. Member Board. "Member Board" means any Chiropractic Licensing Board that has met the requirements of membership and has been duly accepted into the Federation pursuant to these Bylaws. Section 4. Fellow. Fellow means any individual currently serving on a Member Board. Section 5. Administrative Fellow. Administrative Fellow means the individual who administers the Member Board, its chiropractic regulatory act and/or other activities of the Member Board, and is designated as such in writing by the Member Board in accordance with policies set by the Board of Directors. Section 6. Honorary Fellow. Honorary Fellow means an individual who has been a Fellow for three (3) or more years, is no longer serving on a Member Board, and who has submitted an application to the Federation requesting recognition as an Honorary Fellow. Section 7. Delegate. "Delegate" means an individual designated by a Member Board to serve as its representative to the Federation. This individual shall be a Fellow of the Member Board, or an Honorary Fellow who has served on that board in the preceding five (5) years, or the Member Board s Administrative Fellow. Delegates must be properly registered in writing in accordance with policies set by the Board of Directors. Section 8. Alternate Delegate. "Alternate Delegate" means an individual designated by a Member Board to serve as its representative to the Federation in the absence of the Delegate. This individual shall be a Fellow of the Member Board, or an Honorary Fellow who has served on that board in the preceding five (5) years, or the Member Board s Administrative Fellow. Alternate Delegates must be properly registered in writing in accordance with policies set by the Board of Directors. 1

29 FCLB 2018 Annual Congress Page 29 Section 9. Delegate Assembly. Section 16. Alternate District Directors. "Delegate Assembly" means the governing body that is comprised of the Member Boards. Section 10. Professional Member. "Professional Member means a Fellow or Honorary Fellow who is a currently licensed doctor of chiropractic authorized by a Member Board to practice chiropractic in that jurisdiction. Alternate District Directors mean those individuals duly elected under Article V of these Bylaws to serve in the absence of the District Director. Section 17. Administrative Fellow Director. Administrative Fellow Director means the Board of Directors member duly elected under Article V of these Bylaws. Section 11. Public Member. Section 18. Board Chair. "Public Member" means a Fellow or Honorary Fellow who serves as the public member of a Member Board as defined under applicable state law. Section 12. Quorum. Quorum means the minimum number of members who must be present for the FCLB to legally transact business. A. Annual or Special Meeting For purposes of the Annual or Special Meeting of the Delegate Assembly, quorum means Delegates representing a majority of the Member Boards. B. District Caucus For purposes of the District Caucuses quorum means the number of Delegates in attendance at such District Caucus, irrespective of the number. C. Board of Directors Meeting For purposes of the Board of Directors Meetings, quorum means a majority of the Board of Directors. Section 13. Board of Directors. The Board of Directors means those members duly elected under Article V of these Bylaws. Board Chair means the District Director duly elected by the Board of Directors under Article VII of these Bylaws. Section 19. Executive Committee. Executive Committee means the Immediate Past President, President, Vice President, Treasurer, and Board Chair. Section 20. Notices. All written notices and documents required by these Bylaws mean by postmarked mail or received by electronic means at the principle office of the Federation by the specified deadline. Section 1. ARTICLE IV. MEMBERSHIP Admittance to Membership. A Chiropractic Licensing Board that meets the criteria for membership in these Bylaws may be admitted into the Federation as a Member Board and assigned to a District by majority vote of the Board of Directors. Section 2. Rights and Privileges. A Member Board that is current on its payment of membership dues shall be entitled to be represented by one voting Delegate and one Alternate Delegate, who shall be registered in accordance with policies established by the Board of Directors. Section 14. Officers. Officers means those Officers duly elected under Article V of these Bylaws. Section 15. District Directors. District Directors mean those Board of Directors members duly elected under Article V of these Bylaws. 2

30 FCLB 2018 Annual Congress Page 30 Section 3. Federation Districts. A. Member Boards shall be divided into five (5) Federation Districts based on the following list: District I District II District III District IV District V Canada Canada Canada Australia Alberta Manitoba New Brunswick Mexico Alabama British Columbia Ontario Newfoundland/ New Zealand Arkansas Saskatchewan Labrador Florida Illinois Nova Scotia Arizona Georgia Alaska Indiana Prince Edw. Isl. California Louisiana Idaho Iowa Quebec Colorado Mississippi Montana Kentucky United Kingdom Hawaii North Carolina Nebraska Michigan Kansas South Carolina North Dakota Minnesota Connecticut Nevada Tennessee Oregon Missouri Delaware New Mexico Virginia South Dakota Ohio District of Columbia Oklahoma West Virginia Washington Wisconsin Maine Texas U.S. Territories Wyoming Maryland Utah Puerto Rico Massachusetts U.S. Territories U.S. Virgin Islands New Hampshire Guam New Jersey New York Pennsylvania Rhode Island Vermont B. Chiropractic Licensing Boards duly admitted into Federation membership under Article IV shall be placed into a respective District and such admittance and placement into a District shall not constitute an amendment to these bylaws subject to Article XVI. Section 4. Sanction or Termination of Membership of a Member Board A. Grounds The membership status of a Member Board may be sanctioned or terminated if it is determined to be in the best interest of the Federation. B. Process The Member Board shall be sanctioned or terminated by a recommendation from the Board of Directors followed by a two-thirds vote of the Delegates duly registered and present at an Annual or Special Meeting of the Delegate Assembly. Written notice of the sanction or termination to be considered and the cause for this action shall be sent to the Member Boards not less than sixty (60) days prior to the meeting. The Member Board in question shall have the opportunity to be heard at the meeting before a vote is taken on the sanction or termination. C. Rights After a vote for termination, all rights of the Member Board as provided in these Bylaws shall cease immediately. 3 Section 5. Reinstatement of Membership. Upon reapplication and compliance with the conditions set forth in the sanction or termination of membership, reinstatement may be granted by a majority vote of the Board of Directors and by two-thirds vote of the Delegates duly registered and present at an Annual or Special Meeting of the Delegate Assembly. Written notice that reinstatement is to be considered shall be sent to the Member Boards not less than sixty (60) days prior to the Annual or Special Meeting. Section 6. Sanction or Termination of a Fellow, Honorary Fellow, or Administrative Fellow. A. Grounds Failure to demonstrate proper conduct may serve as grounds for sanction or termination of an individual s status as a Fellow, Honorary Fellow, or Administrative Fellow. Grounds for sanction or termination may include, but not be limited to, any of the following: 1. Conviction, or similar judicial finding or plea, resulting from a criminal offense; 2. Disciplinary action taken against any professional license held by the individual;

31 FCLB 2018 Annual Congress Page Failure to exercise proper regard for the health, safety, or legal rights of another person; or 4. Fraud, deception, breach of confidentiality, or infraction of moral turpitude. B. Process Sanction or termination shall be by a recommendation by the Board of Directors followed by a two-thirds vote of the Delegates duly registered and present at an Annual or Special Meeting of the Delegate Assembly. Written notice of the sanction or termination to be considered and the cause for this action shall be sent to the Member Boards not less than sixty (60) days prior to the meeting. The individual in question shall have the opportunity to be heard at the meeting before a vote is taken on the sanction or termination. C. Rights Section 7. Upon termination, all rights of the Fellow, Honorary Fellow or Administrative Fellow as provided in these Bylaws shall cease immediately. Reinstatement of a Fellow, Honorary Fellow, or Administrative Fellow. Upon reapplication and compliance with the conditions set forth in the sanction or termination of membership, reinstatement may be granted by a majority vote of the Board of Directors and by two-thirds vote of the Delegates duly registered and present at an Annual or Special Meeting of the Delegate Assembly. Written notice that reinstatement is to be considered shall be sent to the Member Boards not less than sixty (60) days prior to the Annual or Special Meeting. ARTICLE V. FEDERATION MEETINGS AND ELECTIONS Section 1. Annual Meeting of the Delegate Assembly. The Annual Meeting of the Delegate Assembly shall be held at such place and time as designated by the Board of Directors, provided that written notice is sent to Member Boards not less than sixty (60) days prior to such meeting. Section 2. Special Meeting. A Special Meeting of the Delegate Assembly can be called by the President at any time with the approval of a majority of the Board of Directors, provided that written notice and a proposed agenda is sent to Member Boards as soon as practical. A Special Meeting of the Delegate Assembly can also be called by a majority of the Member Boards at any time, provided that written notice and a proposed agenda is sent to Member Boards and the President via the Federation s principle office as soon as practical. Section 3. District Caucus. A District Caucus shall take place in conjunction with the Federation s Annual Meeting of the Delegate Assembly for the purpose of enabling each District to elect its District Director and Alternate District Director to the Board of Directors. The newly-elected District Director and Alternate District Directors shall accede to their new positions upon the conclusion fo the Annual Meeting of the Delegate Assembly. Section 4. Minutes. The Federation shall keep minutes of all Annual and Special Meetings of the Delegate Assembly and shall make these minutes available to the Member Boards. Section 5. Other Meetings. The Board of Directors may convene such other meetings as it deems necessary to carry out its purpose provided that these meetings are not used to conduct the legal business of the FCLB. Section 6. Elections. A. General Provisions Available positions on the Board of Directors for Officers, the Administrative Fellow Director, and Nominating Committee shall be filled by election by majority vote of the Delegates duly registered and present at the Annual Meeting of the Delegate Assembly from candidates slated by the Nominating Committee or candidates nominated from the floor. These who are elected shall assume their positions at the close of the Annual Meeting of the Delegate Assembly. In the event that no candidate for an elected position receives a majority of the votes cast on the first ballot, a run-off election shall be held between the two (2) candidates receiving the most votes cast on the first ballot. B. Candidates for Officer, Administrative Fellow Director, Nominating Committee The Nominating Committee shall consider only those candidates for Officers, the Administrative Fellow Director, or the Nominating Committee who shall submit to the Federation s principle office their intent to run for such position and curriculum vitae not less than sixty (60) days prior to the date of elections. 4

32 FCLB 2018 Annual Congress Page 32 The office of Immediate Past President does not require election. C. Candidates for District Director Not less than thirty (30) days prior to the elections, the Federation shall distribute the intent to run and curriculum vitae of only those Candidates for District Director and Alternate District Director who submit to the Federation s principle office such documents not less than sixty (60) days prior to the date of District Caucus where the elections are to occur. ARTICLE VI. DELEGATE PRIVILEGES AND RESPONSIBILITIES Section 2. Composition of the Board of Directors. There shall be ten (10) members of the Board of Directors which include the Immediate Past President, President, Vice President, Treasurer (collectively referred to as Officers), one director from each of the five (5) Districts of the Federation, and the Administrative Fellow Director. No member of the Board of Directors may simultaneously hold more than one position on the Board of Directors. Section 3. A. Officers Qualifications for Nomination and Election or Appointment. Section 1. Duties and Responsibilities. 1. President At the Annual Meeting of the Delegate Assembly, the Delegates shall provide direction to the Federation by consideration of such bylaw amendments and properly submitted resolutions that are expedient or desirable to fulfill and implement the stated purposes of the Federation. Section 2. Privilege of the Floor. Fellows, Honorary Fellows, Administrative Fellows, committee members, Board of Director members, and Delegates have the privilege of the floor during any meeting of the Delegate Assembly. At the discretion of the presiding officer, other attendees may be granted the privilege of the floor. Section 3. Voting Absentee voting and voting by proxy are not allowed. Section 1. ARTICLE VII. BOARD OF DIRECTORS Responsibilities of the Board of Directors. The Board of Directors shall manage the affairs of the Federation including the establishment of an annual budget and the transaction of all business for and on behalf of the Federation. The Board of Directors shall carry out the legal resolutions, actions, or policies as authorized by the Delegates. The Board of Directors shall act for the Federation between Annual Meetings of the Delegate Assembly, and is authorized to interpret the bylaws and to develop appropriate policies to carry out the Bylaws and purposes of the Federation, and can authorize the Executive Committee of the Board of Directors to act on its behalf. Following each Annual Meeting of the Delegate Assembly, the Board of Directors shall elect a Board Chair to serve a one-year term which includes presiding at the meetings of the Board of Directors and serving on the Executive Committee. The Board Chair must be one of the District Directors. 5 At the time of nomination and election or appointment, the President shall be either a Fellow, an Honorary Fellow who has served as a member of a Member Board within the last five (5) years, or is currently serving on the Federation Board of Directors. 2. Vice President At the time of nomination and election or appointment, the Vice President shall be either a Fellow, an Honorary Fellow who has served as a member of a Member Board within the last five (5) years, or is currently serving on the Federation Board of Directors. 3. Treasurer B. District Directors At the time of nomination and election or appointment, the Treasurer shall be either a Fellow, or an Honorary Fellow who has served as a member of a Member Board within the last five (5) years, or is currently serving on the Federation Board of Directors. At the time of initial nomination and election or at the time of appointment, a District Director and Alternate District Director shall be either a Fellow, or an Honorary Fellow who has served as a member of a Member Board within the last five (5) years. A District Director and Alternate District Director shall each be a legal resident of a Member Board jurisdiction located within the Federation District the District Director and Alternate District Director represents. C. Administrative Fellow Director

33 FCLB 2018 Annual Congress Page 33 Section 4. At the time of nomination and election or appointment, and throughout the term, the Administrative Fellow Director shall be an Administrative Fellow, it being the intention that upon loss of Administrative Fellow designation, a vacancy in the Federation Board of Directors shall immediately occur. A. President Duties of Officers. The President shall be the chief executive officer of the Federation. The President shall preside at all Annual and Special Meetings of the Delegate Assembly. The President shall appoint committees and representatives to other organizations subject to the requirements of these Bylaws and policies adopted by the Board of Directors. The President shall serve as an ex-officio, non-voting member of all committees except for the Nominating Committee. B. Vice President The Vice President shall fulfill the duties of the President in the absence of the President. C. Treasurer The Treasurer shall be custodian of all Federation funds and keep an accurate record of said funds and property. The Treasurer shall oversee the payment of all bills approved according to policies adopted by the Board of Directors. The Treasurer shall submit a written report of all Federation accounts during the Annual Meeting of the Delegate Assembly or when requested by the Board of Directors, and shall serve as chair of the Finance Committee. D. Immediate Past President The Immediate Past President shall provide information and continuity regarding Federation matters. The Immediate Past President shall Chair the Nominating Committee. Section 5. Terms and Limitations. The terms of the Board of Directors shall be as follows: A. Officers Officers shall serve one (1) two-year terms to be elected in odd numbered years. The Immediate Past President shall not be an elected position, but will automatically follow service as the President. No Officer may serve more than one (1) term in the same office. B. District Directors 6 The term of the District Directors and Alternate District Directors shall be three (3) years. District Directors and Alternate District Directors shall be ineligible to serve more than two (2) consecutive terms. C. Administrative Fellow Director The term of the Administrative Fellow Directors shall be three (3) years. Administrative Fellow Directors shall be ineligible to serve more than two (2) consecutive terms. D. Partial Terms Serving a partial term in any position on the Board of Directors shall not be considered in calculating a term of service. E. Conclusion of Service All Members of the Board of Directors shall serve as specified in these Bylaws or until a successor is duly elected or appointed. Section 6. Compensation. Directors shall not receive compensation for their service, but shall be reimbursed for reasonable expenses incurred while carrying out their Federation responsibilities. Directors may be entitled to an honorarium in accordance with policies adopted by the Board of Directors. Section 7. Vacancies. A. Officers In the event of a vacancy in the office of President, the Vice President shall immediately assume the position. In the event of a vacancy in the office of Vice President, the President with the input and approval of the Board of Directors shall appoint one of the eligible Directors to fulfill the duties, but not the office, of the Vice President until the next Annual Meeting of the Delegate Assembly, where a successor shall be elected to fill the office until the next regularly scheduled election. In the event of a vacancy in the office of Immediate Past President, the President with the input and approval of the Board of Directors shall appoint a preceding past president to serve, with the most recent past president given first preference. In the event of a vacancy in the office of Treasurer, the President with the input and approval of the Board of Directors shall appoint a qualified individual to serve until the next Annual Meeting of the Delegate Assembly, where

34 FCLB 2018 Annual Congress Page 34 a successor shall be elected to fill the office until the next regularly scheduled election B. District Directors and Alternate District Directors District Director vacancies shall be filled by the duly elected Alternate Director from that district, who shall serve until the next Annual Meeting of the Delegate Assembly, at which time a District Director shall be nominated and elected to complete the unexpired term. A vacancy in the position of Alternate District Director shall not be filled until election by the District Delegates in conjunction with the next Annual Meeting of the Delegate Assembly, at which time an Alternate District Director shall be nominated and elected to complete the unexpired term. If both the District Director and Alternate District Director positions are vacant, the President with the input and approval of the Board of Directors shall appoint a qualified individual from the District in which the vacancy occurs to serve as District Director until the next Annual Meeting of the Delegate Assembly at which time a District Director and Alternate District Director shall be nominated and elected to complete the unexpired term. Special Meetings of the Board of Directors may be convened at the discretion of the President. A Special Meeting of the Board of Directors shall be convened by the President within thirty (30) days after having received a written request for such meeting from two-thirds of the members of the Board of Directors. Section 3. Notice and Agenda. Notice and proposed agenda for any regular meeting of the Board of Directors shall be given to the directors at least fifteen (15) days prior to the meeting. Notice and proposed agenda for special meetings shall be given as soon as practical before the special meeting. Section 4. Executive Session. The Board of Directors may meet in executive session in accordance with policies adopted by the Board of Directors. Section 5. Minutes. The Board of Directors shall keep minutes of its meetings, and shall make these minutes available to any Member Board. ARTICLE IX. COMMITTEES D. Administrative Fellow Director Section 1. Nominating Committee. Section 8. A vacancy shall occur immediately if the Administrative Fellow Director fails to maintain employment with a Member Board during the term of service. The President with the input and approval of the Board of Directors shall appoint a qualified Administrative Fellow to serve until the next Annual Meeting of the Delegate Assembly at which time an Administrative Fellow Director shall be nominated and elected to fill the unexpired term. Removal. A member of the Board of Directors may be removed prior to the end of his/her term when, in the judgment of the Board of Directors, the best interest of the Federation would be served, and in accordance with policies adopted by the Board of Directors. Removal shall require a two-thirds vote of the remaining members of the Board of Directors. Section 1. ARTICLE VIII. BOARD OF DIRECTORS MEETINGS Regular Meetings of the Board of Directors. The Board of Directors shall hold meetings from time to time as deemed necessary to carry out its responsibilities to the Member Boards, and in such format (in person or electronic) as may be determined by the Board of Directors. A. Composition and Appointment There shall be six members of the Nominating Committee which shall include one representative from each of the five Federation Districts and also the Immediate Past President who shall serve as Chair. The five District members shall be elected by majority vote by the Delegates duly registered and present at the Annual Meeting of the Delegate Assembly. The term of the Nominating Committee members shall be for one (1) year. B. Eligibility At the time of nomination and election or appointment, Nominating Committee members shall be a Fellow or Administrative Fellow and shall have attended at least two (2) Annual Meetings. To be considered by the Nominating Committee, interested candidates must submit a letter of intent and curriculum vitae sixty (60) days prior to the Annual Meeting of the Delegate Assembly to be eligible to be slated. Candidates may also be nominated from the floor during the Annual Meeting. No one may serve more than three (3) consecutive terms on the Nominating Committee. C. Duties Section 2. Special Meetings of the Board of Directors. 7 The Nominating Committee shall submit to the Member Boards at least thirty (30) days before the Annual Meeting

35 FCLB 2018 Annual Congress Page 35 of the Delegate Assembly, a slate of those candidates it considers to be best suited for leadership in the open positions of the Officers and Administrative Fellow Director on the Board of Directors, as well as the Nominating Committee, in accordance with procedures approved by the Board of Directors. D. Limitations and Vacancies Section 2. Individuals serving on the Nominating Committee or those who resign from this committee shall be ineligible to be slated or elected, but not appointed, to an Officer or Administrative Fellow Director position within their elected term. In the event of a vacancy on the Nominating Committee, the President with the input and approval of the Board of Directors shall appoint a qualified individual to serve until the next Annual Meeting of the Delegate Assembly. Finance Committee. A. Composition and Appointment There shall be three (3) members on the Finance Committee, one of whom shall be the Treasurer who shall serve as Chair. Finance Committee members shall be appointed by the President with the input and approval of the Board of Directors. The term of the Finance Committee members shall be one (1) year. B. Duties The Finance Committee shall advise the Board of Directors on issues related to the use of the Federation's assets to assure prudence and integrity of fiscal management and responsiveness to the needs of the Member Boards. The Finance Committee shall recommend financial policies which provide guidelines for fiscal management, and review the annual audit. C. Vacancies Section 3. In the event of a vacancy on the Finance Committee, the President with the input and approval of the Board of Directors shall appoint a qualified individual to serve. Bylaws and Resolutions Committee. A. Composition and Appointment There shall be at least five members on the Bylaws and Resolutions Committee, appointed by the President with the input and approval of the Board of Directors. The term of the Bylaws and Resolutions Committee members shall be one (1) year. B. Duties 8 The Bylaws and Resolutions Committee may submit proposed amendments to the Bylaws and shall consider proposed amendments to the Bylaws submitted in accordance with these Bylaws, and shall consider all resolutions submitted in accordance with Federation policy. The Bylaws and Resolutions Committee shall make recommendations to the Annual Meeting of the Delegate Assembly regarding their adoption. C. Vacancies In the event of a vacancy on the Bylaws and Resolutions Committee, the President with the input and approval of the Board of Directors shall appoint a qualified individual to serve. Section 4. Ad-Hoc Committees. Ad-hoc committees may be established and appointed by the President as needed. The composition and tenure of committee members shall be determined by the President in accordance with policies adopted by the Board of Directors. Section 5. Removal of Committee Members With the exception of the Nominating Committee, appointed committee members may be removed prior to the end of his/her term when, in the judgment of the Board of Directors, the best interest of the Federation would be served. Removal shall require a majority vote of the Board of Directors. ARTICLE X. REPRESENTATIVES AND APPOINTEES Section 1. Representatives or Appointees to Other Organizations. All representatives or appointees of the Federation to other organizations shall be appointed by the President with the input and approval of the Board of Directors. Section 2. Appointees to the National Board of Chiropractic Examiners. Appointees to the National Board of Chiropractic Examiners (NBCE) Board of Directors shall be appointed by the President with the input and approval of the Board of Directors and shall serve for a one (1) year term unless otherwise prohibited by the NBCE Bylaws. Such appointees shall be the Federation president and vice president unless either or both are unable to serve. Section 3. Removal of Representatives or Appointees to other Organizations. Any Federation representative or appointee to other organizations may be removed prior to the end of his/her term when in the judgment of the Board of Directors the best interest

36 FCLB 2018 Annual Congress Page 36 of the Federation would be served. Removal shall require a majority vote of the Board of Directors. ARTICLE XI. FINANCES At the discretion of the Board of Directors and in accordance with policies adopted by the Board of Directors, the Federation shall secure appropriate insurance. Section 1. Fiscal Year. Section 9. Dues. The fiscal year of the Federation shall be the calendar year. Section 2. Financial Records. The Federation shall keep financial records available for inspection by Member Boards at the principle office of the Federation. A report shall be given on the financial condition of the Federation at the Annual Meeting of the Delegate Assembly, and the annual budget shall be presented to the Delegates. Section 3. Audit. The Board of Directors shall ensure that an annual audit shall be undertaken by a qualified individual or firm approved by the Board of Directors. The annual financial statement of the Federation for the previous fiscal year shall be presented to the Delegates at the Annual Meeting of the Delegate Assembly. Section 4. Contracts. The Board of Directors may authorize any Officer or Officers, or the Executive Director, to enter into any contract or execute and deliver any instrument in the name of or on behalf of the Federation. Section 5. Checks, Drafts, or Orders. All checks, drafts, or orders for the payment of money, notes, or other evidences of indebtedness in the name of the Federation shall be signed by such officer or officers, agent or agents of the Federation and in such manner as authorized by the Board of Directors. Section 6. Deposits. All funds of the Federation shall be deposited to the credit of the Federation in such bank, trust company, or other depository as the Board of Directors may direct, in accordance with policies adopted by the Board of Directors. Section 7. Limitations of Expenditures. The Federation is limited to expending its funds for only those purposes described in the Certificate of Incorporation and these Bylaws. Section 8. Insurance. 9 A. Annual Dues Each Member Board will be assessed annual dues for membership in the Federation. B. Modification of Dues All proposals for modification of annual dues for membership shall be submitted to the Annual Meeting of the Delegate Assembly for approval by a majority vote. ARTICLE XII. ETHICAL CONDUCT AND CONFLICT OF INTEREST Members of the Board of Directors, FCLB committee members, appointees, and employees shall abide by the Bylaws, rules, guidelines, policies and procedures duly adopted by the Federation and avoid engaging in activities which constitute or may be perceived as a conflict of interest with regard to Federation matters. Section 1. ARTICLE XIII. EXECUTIVE DIRECTOR AND PRINCIPLE OFFICE Executive Director. The Board of Directors shall hire an Executive Director to serve as the administrative officer of the Federation, who shall be accountable to the Board of Directors. Section 2. Principle Office. The Board of Directors shall establish the location of its principle office. ARTICLE XIV. INDEMNIFICATION AND QUALIFICATION Section 1. Indemnification. Subject to the limitations of this Article, the Federation shall indemnify any person who was or is a party of or is threatened to be made a party to any threatened, pending or contemplated action, suit or proceeding, whether civil, criminal, administrative or investigative (other than an action by or in the right of the Federation) by reason of the fact that such person is or was a committee member, and including the Board of Directors, or staff of the Federation, against expenses, including attorneys' fees, judgments, fines, and amounts paid in settlement actually and reasonably incurred in connection with such action, suit or proceeding only if such person acted in good faith and in a

37 FCLB 2018 Annual Congress Page 37 manner reasonably believed to be in or not opposed to the best interest of the Federation and, with respect to any criminal action or proceeding, had no reasonable cause to believe such conduct was unlawful. The termination of any action, suit or proceeding by judgment or settlement, condition or upon a plea of Nolo Contendere or its equivalent shall not, in and of itself, create a presumption that such person did not act in good faith and in a manner reasonably believed to be in or not opposed to the best interests of the Federation and, with respect to any criminal action or proceeding, had reasonable cause to believe that such conduct was unlawful. Section 2. Qualification. Any indemnification under this Article shall be made by the Federation only as authorized in the specific case upon a determination that indemnification is proper in the circumstances because such person has met the applicable standard of conduct set forth in this Article. Such determination shall be made by the Board of Directors consisting of members who are not parties to such action, suit or proceeding or, if such quorum is not attainable, a quorum of disinterested members. Section 3. Effective Date. These Bylaws, and any other subsequent amendments thereto, shall become effective upon their adoption. # The foregoing are the Bylaws of the Federation, as adopted in Hollywood, CA, May 8, Amended - May 1, Baltimore, Maryland Amended - May 7, Marco Island, Florida Amended - May 5, San Antonio, Texas Amended - May 3, Myrtle Beach, South Carolina Amended - April 30, Phoenix, Arizona Amended - May 6, Orlando, FL ARTICLE XV. PARLIAMENTARY AUTHORITY The rules contained in the current edition of Robert s Rules of Order, Newly Revised shall govern the Federation in all cases to which they are applicable and in which they are not inconsistent with these Bylaws and any special rules of order the Federation may adopt. ARTICLE XVI. AMENDMENTS Section 1. Amendment Proposals. These Bylaws may be amended at any Annual Meeting of the Delegate Assembly. Any Member Board either directly or through its Delegate, or the Bylaws and Resolutions Committee, or the Board of Directors may propose Bylaws amendments. Proposed amendments to the Bylaws shall be in writing and received at the Federation office not less than ninety (90) days prior to the Annual Meeting of the Delegate Assembly. Such amendments shall be immediately forwarded to the Bylaws and Resolutions Committee for their recommendation, and then to the Delegates, Alternate Delegates, and all Member Boards not less than sixty (60) days prior to the Annual Meeting of the Delegate Assembly. Section 2. Adoption. Proposed amendments received in accordance with these Bylaws shall be presented at the Annual Meeting of the Delegate Assembly and must receive a two-thirds vote of the Delegates duly registered and present for adoption. 10

38 FCLB 2018 Annual Congress Page 38 Attendance Registration Roster Speaker Information

39 FCLB 2018 Annual Congress Page 39 Maggie Colucci, D.C. Dr. Colucci served two terms as the District IV Director of FCLB and currently holds the position of President. She has also served as Chairs of both the PACE Committee and the Interjurisdictional Mobility Task Force. A Chi Rho Theta graduate of Palmer College of Chiropractic, Dr. Colucci holds a Chiropractic Sports Physician degree from New York Chiropractic College as well as sports injuries diplomates from NYCC and Los Angeles Chiropractic College. Dr. Colucci is a current member and former president of the Chiropractic Physicians' Board of Nevada. In 2009, Dr. Colucci was named the Nevada Chiropractic Association Chiropractor of the Year. Dale Atkinson Mr. Atkinson received his law degree from Northwestern School of Law, Portland, Oregon, is a partner in the Northbrook, Illinois law firm of Atkinson & Atkinson which represents various associations of regulatory boards including: - American Association of Veterinary State Boards (AAVSB) - Accreditation Council for Pharmacy Education (ACPE) - American Foundation for Research and Consumer Education in Social Work Regulation - Association of Regulatory Boards of Optometry (ARBO) - Association of Social Work Boards (ASWB) - Examination Board of Professional Home Inspectors (EBPHI) - Federation Associations of Regulatory Boards (FARB) - Federation of Chiropractic Licensing Boards (FCLB) - Federation of State Massage Therapy Boards (FSMTB) - Joint Review Committee on Education in Radiologic Technology (JRCERT) - National Association of Boards of Pharmacy (NABP) - National Association of Boards of Pharmacy Foundation (NABPF) - Nuclear Medicine Technology Certification Board (NMTCB) Mr. Atkinson represents the referenced associations in all matters relating to their operations as not for profit corporations, including regulatory activities, education and

40 FCLB 2018 Annual Congress Page 40 accreditation, disciplinary actions, model legislation and applications, and all phases of the development and administration of licensure examination programs, licensure transfer programs, licensure credentials verification and storage. He is a frequent speaker before these association clients as well as other regulatory groups and also produces numerous writings on these subjects for publications. Mr. Atkinson also serves as Executive Director of FARB, a not for profit association whose full members consist of associations of regulatory boards, which facilitates cross- profession interaction, provides educational programs for board members, staff, investigators, and attorneys related to regulation in the interest of public protection. Mona Baskin, J.D. Mona Baskin is an Assistant Attorney General in the Licensing and Enforcement Section of the Arizona Attorney General s Office. She has represented numerous regulatory agencies, including Arizona s Board of Chiropractic Examiners, along with the optometry, nursing, physical therapy, accountancy, technical registration, and cosmetology boards. She has also represented Arizona s Registrar of Contractors and Department of Weights and Measures. Ms. Baskin has provided extensive Board training on investigative and disciplinary proceedings, criminal law, fundamentals of Board procedures, and open meeting law. Prior to her work in administrative law, Ms. Baskin was a criminal prosecutor and appellate attorney in the Arizona Attorney General s Office. She represented the State of Arizona in cases before the Maricopa County Superior Court, Arizona Court of Appeals, Arizona Supreme Court, federal district courts, 9 th Circuit Court of Appeals, and the Supreme Court. Prior to her employment at the Arizona Attorney General s Office, Ms. Baskin served as a judicial clerk in Division One of the Arizona Court of Appeals. Ms. Baskin is a graduate of the Sandra Day O Connor College of Law, Arizona State University. She has a Bachelor of Science in Nursing and a Bachelor of Arts in Public Health Education. Ms. Baskin has authored several legal publications, served in leadership positions in the Arizona State Bar, as President of the Public Lawyers Division of the Maricopa County Bar Association, and as a member of the Continuing Legal Education Committee of the Arizona Attorney General s Office. Ms. Baskin has always been involved in the community in philanthropic organizations with a special focus on the homeless and children s issues. Beth Carter Ms. Carter has been Executive Director for the Oklahoma Board of Chiropractic Examiners since 2000 and has worked with the Board since She is presently the Chair for the Chiropractic Board Administrators Committee.

41 FCLB 2018 Annual Congress Page 41 Gerard W. Clum, D.C. Gerard W. Clum, D.C., a 1973 Palmer College of Chiropractic graduate has been a faculty member at Palmer College of Chiropractic, a founding faculty member at Life Chiropractic College (now Life University) and first president of Life Chiropractic College West holding office from January 1981 through January Dr. Clum served on the board of directors or as an officer of the Association of Chiropractic Colleges (ACC), the Council on Chiropractic Education (CCE), the International Chiropractors Association (ICA), the Foundation for Chiropractic Progress (F4CP), the New Zealand Chiropractic Research Trust, the Chiropractic Summit and the World Federation of Chiropractic (WFC). He presently serves on the Executive Committee and Board of Directors of the F4CP and as Treasurer and member of the Board of Directors of the Integrated Health Policy Consortium (IHPC). Since retiring from the presidency of Life Chiropractic College West as President Emeritus he accepted an appointment as Presidential Liaison for External Affairs at Life University. He has also been appointed the Director of The Octagon, a think-tank sponsored by Life University. Dr. Clum was also recently named Director of the newly formed Center for Compassion, Integrity and Secular Ethics (CCISE) at Life University. In 2016 Dr. Clum accepted the position of Executive Director of The Rubicon Group, a collaboration of seven chiropractic educational programs from the U.S., U.K., Spain, Germany and New Zealand. In addition, he serves as a consultant and expert witness in matters related to chiropractic practice/care. He has been recognized as Chiropractor of the Year by ICA, Man of the Year by Dynamic Chiropractic and as one of the top five leaders of the chiropractic profession in a Dynamic Chiropractic readers poll. Dr. Clum was the 2014 recipient of the Lee-Homewood Award of the Association for the History of Chiropractic. He has lectured throughout the world and has been recognized and honored for his efforts over the years by international, national, state and local groups. Ajay Gohil, JD Ajay Gohil is a Health Care attorney who has handled regulatory and administrative work with various federal and state agencies, including the Office of Counsel to the Inspector General for the Department of Health and Human Services, the Georgia State Attorney General s Office (where he represented the Georgia State Board of Chiropractic Examiners), and the Office of General Counsel for D.C. Health (where he currently represents the D.C. Board of Chiropractic). He received his J.D. from Emory University Law School and his B.A. from Duke University in Political Science and History.

42 FCLB 2018 Annual Congress Page 42 Amy Hayek, DVM Dr. Amy Hayek (Dr. Amy) graduated from Iowa State University in 1986 with a Bachelor of Science in English, in 1987 with a Master of Arts in Technical Writing, and in 1998 from Colorado State University College of Veterinary Medicine and Biomedical Sciences with a DVM. In the interim between degrees Dr. Hayek taught college English. During veterinary school at Colorado State she worked for USDA Center for Epidemiology and Animal Health as well as editor the Journal of the Student AVMA. Following veterinary school Dr. Hayek has been in private practice, opening her own busy practice in 2001 in Summerville, SC. She has been asked on several occasions to testify as expert witness for the South Carolina Animal Control Department on animal care practices. Her work on animal welfare stems from her scientific approach to animal care and her willingness educate animal owners. She has published in the Journal of the American Veterinary Medical Association, along with numerous trade journals regarding animal husbandry, including the Holistic Horse and Elite Equestrian. She routinely lectures for the American Veterinary Chiropractic Association and has lectured for Equine Affair, the Hoosier Horse Fair and the South Carolina Association of Veterinarians. Dr. Hayek lectured and gave laboratory assistance at Parker Chiropractic College from 2010 to 2012 in the Animal Chiropractic Program. In 2012 she and Dr. O develop the curriculum for Animal Chiropractic Education Source, the only online course with AVCA approval for CE credits. To fill the mission of creating the most flexible schedule and most affordable education in Animal Chiropractic, A.C.E.S. was designed to allow the student to arrange their schedule rather than the school. To fill the mission of creating an army of Animal Chiropractors, A.C.E.S. also empowers doctors to begin their animal adjusting during the first day of lab, so that they return to practice ready to educate and adjust. Hank Hulteen, D.C. A long-term practitioner, regulator, and educator, Dr. Hulteen began attending FCLB meetings in He brings vast experience and a dedication to service that he willingly shares with the FCLB community. Dr. Hulteen's extensive service to chiropractic regulation began with the South Carolina Board of Chiropractic Examiners where he served seven terms as chair. Dr. Hulteen has also served multiple terms on the FCLB Board of Directors and was recently elected to the NBCE board as well. With more than four decades in practice and multiple awards for leadership and service, Dr. Hulteen has become an annual meeting icon for the FCLB.

43 FCLB 2018 Annual Congress Page 43 Louis Ling, J.D. Louis Ling has represented Nevada s administrative agencies since During that time, he has represented twenty-one different occupational licensing boards and has prosecuted over 1,000 administrative cases, several of which have been taken to the Nevada Supreme Court and were upheld in reported opinions. Mr. Ling presently represents the boards that regulate architecture, interior design, residential design, veterinary medicine, chiropractic medicine, osteopathic medicine, accountancy, opticians, and contractors. He graduated from the University of Puget Sound School of Law cum laude in He lives in Reno, and in his real life he is a musician, songwriter, and composer. Sherry McAllister, DC, MS (Ed) CCSP Sherry McAllister serves as the Executive Vice President for the Foundation for Chiropractic Progress, the national not-for- profit organization creating positive press for Chiropractic. Dr. McAllister earned her Masters in Education from the University of California East Bay and is a graduate of Palmer College of Chiropractic West, where she served as an Associate Professor. She is a frequent guest speaker for National conventions, Corporate Wellness Programs, as well as Business and Healthcare Alliances. Dr. McAllister has served as a Qualified Medical Examiner, Expert Chiropractic Witness for the State of California, and has been in private practice in San Jose since Michael Megehee, DC Dr. Megehee was appointed by the Federal Motor Carrier Safety Administration (FMCSA) in 2005 as a member of the National Registry of Certified Medical Examiner (NRCME) Brainstorming Sessions, the NRCM Integrated Product Team (WIPT) that developed the basis for NRCME certification and the NRCME Team that developed the physician training. He assisted the NRCME Team to develop and write test questions for the National Registry Certification Test. He is currently a FMCSA National Registry Champion. Dr. Megehee is an unofficial contact of the Federal Aviation Administration regarding, Doctors of Chiropractic, State Chiropractic Boards and the FAA BasicMed Exam program. Dr. Megehee is a nationally published author and radio show guest and has traveled the U.S. training physicians regarding the DOT physical exam. He was the first Doctor of Chiropractic to be designated as a Walmart Distribution Center Medical Examiner to perform CDL physicals for Walmart drivers. Dr. Megehee served as Vice President of the American Chiropractic Association Council on Occupational Health. He is a Post-Graduate Faculty member of the University of Western States, a Master Lifeloc Breath Alcohol Technician Trainer, and a past DATIA Certified

44 FCLB 2018 Annual Congress Page 44 Professional Collector Trainer having completed DATIA Advanced Drug Testing Management training. Dr. Megehee completed AAMRO s Medical Review Officer, Alcohol & Drug Testing, and Substance Abuse Evaluation training. He is a past Secretary/Member of the Oregon Board of Chiropractic Examiners, Delegate or alternate delegate to the National Board of Chiropractic Examiners and the Federation of Chiropractic Licensing Boards. Dr. Megehee founded the TeamCME National Network of DOT Examiners in As President of the nation s largest provider network of National Registry Certified Medical Examiners, he is the medical examiner expert resource to 650 TeamCME member clinics. TeamCME is a FMCSA Accredited National Registry Training Organization having provided the NRCME accredited physician training to over 5000 Medical Examiners. TeamCME provides advanced medical examiner training to its members and is an OOIDA partner in providing fair, ethical DOT physical exams nationwide from informed TeamCME members for the trucking industry. Paul N. Morin, D.C. Dr. Morin is the Chairman of the Maine Board of Chiropractic Licensure and has served on that board for twenty years. He currently serves as the District III Director and is Past President of the National Board of Chiropractic Examiners. He has served as the Federation of Chiropractic Licensing Board s Parliamentarian since Dr. Morin s parliamentary experience started in 1982 when he served as the Parliamentarian to the Palmer College Student Council for two years. He also served as the Parliamentarian to the World Congress of Chiropractic Student s Annual Meeting. Running efficient and effective meetings led him to complete the membership examination of the National Association of Parliamentarians (NAP) in In 2008, after taking a preparatory course through the University of Wisconsin, he successfully passed the NAP examination to become a Registered Parliamentarian (RP). He served as President of the Maine Association of Parliamentarians from 2009 to He is a member-at-large of the New England Association of Parliamentarians. He has shared his parliamentary expertise with the NBCE, FCLB, numerous State Chiropractic Regulatory Boards and the American Nursing Association-Maine. Frank Nicchi, D.C., M.S. Dr. Frank J. Nicchi currently serves as president emeritus of the New York Chiropractic College, having served as the college s president from September 2000 through August Dr. Nicchi earned his Baccalaureate degree from St. John s University (NY) in 1973, his Doctor of Chiropractic degree from New York Chiropractic College in 1978 and a Master of Science degree in Management (with honors) at Roberts Wesleyan College in He has been a member of the faculty of New York Chiropractic College since 1980, instructing clinical diagnosis and chiropractic technique and serving as a clinician at the

45 FCLB 2018 Annual Congress Page 45 College s outpatient health center in Levittown. He maintains the faculty rank of Professor in the department of Chiropractic Clinical Sciences. Dr. Nicchi also maintained a chiropractic practice in New York State for some 22 years. Dr. Nicchi served as president of the Association of Chiropractic Colleges (ACC), a leadership organization comprised of accredited chiropractic educational programs in North America. On multiple occasions, he has been recognized by the ACC for exemplary leadership and meritorious service. He also served as a member of the board of directors of the New York State Chiropractic Association and was the recipient of the Ernest G. Napolitano Award, the association's highest honor, in recognition of contributions made to the chiropractic profession in the state of New York. Bill Ormston, DVM Dr. Ormston (Dr. O to most) is the eldest son of teachers from Marshalltown, Iowa. His love of animals comes from having grown up in an agricultural family. He was a leader in his 4H group and was well known in the state political circles as a bright young man. In 1988 he graduated from Iowa State University College of Veterinary Medicine with his DVM and was the youngest recipient of the Gentle Doctor Award given by that college In private practice Dr. O owned clinics in Hays, Kansas and in Climax Springs, Missouri before moving to Celina, Texas. In 1998 he attended Options for Animals and earned his certificate in Animal Chiropractic. Following his move to Texas he found himself in need of continuing education for the American Veterinary Chiropractic Association and sponsored a conference in Dallas, Texas at Parker Chiropractic College. Soon after this endeavor he founded the Animal Chiropractic Program at Parker Chiropractic College with the sponsorship of the continuing education department. In 2012 he and Dr. Amy developed the curriculum for Animal Chiropractic Education Source, the premier online school for training confident doctors in Animal Chiropractic. With the enthusiasm of a freshman and the experience of a professor, Dr. O infects his students with a love of chiropractic philosophy. Often mistaken for being a DC, Dr. O appreciates the complement as it reinforces his mission of empowering doctors with new insight in the healing of the body. Dr. O has published articles in several magazines, including Clean Run, Holistic Horse, Elite Equestrian, and many more. He offers mind blowing gait analysis courses to animal owners and Animal Chiropractors. His speaking endeavors include the American Veterinary Medical Association, Equine Affair, the Hoosier Horse Fair, and the American Veterinary Chiropractic Association.

46 FCLB 2018 Annual Congress Page 46 Cynthia Tays, D.C. Dr. Tays was elected District IV Director during the 2015 Congress in New Orleans, Louisiana, and Board Chair at the 2017 Congress in Orlando, Florida. She is a former president of the Texas Board of Chiropractic Examiners, and NBCE Examiner and Test Committee member. She was awarded the FCLB Pillar of Regulation Award in Dr. Tays is a graduate of Texas Chiropractic College. Carol Winkler, D.C. Dr. Winkler is a 1987 graduate of Palmer College and is a second generation chiropractor and regulator. She practices in Bismarck, North Dakota with her husband Dr. Cameron Nemecek. They have three children and have almost survived raising teenagers. Dr. Winkler has been involved in chiropractic regulation since 2003 having served the state of North Dakota for ten years. She was named North Dakota Chiropractor of the Year in North Dakota in She has been involved with the Federation the last eleven years serving on the finance committee, as the District 1 Director and as Board Chair. She currently serves as Treasurer.

47 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 47 Dr. Christopher Alexander Tennessee Board of Chiropractic Examiners 270 W Church St Ste E Lexington, Tennessee (731) chiro@netease.net Mr. Dale Atkinson FCLB 1466 Techny Rd Northbrook, Illinois (847) dale@atkinsonfirm.com Dr. Robert Alpert Georgia Board of Chiropractic Examiners 7202 Tara Blvd Jonesboro, Georgia drspyn@comcast.net Dr. Thomas Ayres, III North Carolina Board of Chiropractic Examiners 6837 Falls Of Neuse Rd Ste 106 Raleigh, North Carolina ayres@ncchiroboard.com Mr. Paul Andrews TOP Education 300 Falmouth Rd Apt 4d Mashpee, Massachusetts (508) paul@andrewsbilling.com Ms. Mona Baskin Arizona Board of Chiropractic Examiners 1951 W Camelback Rd Ste 330 Phoenix, Arizona (602) mona.baskin@azag.gov Mr. Jim Anliot Affiliated Monitors, Inc. Po Box Boston, Massachusetts (866) janliot@affiliatedmonitors.com Dr. Nicholas Baucum Texas Board of Chiropractic Examiners 1220 Airline Rd Ste 280 Corp Christi, Texas nicholas@tbce.state.tx.us 4/26/2018 Registration Roster Page 1 of 18

48 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 48 Ms. Micki Becker Minnesota Board of Chiropractic Examiners 2829 University Ave SE - #300 Minneapolis, Minnesota (651) michelle.becker@state.mn.us Dr. Joseph Brimhall University of Western States 2900 Ne 132nd Ave Portland, Oregon (503) jbrimhall@uws.edu Ms. Lisa Blanchard North Dakota State Board of Chiropractic Exam 607 Birch Ct Po Bx 185 Grafton, North Dakota (701) contact@ndsbce.org Dr. Karlos Boghosian Connecticut State Board of Chiropractic Examiners 24 Lewis St Hartford, Connecticut (860) kboghosian@sovita.com Mr. Justin Bohall Arizona Board of Chiropractic Examiners 1951 W Camelback Rd Ste 330 Phoenix, Arizona (602) jbohall@chiroboard.az.gov Dr. Mark Bronson Texas Board of Chiropractic Examiners 5521 Bellaire Dr S Ste 100 Fort Worth, Texas drmark@bronsonclinic.com Dr. James Buchanan FCLB, Wyoming State Board of Chiropractic Examiners 50 E Brundage St Sheridan, Wyoming (307) jbuchanan@fclb.org Dr. Karen Campion Texas Board of Chiropractic Examiners 3120 Texas Ave S College Sta, Texas dockc@suddenlink.net 4/26/2018 Registration Roster Page 2 of 18

49 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 49 Ms. Kelly Caudill Ohio State Chiropractic Board 77 S High St - 16th Fl Columbus, Ohio (614) kelly.caudill@chr.state.oh.us Dr. Michael Cavanaugh Louisiana State Board of Chiropractic Examiners 105 Independence Blvd Ste 3 Lafayette, Louisiana (337) mrcdc1@aol.com Dr. Aaron Chan Washington Chiropractic Quality Assurance Commission 4339 W Kennewick Ave Kennewick, Washington awchandc@chanchiro.com Mr. Dennis Clark Montana Board of Chiropractors 301 S Park Ave Po Bx Helena, Montana (406) dlibsdchi@mt.gov Dr. Gerald Clum The Octagon, Life University 5912 Spencer Hwy Pasadena, Texas (281) Dr. Maggie Colucci FCLB, Nevada State Board of Chiropractic Physicians 2085 Village Center Cir Ste 110 Las Vegas, Nevada (702) mcolucci@fclb.org Dr. Steven Conway, Esq National Board of Chiropractic Examiners 2 E Mifflin St Ste 600 Madison, Wisconsin (727) chirolaw@aol.com Dr. Annette Coon Honorary Fellow 435 Folly Rd Charleston, South Carolina (702) drannettezaro@gmail.com 4/26/2018 Registration Roster Page 3 of 18

50 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 50 Dr. Michael Coon Honorary Fellow 435 Folly Rd Charleston, South Carolina (843) Dr. Curtis Damien Tennessee Board of Chiropractic Examiners 8110 Hwy 51 N Ste 2 Millington, Tennessee drdamien@rittermail.com Dr. Daniel Côté NBCE, Oregon Board of Chiropractic Examiners 951 N 2nd St Silverton, Oregon (503) cote@reagan.com Ms. Emily Cronbaugh Wyoming State Board of Chiropractic Examiners 2001 Capitol Ave Bldg Rm Cheyenne, Wyoming (307) emily.cronbaugh@wyo.gov Dr. George Curry ICA 395 Broad St Windsor, Connecticut kkcurry8@aol.com Dr. Robert Daschner FCLB, Minnesota Board of Chiropractic Examiners 117 State St N Waseca Family Chiropractic Ctr Waseca, Minnesota (507) rdaschner@fclb.org Dr. Peter DeFranco Alabama State Board of Chiropractic Examiners 3166 Allison Bennett Dr Hueytown, Alabama (205) pdefra1500@aol.com Dr. Kevin Donovan Rhode Island Board of Examiners in Chiropractic 1272 W Main Rd Middletown, Rhode Island (401) ckevind@verizon.net 4/26/2018 Registration Roster Page 4 of 18

51 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 51 Dr. Beth Ehlich South Carolina Board of Chiropractic Examiners 606 W Poinsett St # A Greer, South Carolina (864) beth@ehlichchiro.com Dr. David Folweiler Washington Chiropractic Quality Assurance Commission th Ave Ne Ste 202 Seattle, Washington drdave@folweiler.com Dr. Michael Fedorczyk Maryland Board of Chiropractic Examiners Southern Maryland Blvd Ste 202 Dunkirk, Maryland (410) drmikefed@comcast.net Ms. Julie Finn Federation of Chiropractic Licensing Boards 5401 W 10th St Ste 101 Greeley, Colorado (970) jfinn@fclb.org Mr. Patrick Fortner Texas Board of Chiropractic Examiners 333 Guadalupe St Ste 825 Tower Iii, Ste 825 Austin, Texas (512) patrick.fortner@tbce.state.tx.us Dr. Christopher Fox Florida Board of Chiropractic Medicine 3030 S Dixie Hwy Ste 4 West Palm Bch, Florida chris@drchrisfox.com Mr. John Floyd National Board of Chiropractic Examiners 4325 Hillsboro Pike Ste 300 Nashville, Tennessee (970) Dr. Mickey Frame Ohio State Chiropractic Board 4157 W Sylvania Ave Toledo, Ohio (419) mframe@bex.net 4/26/2018 Registration Roster Page 5 of 18

52 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 52 Dr. Margaret Freihaut Missouri State Board of Chiropractic Examiners 3605 Missouri Blvd Jefferson Cty, Missouri (636) Dr. Christopher Gerard Washington Chiropractic Quality Assurance Comm Po Box Olympia, Washington (360) Mr. Ajay Gohil District of Columbia Board of Chiropractic 899 N Capitol St Ne Fl 2nd Washington, District of Columbia (202) ajay.gohil@dc.gov Dr. Steven Gould Kansas State Board of Healing Arts Po Box 190 Cheney, Kansas (316) drgoulddc@gmail.com Dr. Andrew Gow National Board of Chiropractic Examiners 2530 Abarr Dr Ste 120 Loveland, Colorado agow@nbce.org Dr. Farrel Grossman FCLB, National Board of Chiropractic Examiners Po Box Charleston, South Carolina (843) fgrossman@fclb.org Dr. Richard Guarino Arizona Board of Chiropractic Examiners Po Box Phoenix, Arizona (602) Rich_Guarino@cox.net Dr. Holly Harvey West Virginia Board of Chiropractic Examiners 26 Greenville School Rd Greenville, West Virginia (304) drsharvey@yahoo.com 4/26/2018 Registration Roster Page 6 of 18

53 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 53 Dr David O. Hayes President, FCC / Delegate, Quebec Board th Ave SHAWINIGAN-SUD, Quebec G9P 1L7 Canada (819) david.hayes@uqtr.ca Dr. Danita Heagy Florida Board of Chiropractic Medicine 4425 Us One S Ste 109 Saint Augustine, Florida (904) dth@drdanita.com Dr. Dustin Heard Arkansas State Board of Chiropractic Examiners 105 Cracker Box Ln Ste A Hot Springs, Arkansas drheard46@gmail.com Dr. Bruce Hilton North Carolina Board of Chiropractic Examiners 715 Fairgrove Church Rd Se Ste 101 Conover, North Carolina (828) brucehiltondc@yahoo.com Dr. Winfield Hobbs Washington Chiropractic Quality Assurance Commission Seattle, Washington drhobbs@drhobbsdc.com Dr. Debra Hoffman Honorary Fellow N 56th St Temple Terr, Florida (813) debhoffmandc@aol.com Dr. Hank Hulteen Honorary Fellow 1007 Church St Camden, South Carolina (803) cap74@att.net Dr. Kindra Ingram Maryland Board of Chiropractic Examiners th St Ste 240 Silver Spring, Maryland (301) info@alignspinecenter.com 4/26/2018 Registration Roster Page 7 of 18

54 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 54 Dr. George Khoury Pennsylvania State Board of Chiropractic 3131 Millers Run Rd Ste 5 Cecil, Pennsylvania (412) drgkhoury@cecilchiropractic.com Dr. Mark Kruse Louisiana State Board of Chiropractic Examiners 4416 Trenton St Metairie, Louisiana (504) markccsp@bellsouth.net Ms. Beth Kidd Oklahoma Board of Chiropractic Examiners 421 Nw 13th St Ste 180 Oklahoma City, Oklahoma (405) Beth.Kidd@chiro.ok.gov Dr. Tony Kyles South Carolina Board of Chiropractic Examiners 109 Greenville St Sw Aiken, South Carolina (803) scgrad91@yahoo.com Dr. Stacey Kjeldgaard Ethics and Boundaries Assessment Services th Ave Greeley, Colorado skjeldgaard@ebas.org Dr. Lisa Kouzes Oregon Board of Chiropractic Examiners 9115 Sw Oleson Rd Ste 103 Portland, Oregon (503) lkouzes@gmail.com Dr. Bryson Langel Washington Chiropractic Quality Assurance Commission 1645 Cooper Point Rd Sw Olympia, Washington (360) brysonlangeldc@hotmail.com Dr. Lisa Lanzara-Bazzani New Hampshire Board of Chiropractic Examiners 168 Amherst St Nashua, New Hampshire (603) drlisa@myfairpoint.net 4/26/2018 Registration Roster Page 8 of 18

55 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 55 Dr. Brian Larson Alaska State Board of Chiropractic Examiners 189 S Binkley St Ste 101 Soldotna, Alaska (907) larson.brian.e@gmail.com Ms. Kathleen Lippert Kansas State Board of Healing Arts 800 Sw Jackson St Lowr Level Ste A Topeka, Kansas (785) kathleen.lippert@ks.gov Dr. Salvatore LaRusso National Board of Chiropractic Examiners Wellington Trce Ste 13 Wellington, Florida (561) spinedoc2002@yahoo.com Dr. Craig Little Council on Chiropractic Education 8049 N 85th Way Scottsdale, Arizona (480) little@cce-usa.org Ms. Kay Leff National Board of Chiropractic Examiners th Ave Greeley, Colorado (970) kleff@nbce.org Dr. Allan Lowman Alabama State Board of Chiropractic Examiners 2691 Sandlin Rd Sw Ste A Decatur, Alabama (256) aspride@aol.com Mr. Louis Ling Nevada State Board of Chiropractic Physicians 4600 Kietzke Ln Ste M245 Reno, Nevada (755) louisling@me.com Dr. Ben Lurie Nevada State Board of Chiropractic Physicians 3430 N Buffalo Dr # 110 Las Vegas, Nevada (702) drlurie@neckandback.org 4/26/2018 Registration Roster Page 9 of 18

56 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 56 Dr. Ned Martello FCLB, Louisiana State Board of Chiropractic Examiners 2798 Oneal Ln Ste F-11 Baton Rouge, Louisiana (225) Dr. Terry Martin Utah Chiropractic Physicians Licensing Board Taylorsville, Utah Ms. Laurie Mayhan Arkansas State Board of Chiropractic Examiners 101 E Capitol Ave Ste 209 Little Rock, Arkansas (501) laurie.mayhan@arkansas.gov Dr. Sherry McAllister Foundation for Chiropractic Progress 1645 Willow St Ste 100 San Jose, California (408) dr.mcallister@sbcglobal.net Dr. James McDaniel Vermont Board of Chiropractic 972 Halladay Rd Middlebury, Vermont drjim@mcdanielchiro.com Dr. John McGinnis National Board of Chiropractic Examiners, South Carolina Board of Chiropractic Examiners 764 W Liberty St 1 Medical Ct Sumter, South Carolina (803) drmcginnis@ftc-i.net Dr. Brian McIntyre Missouri State Board of Chiropractic Examiners 1415 S Big Bend Blvd Richmond Hts, Missouri (314) brianm@mcintyrechiro.com Ms. Cass McLeod-Skinner Oregon Board of Chiropractic Examiners 3218 Pringle Rd Se Ste 150 Salem, Oregon (503) Cass.MCLEOD-SKINNER@oregon.gov 4/26/2018 Registration Roster Page 10 of 18

57 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 57 Dr. Michael Megehee TeamCME 114 Se 1st St Pendleton, Oregon (541) Dr. Paul Morin NBCE, Maine Board of Chiropractic Licensure 862 Minot Ave Auburn, Maine (207) Dr. Amanda Miller-Housh Oklahoma Board of Chiropractic Examiners 421 Nw 13th St Ste 180 Oklahoma City, Oklahoma (405) Dr. Kent Moore Arkansas State Board of Chiropractic Examiners 2925 W Walnut St Rogers, Arkansas (479) chirokm@aol.com Ms. Liz Moore Ohio State Chiropractic Board 77 S High St - 16th Fl Columbus, Ohio (614) OSCB.ChiroBd@chr.state.oh.us Dr. John Nab National Board of Chiropractic Examiners (262) johncnab@gmail.com Dr. Frank Nicchi President Emeritus, NYCC 2360 St Rt 89 PO Bx 800 Seneca Falls, New York (315) fnicchi@nycc.edu Mr. Bob Nicoloff Washington Chiropractic Quality Assurance Commission Po Box Olympia, Washington (360) bob.nicoloff@doh.wa.gov 4/26/2018 Registration Roster Page 11 of 18

58 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 58 Dr. Janis Noseworthy Nova Scotia College of Chiropractors 189 Dykeland St, Ste 5 WOLFVILLE, Nova Scotia B4P 1A3 Canada (902) drjanisdc@gmail.com Dr. David O'Bryon Association of Chiropractic Colleges 4424 Montgomery Ave Ste 202 Bethesda, Maryland (301) obryonco@aol.com Dr. Lawrence O'Connor Honorary Fellow 30 Harrington Ave Westwood, New Jersey (201) locdc@optonline.net Ms. Patricia Oliver FCLB, Louisiana State Board of Chiropractic Examiners 8621 Summa Ave Baton Rouge, Louisiana (225) lsbce@eatel.net Dr. LeRoy Otto National Board of Chiropractic Examiners, Minnesota Board of Chiropractic Examiners 127 S High St Lake City, Minnesota (651) lakecitychiro@yahoo.com Dr. Norman Ouzts National Board of Chiropractic Examiners 463 Calhoun Ave Ste B Greenwood, South Carolina (864) nouztsdc@gmail.com Dr. Gregory Palkowski Ohio State Chiropractic Board 1654 Mardon Dr Beavercreek, Ohio (614) bcrk3300@aol.com Dr. Michael Pendleton New Mexico Board of Chiropractic Examiners 7520 Montgomery Blvd Ne Bldg E9 Albuquerque, New Mexico (505) drp@swbrainpc.com 4/26/2018 Registration Roster Page 12 of 18

59 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 59 Dr. Dorothy Pernell Mississippi State Board of Chiropractic Examiners Po Box 444 Greenwood, Mississippi Dr. Tucker Poling Kansas State Board of Healing Arts Po Box 166 Saint Francis, Kansas Ms. Allyson Pettley Utah Chiropractic Physicians Licensing Board 160 S 300 E Bx Salt Lake Cty, Utah (801) apettley@utah.gov Dr. Ronwynn Pratt Washington Chiropractic Quality Assurance Commission 102 Cottage Ave Cashmere, Washington (509) ronwynndc2@yahoo.com Dr. Amy Pezo President, Montana Board of Chiropractors 1617 Euclid Ave Ste 5 Helena, Montana (406) dramypezo@gmail.com Ms. Adrienne Price Georgia Board of Chiropractic Examiners 237 Coliseum Dr Macon, Georgia (478) aprice@sos.ga.gov Dr. Ridge Pidde Minnesota Board of Chiropractic Examiners 2004 Ford Pkwy Saint Paul, Minnesota ridge.pidde@gmail.com Dr. William Rademacher Honorary Fellow 2313 E Prescott Pl Chandler, Arizona (309) wmjrdc@gmail.com 4/26/2018 Registration Roster Page 13 of 18

60 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 60 Dr. Michael Remmick North Dakota State Board of Chiropractic Exam 201 6th Ave Ne Devils Lake, North Dakota (701) Dr. Cathy Riekeman New Mexico Board of Chiropractic Examiners 2001 A. San Mateo NE Albuquerque, New Mexico (505) Dr. Scott Salita Minnesota Board of Chiropractic Examiners 3433 Broadway St Ne Ste 187 Minneapolis, Minnesota (612) Dr. Chandra Sasseville Maine Board of Chiropractic Licensure 416 Sabattus St Lewiston, Maine Dr. John Scaringe Southern California University of Health Sciences Amber Valley Dr Po Box 1166 Whittier, California (562) Dr. Liam Schubel International Federation of Chiropractors and Organizations PO Box Providence, Rhode Island (800) Dr. Patricia Schumacher Wisconsin Chiropractic Examining Board 200 Air Park Rd Po Box 624 Marshfield, Wisconsin Dr. Jon Schwartzbauer FCLB 5401 W 10th St Ste 101 Greeley, Colorado (970) jschwartzbauer@fclb.org 4/26/2018 Registration Roster Page 14 of 18

61 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 61 Ms. Bridget Seader Federation of Chiropractic Licensing Boards 5401 W 10th St Ste 101 Greeley, Colorado (970) bseader@fclb.org Mr. Michael Sobowale Tennessee Board of Chiropractic Examiners 665 Mainstream Dr Fl 2nd Nashville, Tennessee (615) michael.sobowale@tn.gov Dr. Kevin Sharp North Carolina Board of Chiropractic Examiners 5029 University Pkwy Winston Salem, North Carolina Sharp@ncchiroboard.com Dr. Kirk Shilts FCLB, National Board of Chiropractic Examiners, Massachusetts Board of Registration of Chiropractors 65 Prospect St Hingham, Massachusetts (617) kshilts@fclb.org Dr. Ricky Sides North Carolina Board of Chiropractic Examiners 6070 Six Forks Rd Ste L Raleigh, North Carolina (704) sides@ncchiroboard.com Dr. Anthony Spivey Florida Board of Chiropractic Medicine Bureau of Operations/PRES Unit 4052 Bald Cypress Way, Bin C90 Tallahassee, Florida (850) Anthony.Spivey@flhealth.gov Dr. Kathryn Stanek Mississippi State Board of Chiropractic Examiners 403 Memorial Blvd Picayune, Mississippi kathy@stanekchiro.com Dr. Greg Steele Minnesota Board of Chiropractic Examiners th Ave Se Becker, Minnesota (763) gsteele@catholicunited.org 4/26/2018 Registration Roster Page 15 of 18

62 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 62 Dr. Bruce Steinberg New York State Board for Chiropractic Dr. Cynthia Tays FCLB 358 Quaker Rd Queensbury, New York Mr. Justin Stilson Wolfson Scholar - Parker University 2540 Walnut Hill Ln Dallas, Texas (406) jstilson@parker.edu Ms. Julie Strandberg Nevada State Board of Chiropractic Physicians 4600 Kietzke Ln Ste M245 Reno, Nevada (775) chirobd@chirobd.nv.gov Mr. Glenn Taylor Oregon Board of Chiropractic Examiners 3209 Se 31st Ave Portland, Oregon (503) gtaylorpdx@gmail.com 333 Guadalupe St Ste Austin, Texas (512) ctays@fclb.org Mr. Stephen Tracy National Board of Chiropractic Examiners th Ave Greeley, Colorado (970) stracy@nbce.org Dr. Nathaniel Tuck Virginia Board of Medicine Po Box 1463 Christiansbrg, Virginia (540) raytuck@tuckclinic.com Dr. Keita Vanterpool FCLB, District of Columbia Board of Chiropractic 2833 Alabama Ave Se Unit Washington, District of Columbia (202) kvanterpool@fclb.org 4/26/2018 Registration Roster Page 16 of 18

63 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 63 Dr. Franchesca Vermillion Oregon Board of Chiropractic Examiners Ne Halsey St Portland, Oregon Dr. Chris Waddell Oklahoma Board of Chiropractic Examiners 421 Nw 13th St Ste 180 Oklahoma City, Oklahoma (405) Ms. Marcia Walter South Dakota Board of Chiropractic Examiners 407 Belmont Ave Yankton, South Dakota (605) Ms. Kelly Webb Federation of Chiropractic Licensing Boards 5401 W 10th St Ste 101 Greeley, Colorado (970) KWebb@fclb.org Dr. Terry Webb Kansas State Board of Healing Arts 1035 E 30th Ave Ste A Hutchinson, Kansas (620) tvmwebb@netzero.net Dr. Rachel Wendt Colorado Chiropractic Association 8751 E Hampton Ave Ste B7 Denver, Colorado (800) drrachel@coloradochiropractic.org Dr. Carol Winkler FCLB 1431 Interstate Loop Ste C Bismarck, North Dakota (701) cwinkler@fclb.org Dr. Wayne Wolfson NCMIC Group, Inc. 205 E Colonial Dr Orlando, Florida (407) wayne_wolfson@hotmail.com 4/26/2018 Registration Roster Page 17 of 18

64 92nd Annual Congress Federation of Chiropractic Licensing Boards Registration Roster FCLB 2018 Annual Congress Page 64 Dr. Jason Young Oregon Board of Chiropractic Examiners 985 Nw 23rd St Corvallis, Oregon Ms. Vicki Young Federation of Chiropractic Licensing Boards 5401 W 10th St Ste 101 Greeley, Colorado (970) vyoung@fclb.org Dr. Brian Zachariah Illinois Medical Licensing Board 100 W Randolph St Ste Chicago, Illinois (312) brian.zachariah@illinois.gov 4/26/2018 Registration Roster Page 18 of 18

65 Annual Report FCLB 2018 Annual Congress Page 65 Report Financial Report Articles of Incorporation Membership Overview Districts Organizational Chart Board of Directors Committees Supporters

66 FCLB Annual Report May 2018 A major part of the FCLB s mission is to serve member boards. Ongoing improvements and expansion of the CIN-BAD system, PACE program, website services, and educational conferences comprise the bulk of the Federation s mission. CURRENT FCLB PROJECTS FCLB 2018 Annual Congress Page 66 CIN-BAD is getting ANS Informed Public Become an Ambassador New software updates mean new opportunities, and CIN-BAD is on board. Keep an eye open for CIN-BAD s Advanced Notification System (ANS). If your licensee is disciplined in another jurisdiction, CIN-BAD will let you know. FCLB is participating in FARB s Look up a License awareness campaign, encouraging the public to verify the licensure status of a wide range of professionals. The FCLB s website is linked up on FARB s license check site and we offer our own table of links to the online license verification services of our member boards. Our Chiropractic Ambassador Program (CAP) is designed to educate affiliated organizations and future chiropractors about the role of regulation and the services of the FCLB. FCLB SERVICES Website Official Directory The FCLB website continues to be an excellent resource for jurisdictional regulatory information as well as links to prominent chiropractic organizations and programs. Check out the Chiropractic Boards page for direct links to member boards home pages, license verifications, legal language and licensure applications. Visit us at The FCLB Official Directory outlines the requirements to obtain and maintain a license. Now offered exclusively online, the Directory is updated immediately as we receive reports and changes from member boards. Staff also conducts an annual survey of member boards to ensure we offer the most up-to-date information. Protecting the public by promoting excellence in chiropractic regulation through service to our member boards Page 1 1

67 FCLB 2018 Annual Congress Page 67 Certified Chiropractic Clinical Assistants (CCCA) to help with therapies PowerPolls An increasing number boards in the are developing language in their laws to regulate chiropractic assistants who help with therapies. The CCCA program offers uniform standards and patient protection measures for these important personnel. The program includes educational criteria, an NBCE examination, and continued competency requirements. Additionally, the Federation has model regulatory language for boards that do not currently regulate CA s. For boards interested in this program, they may dovetail their programs with the national certification program. Those with existing authority are invited to adapt their programs to recognize and offer appropriate credit for future CAs who will have earned this important credential. FCLB staff conducts PowerPolls for our members, surveying boards on a wide array of regulatory and administrative policies. Additionally, PowerPoll archives are posted on the Members Only portion of our website so that member boards may research past surveys. News Alerts CIN-BAD National Practitioner Databank (NPDB) Using multiple e-news services, we crawl the Web continuously, looking for published discipline-related news involving doctors of chiropractic and bringing them to the attention of their licensing board(s). Among many options, stories may include civil or criminal convictions, arrests, public investigations, on-going prosecution or dismissal of charges. While guilt or innocence is not necessarily implied by the news stories, the service allows our member boards to mark it on their radar and take appropriate administrative action according to their rules and regulations. CIN-BAD continues to be an excellent primary source for tracking board actions and Medicare sanctions against licensees. And now, the databank has expanded to include chiropractic assistants to ensure accurate and timely information for the boards that regulate these key personnel. The database is updated daily. The Federal government recently issued revised codes for reporting to the National Practitioner Databank. For those jurisdictions who have designated FCLB to report their actions to the federal database, these and other programming changes are unnoticeable because the FCLB handles the process. Protecting the public by promoting excellence in chiropractic regulation through service to our member boards Page 2 2

68 FCLB 2018 Annual Congress Page 68 PACE continues to expand District Meetings Conference 2019 Streamlining CE provider recognition Built in response to a joint request by the Federation's member boards and the postgraduate education community, PACE significantly reduces CE recognition workloads. The program relies on experts in chiropractic education to assess and recommend improvements for CE providers to ensure that those providers meet uniform regulatory standards for relicensure credit. What's new? Check out our updated online catalog of courses and expanded search features. We ve finalized the 2018 District Meeting schedule. Districts I & IV: Palm Springs, CA September District II: Fort Walton Beach, FL October Districts III & V: Palm Beach, FL September Please see our website or your meeting materials for hotel and travel information takes us to Mission Bay, California. Please join us May 1-5, 2019 at the Hilton Resort Mission Bay. We look forward to more great insights from our volunteer presenters as well as networking and sharing opportunities for our members. License Portability The FCLB is investigating ways of offering selective authentication of licensure status for temporary mobility. Focused primarily on international travel, our new Passport program will offer verification of good standing, NPI information, and clean criminal backgrounds for DCs interested in travelling to treat. REFERENCES & PUBLICATIONS ON OUR WEBSITE FCLB Model Practice Act Model Code of Ethics for Board Members Resources The FCLB has crafted model language for the regulation of chiropractors and chiropractic assistants who help with therapies. This model document is now available under the publications section of our website. Initiated as an FCLB project to define the qualifications and obligations of regulatory board members, this document has been adapted and adopted for use in all regulated professions by the Federation of Associations of Regulatory Boards (FARB). The Code also helps provide a standard for governors to assist them with original appointments. Check out our website for links to related organizations and their upcoming events. Protecting the public by promoting excellence in chiropractic regulation through service to our member boards Page 3 3

69 Model Disciplinary Code FARB s Model Practice Act & Model Renewal Application Qualifications to Perform Spinal Manipulation Model Framework: Uniform Evaluative Process for Treatments & Devices Ethics Materials FCLB 2018 Annual Congress Page 69 This FCLB publication provides a basic framework for boards to evaluate their current approach to discipline to better ensure consistency within the board and among jurisdictions. This great reference offers a checklist of violations and range of sanctions to ensure no categories are inadvertently omitted. Working together with representatives from the attorneys general, FARB has refined the application for licensure to safeguard against challenges posed by current case law. FARB has also developed a Model Practice Act and License Renewal Application which have been reviewed by boards and regulatory lawyers from both the US and Canada. This FCLB document focuses on the level of training and skill required to safely perform spinal manipulation. It is the result of several years of development under a Federation task force, with the expertise of lead author Dr. John J. Triano. To review this document, visit our website and click on Publications in the Resources menu. At the request of member boards, the Task Force on Uniform Evaluative Processes for Treatments and Devices developed uniform guidelines to assist regulators in assessing new treatments and devices. While the actual responsibility for determining whether specific treatments fall under jurisdictional scope of practice lies with individual boards, this tool helps them to simplify and standardize those processes. A copy of the evaluation tool is available on the FCLB website. The FCLB website hosts on online library. A major portion of this library consists of ethics resources including the FCLB booklet entitled Regulatory Resources for Doctors of Chiropractic with Ethics Issues. FCLB Resource Brochures Our comprehensive informational brochures about the FCLB, the CIN-BAD databank, CCCA Program and PACE are all available for download at no charge through our website. Please visit our website at where the Federation of Chiropractic Licensing Boards is at work for regulation 24 x 7. Protecting the public by promoting excellence in chiropractic regulation through service to our member boards Page 4 4

70 FCLB 2018 Annual Congress Page 70 Financial Report Statement of Revenues, Expenses, and Changes in Fund Balance Accrual Basis Year Ended December 31, 2017 NBCE General Operations $591,884 PACE 119,937 Membership Dues 74,630 Meetings (Conference & Districts) 64,208 Supporter Income 41,000 CIN BAD Subscriptions & Queries 32,857 CCCA Income 9,960 Other Income (2,616) Miscellaneous 2,210 NBCE In Kind Contributions 32,227 TOTAL 2017 REVENUES $966,297 REVENUES 2017 Major Revenue Sources NBCE PACE Dues CIN_BAD Meetings Supporter Other Income CCCA Salaries $351,750 Payroll Taxes 26,707 Employee Benefits 30,648 Retirement Contributions 9,791 Staff Development 852 Audit Services 8,400 Bank and Credit Card Fees 7,578 Dues 3,294 Equipment Maintenance & Copies 5,472 Gifts and Awards 1,748 Information Technology 34,705 Insurance 7,309 Internet Services 6,804 Legal Services 15,418 Meetings Expense: Annual Conference 63,526 District Meetings 44,379 Additional Meetings* 119,316 EXPENSES Note: FCLB appreciates the NBCE s additional annual in kind contribution of office space and utilities valued by NBCE at $32,227. Office Supplies & Publications 5,103 Postage and Shipping 6,361 Printing 417 Public Relations 4,671 Residential Agent 47 Small Equipment (less than $1,000) 257 Telephone 6,106 Rent & Utilities NBCE In Kind 32,227 Depreciation & Amortization 2,397 TOTAL EXPENSES $795,283 *Additional Meetings include TWO Mid year BOD, FARB, NCLC/ACCRAC, Summit, COCSA, FCC, FCA, TWO Parker Seminars, etc. FCLB FINANCIAL REPORT PAGE 1

71 FCLB 2018 Annual Congress Page 71 Financial Analysis Net Assets: 12/31/17 $1,457,897 Net Assets: 12/31/16 $1,286,883 Net Assets: 12/31/15 $1,082,226 REVENUES NBCE continues to be the Federation s main source of funding. Testing is the primary avenue of support for all other federations of regulatory boards. Our operations grant provides for 5% of chiropractic testing. FCLB s beautiful office space, provided by NBCE, was valued in 2017 at $32,227 and is shown as an in kind contribution in the 2017 Audit. FCLB extends its warmest appreciation to NBCE for its continued support. Meetings income supports one of the larger and most valuable of the member services, enabling FCLB to provide top quality educational programs for both conference and district meetings. Membership dues provided 7.7% of the 2017 operating revenue. In 2017, FCLB members include regulatory boards from the and Canada. PACE gained additional providers in 2017 and received income in the form of records fees, annual renewal fees, and application fees from its approved providers. Supporter contributions provided by NBCE, chiropractic colleges and independent sources assist FCLB in presenting important and effective programs in chiropractic regulation. Other income is a combination of all interest and dividends earned and our initial cost of bonds purchased at a premium in our Investment Account. Miscellaneous Income includes credit card rebate income. FCLB FINANCIAL REPORT PAGE 2

72 FCLB 2018 Annual Congress Page 72 EXPENSES Salaries & Benefits The Federation offers its staff of five (5) employees a retirement benefit, a group health insurance plan and a group dental plan. Meetings The FCLB constantly strives to provide the highest quality program at a cost that fits the budget of member boards and allows the greatest attendance by regulators. This category includes all costs involved in presenting and/or attending meetings including travel, hotel sleeping rooms, banquet fees, audiovisual, etc., all of which continue to rise while FCLB meeting registration fees have not increased. In addition to the programs provided by FCLB, the board and executive director attend and participate in meetings of other stakeholders as necessary. In 2017, members of the board of directors are eligible to receive a $325/day honorarium and a $100/day per diem for meals and tips when traveling on behalf of the FCLB. Legal Legal funds are expended for occasional attorney participation in board meetings, and general legal advice as needed. Postage & Shipping This includes shipping to educational conferences as well as daily postal costs. Fortunately, much communication is done by e mail and via the FCLB website. Audit Services Approved by the Board of Directors, the annual audit was performed by the independent CPA firm of Anderson & Whitney. Business Insurance The FCLB maintains business owner s liability, travel and accident liability, board of directors liability, surety bonds, and worker s compensation coverage. Information Technology This amount includes 1/3 of the cost of our new database software. We will pay the total cost over 3 years. Internet Services Hosting for the FCLB website and central integrated database. Bank and Credit Card Service Fees Transaction costs charged to FCLB when services are paid for via credit card (a function increasingly preferred by stakeholders). Gifts & Awards Presented at conference in recognition of those who serve in chiropractic regulation as well as nominal gifts given during the year for noteworthy occasions. Dues FCLB membership dues for participation in FARB, CLEAR, AHC, Summit and the Greeley Chamber of Commerce Public Relations Costs for promoting and identifying FCLB and its services, including CIN BAD, PACE, and CCCA. FCLB FINANCIAL REPORT PAGE 3

73 FCLB 2018 Annual Congress Page 73 Financial Analysis SIGNIFICANT NOTES The 2017 figures are based on an audit by Anderson & Whitney, Certified Public Accountants. Their official statement is available for review by any FCLB member. This financial report is not prepared by the CPA but contains the financial figures which they have verified. The FCLB provides this financial report at our annual meeting to help members better understand FCLB finances. FCLB identifies but does not fund depreciation. In 2017, FCLB was able to add $29,243 to its designated 12 months Operating Reserve account bringing the total to $400,806 (approximately 45% of the Board s policy goal). FCLB FINANCIAL REPORT PAGE 4

74 FCLB 2018 Annual Congress Page 74 Financial Analysis BOARD DESIGNATED FUNDS MARCH 2018 Board Designated Funds General Operating PACE Technology Equipment Replacement Wolfson Scholarship CBAC CCCA Passport Board Designated Funds Balances (March 31, 2018) General Operating Fund $400,806 Technology Development Fund $125,000 PACE Development Fund $ 43,752 Equipment Replacement Fund $ 19,000 CCCA Development Fund $ 21,646 Passport Development Fund $ 20,341 Student Leadership Fund $ 10,116 CBAC Fund $ 3,340 TOTAL $644,001 Cash, Cash Equivalents and Fixed Income The FCLB began fiscal year 2018 with $1,484,226 available cash for daily operations. Funds are currently invested in interest bearing money market accounts and an Investment Account at Wells Fargo consisting of Money Market and Fixed Income (Government Obligations, Corporate Obligations and Domestic Mutual Funds). On March 31 st, the balance of Cash, Cash Equivalents and Fixed Income is $1,688, Months Operating Fund The board added $29,243 at 2017 year end, to bring the fund s total to $400,806. The board also approved 3% of revenue (approx. $27,369) for its 2018 allocation. The fund is currently at about 45% of the Board s policy goal of maintaining a 12 month operating reserve. PACE Development Fund In anticipation of the implementation costs for the PACE program, the board approved the fund s establishment in 2004 with $70,000 established. The board depleted the fund in September 2005 and then replenished it with $36,000 in January The board withdrew $30,000 in January FCLB FINANCIAL REPORT PAGE 5

75 FCLB 2018 Annual Congress Page for PACE expenses. In January 2009 the board approved adding $25,000 to this fund. $15,000 was added in 2011 in to help cover the anticipated 2012 cost of a PACE rubric team meeting. In 2017 $2,248 was used for travel expenses to states to promote the PACE program and to renew the PACE trademark. The fund balance is $43,752. Technology Development Fund Early in 2004, the board created a $30,000 technology fund to support programming and internet costs. In January 2007, $15,000 was applied toward technology costs. In December 2007, $80,000 was added to the fund in anticipation of revamping the entire FCLB information technology infrastructure. An additional $20,000 was added in January 2009, and $40,000 was added in December In January of 2016, it was decided that $16,100 should be used toward upgrading and in January of 2017, it was decided that an additional $13,900 would be needed to upgrade software. The current balance is $125,000. Equipment Replacement Fund This fund was established in December 2004 to replace and upgrade hardware on a three to eight year rotation schedule. It was used in the past to support CIN BAD upgrade expenses and subsequently replenished. An additional $10,000 was added in January The current balance is $19,000. CCCA Development Fund The initial deposit of $5,850 was from the sale of raffle tickets in May of 2012 for the implementation costs for the CCCA program. This amount was depleted with the purchase of the badge making machine and software programming. $27,950 was added from the Gala/Auction in Subsequent expenses depleted the fund to a total of $13,686. In January 2016, the Board of Directors approved $17,000 be reallocated to this fund from the general funds, with $1,840 used for expenses, bringing the current balance to $28,846. In 2017, $4,150 was spent for advertising and $1,950 was spent for travel to Parker Seminars to promote the CCCA program. The balance is $21,646. Passport Development Fund In January 2016, the Board of Directors designated $20,000 for the implementation of the Passport Program. $314 was added to the fund for the proceeds of the cruise raffle in 2017 leaving the balance of $20,314. Student Leadership Fund This fund began in August of 2004 with regular deposits made by Dr. Wayne Wolfson usually on an annual basis. These funds are used for students of nearby chiropractic colleges to attend our annual conference. In 2010, the Board of Directors directed that this fund should be maintained at a minimum of $5,000. The balance is currently $10,116. CBAC Fund This fund began in the amount of $2,864 in December of 2010 with the dissolution of ACBA. Funds are contributed annually with the registration of Board Administrators paying $100 or $60 (depending on the meal expense) to attend the CBAC meeting at our annual conference. Expenses for the meeting room, meals and audio visual are reimbursed to the FCLB general fund. The current balance is $3,340. FCLB FINANCIAL REPORT PAGE 6

76 FCLB 2018 Annual Congress Page 76 Projected Revenue for 2018 Financial Report Adopted Budget 2018 PROJECTED REVENUES NBCE General Operations $595,500 PACE 90,000 Dues 76,424 Meetings 65,000 Supporter Income 23,000 Interest and Dividends 19,680 CIN BAD Subscriptions & Queries 17,750 NBCE Shared Conference Expenses 15,000 CCCA Fees 7,600 Rebate Income 2,350 NBCE Meetings Dues PACE CIN BAD 2018 Total Budgeted Revenues $912,304 Salaries $369,298 Payroll Taxes 29,123 Employee Benefits 49,405 Retirement Contributions 14,082 Staff Development 2,000 Audit Services 9,450 Bank and Credit Card Fees 8,000 Dues 4,370 Equipment Large 5,000 Equipment Small (less than $1,000) 1,000 Equipment Maintenance & Copies 9,440 Gifts and Awards 1,440 Information Technology 30,500 Insurance 12,500 Internet Services 10,130 Legal Services 23,600 Meetings Expense: Annual Conference 78,543 District Meetings 52,040 Additional Meetings* 102,134 PROJECTED EXPENSES Office Supplies & Publications 4,500 Postage and Shipping 6,000 Printing 600 Public Relations 4,100 Residential Agent 75 Telephone 3,300 TOTAL PROJECTED EXPENSES $830,630 *Additional Meetings include Mid year BOD, FARB, Summit, ACCRAC, NCLC, FCA, PACE audits, PACE State visits, Parker Seminars, etc. FCLB FINANCIAL REPORT PAGE 7

77 Restatement of the Articles of Incorporation of Federation of Chiropractic Licensing Boards (FCLB) WY ID # FCLB 2018 Annual Congress Page 77 Approved by the FCLB Board of Directors (none opposed): April 29, 2008 Approved by the FCLB Member Boards (none opposed): May 3, 2008 The Articles of Incorporation of the Federation of Chiropractic Licensing Boards is amended and restated to read as follows: 1. The name of the corporation shall be Federation of Chiropractic Licensing Boards. 2. The term of the existence of the corporation shall be perpetual. 3. This corporation is a public benefit corporation. 4. The corporation is organized to operate exclusively within the meaning of Section 501 (c)(3) of the Internal Revenue Code (or the corresponding provision of any future United States Internal Revenue Law) for charitable and educational purposes and for the purpose of lessening burdens on government, and, more specifically: to provide programs and services that assist member chiropractic licensing boards fulfill their statutory obligations to regulate the profession in the interest of public protection. These programs and services shall include, but not be limited to, those that promote uniform standards among licensing boards, examination and testing services, and educational programs teaching chiropractic (including those leading to the Doctor of Chiropractic degree, postgraduate chiropractic education, diplomate and certification programs, and continuing education for relicensure purposes.) 5. The internal affairs of the corporation shall be managed by a board of directors, composed of no fewer than eight (8) members, who shall be elected by the members of the corporation in such a manner and have such qualifications as the bylaws of the corporation shall from time to time provide. 6. The address of the registered office is 320 Boyd Bldg., Box 1004, Cheyenne, WY and the registered agent is William A. Riner. 7. The corporation is not organized for profit and shall have no capital stock, but shall issue memberships to such persons and governmental bodies as the bylaws shall provide. All such memberships shall be nonassessable, except that annual payment of dues in such amount as the bylaws may provide may be required as a condition of securing or continuing any membership issued by the corporation, as the bylaws shall from time to time provide. 8. No part of the net earnings of the corporation shall inure to the benefit of, or be distributable to its members, trustees, officers, or other private persons, except that the corporation shall be authorized and empowered to pay reasonable compensation for services rendered and to make payments and distributions in furtherance of the purposes set forth in Paragraph Nine hereof. No substantial part of the activities of the corporation shall be the carrying on of propaganda, or otherwise attempting to influence legislation, and the corporation shall not participate in, or intervene in (including the publishing or distribution of statements) any political campaign on behalf of or in opposition to any candidate for public office. Notwithstanding any other provision of these articles, the corporation shall not carry on any other activities not permitted to be carried on (a) by a corporation exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code, or (b) by a corporation, contributions to which are deductible under section 170(c)(2) of the Internal Revenue Code, or the corresponding section of any future federal tax code. 9. Upon the dissolution of the corporation, assets shall be distributed for one or more exempt purposes within the meaning of section 501(c)(3) of the Internal Revenue Code, or the corresponding section of any future federal tax code, or shall be distributed to the federal government, or to a state or local government, for a public purpose. Any such assets not so disposed of shall be disposed of by a Court of Competent Jurisdiction of the county in which the principal office of the corporation is then located, exclusively for such purposes or to such organization or organizations, as said Court shall determine, which are organized and operated exclusively for such purposes. #

78 Membership Overview FCLB 2018 Annual Congress Page 78 This section is designed to help you understand some of the basics involved in Federation membership. Please feel free to contact any member of the Federation's Board of Directors or staff with any questions. What is the purpose of the Federation? As the only international professional association of chiropractic regulatory boards, the FCLB was established in 1926 to provide education, networking, and informational support for its members. The Certificate of Incorporation outlines the purposes in detail. Our mission statement further defines the organization: Protecting the public by promoting excellence in chiropractic regulation through service to our member boards How does the governing structure of the Federation work? The board of directors totals ten people. There are five district directors who comprise the Executive Board, four officers (President, Vice President, Treasurer and Immediate Past President) and an Administrative Fellow Director. The Executive Committee consists of the Chair of the Executive Board and the four officers. Elections for the district directors are held at the Saturday morning breakfast caucus of the districts at the spring conference. The officers and Administrative Fellow Director are elected by the membership at large during the annual business meeting at the spring conference. District directors serve for up to two three-year terms. The President, Vice President and Treasurer may serve for one two-year term in that office. The Executive Fellow Director may serve up to two three-year terms. Who are the members? Who votes? Each member licensing board has one vote, to be cast by either the delegate, or in that person's absence, the alternate. Boards designate their delegate and alternate at least 30 days prior to the annual business meeting. The delegate and alternate must be a Fellow, Administrative Fellow, or Honorary Fellow. The chiropractic colleges, state, provincial, or national associations, and interested individuals are welcome to participate in FCLB projects on a non-voting basis. Attendance at the annual business meeting is open to all. What deadlines do I need to be aware of? # Bylaws - proposals for bylaws changes need to be postmarked to the executive offices no later than 90 days before the annual meeting. # Registration of Delegates - must be postmarked no later than 30 days before the annual meeting. # Resolutions - must be received in proper format by the Resolutions Committee no later than 8:00 AM the Wednesday before the annual meeting. What happens at the regional District meetings in the fall? Although these are generally informal networking occasions, official business may include recommendation of resolutions to come before the FCLB as a whole. The districts are not separate organizations, so they do not pass policies that apply only to themselves. However, they may assist one another with regional concerns, and may function as small groups to brainstorm ideas and raise concerns for the membership to deal with at the annual meeting.

79 How does the FCLB work with other chiropractic organizations? Where the Federation is ultimately charged with assisting the licensing boards to protect the health, safety and welfare of the public, other chiropractic organizations have purposes which align with our goals. For example, in the US, the national professional associations advocate for chiropractic, the National Board of Chiropractic Examiners (NBCE) is responsible for US examination and testing, and the Council on Chiropractic Education (CCE-US) handles US educational accreditation issues. Internationally, the FCLB works with the Councils on Chiropractic Education - International - a collaboration of the CCE-US as well as the Council on Chiropractic Education - Australasia (CCEA), Council on Chiropractic Education - Canada (CCEC), and the European Council on Chiropractic Education (ECCE). Where does FCLB get money to operate? Member boards pay dues which equal about a small portion of the annual budget. Other sources of income include commercial subscriptions and access fees to the Chiropractic Information Network - Board Action Databank (CIN-BAD) as well as the Providers of Approved Continuing Education Chiropractic (PACE) program. Additional support comes from the NBCE in accordance with a 25-year cooperative grant. How do I submit a resolution? Robert's Rules of Order describes the proper format for resolutions, or you may contact any member of the FCLB board or staff for samples. Resolutions can come from groups or individuals, and should be sponsored by one or more member boards. They can be submitted any time during the year, but no later than 8:00 a.m. the Wednesday before the annual meeting. This is to allow the Resolutions & Bylaws Committee adequate time to review the resolution, to suggest clarification if required, and to present its opinion on the resolution to the membership. The Board of Directors may also need to review resolutions which have potential financial impact in order to advise the Resolutions & Bylaws Committee whether sufficient resources are available to take on suggested projects. How do I get to be on a committee? Committee Chair appointments are made by the President annually. Member recommendations are made by Chairs, pending Presidential approval. Appointments to standing committees require the approval of the Board. The President often seeks courtesy approval for all appointments. Additional requirements in the bylaws, such as Fellow or Administrative Fellow status, may also govern appointments. To submit your name for consideration, use the volunteer for service form, or discuss your interests with the President personally. Please bear in mind that there are usually more people interested in committees than there are openings. The President must also consider factors such as geographical balance, minority representation, etc. (A committee appointment protocol procedure has been adopted by the FCLB Board to guide fair and equitable committee appointments.) How do I help my board become more involved with national and international issues? Discuss some of the interesting questions which come up at the FCLB meetings. Encourage new members of your board to attend. Additionally, the Chiropractic Board Administrators Committee (CBAC) and Chiropractic Board Legal Advisers Committee (CBLAC) meet in conjunction with the annual conference. These meetings are invaluable resources for board administrators and attorneys - providing both support and timely information. Contact us... Federation of Chiropractic Licensing Boards 5401 W. 10 th Street, Suite 101 Greeley, CO FAX info@fclb.org FCLB 2018 Annual Congress Page 79

80 FEDERATION DISTRICTS FCLB 2018 Annual Congress Page 80

81 FCLB 2018 Annual Congress Page 81 DISTRICT 1 DISTRICT 2 DISTRICT 3 DISTRICT 4 DISTRICT 5 Canadian Provinces Alberta Manitoba New Brunswick British Columbia Ontario Newfoundland/Labrador Saskatchewan Nova Scotia Prince Edward Island Quebec International U.S. States United Kingdom Australia Mexico New Zealand Alaska Illinois Connecticut Arizona Alabama Idaho Indiana Delaware California Arkansas Montana Iowa Dist. of Columbia Colorado Florida Nebraska Kentucky Maine Hawaii Georgia North Dakota Michigan Maryland Kansas Louisiana Oregon Minnesota Massachusetts Nevada Mississippi South Dakota Missouri New Hampshire New Mexico North Carolina Washington Ohio New Jersey Oklahoma South Carolina Wyoming Wisconsin New York Texas Tennessee Pennsylvania Utah Virginia Rhode Island West Virginia Vermont U.S. Territories Guam Puerto Rico U.S. Virgin Islands

82 Organizational Chart FCLB 2018 Annual Congress Page 82 FCLB MEMBER BOARDS FEDERATION OF CHIROPRACTIC LICENSING BOARDS - BOARD OF DIRECTORS (10) 4 Officers # 5 District Directors ( Executive Board ) # 1 Administrative Fellow Director EXECUTIVE COMMITTEE Immediate Past President # President # Vice President # Treasurer # Board Chair Organizations to which FCLB has voting representation: NATIONAL BOARD OF CHIROPRACTIC EXAMINERS 11-Member Board (Includes 2 FCLB Appointees) FEDERATION OF ASSOCIATIONS OF REGULATORY BOARDS Board of Directors - 12 organizations FCLB appoints 1 voting member CHIROPRACTIC SUMMIT FCLB Executive Committee Member - Ongoing FCLB PRESIDENT Chief Executive Officer EXECUTIVE DIRECTOR EXECUTIVE STAFF Executive Assistant / Meeting Planner Finance & Benefits Manager Program Administrator PR and PACE Coordinator FCLB Committees Report to the Board of Directors through the President (appointed annually or as their responsibilities dictate) STANDING COMMITTEES Nominating Committee Finance & Audit Committee Resolutions & Bylaws Committee SPECIAL COMMITTEES OR TASK FORCES Chiropractic Board Administrators CCCA Committee Fraud Prevention & Identification Government Issues Investment Committee Model Practice Act Task Force PACE Passport Credentialing Committee Practitioner Mobility

83 FCLB 2018 Annual Congress Page 83 FEDERATION OF CHIORPRACTIC LICENSING BOARDS The Board of Directors for the Federation is composed of four officers, five district directors, and one Administrative Fellow Director. Elections for Officers and the Administrative Fellow Director are held in odd-number years in conjunction with the annual meeting. Each member board has one vote. The FCLB Board of Directors also appoints two directors to the National Board of Chiropractic Examiners to represent the interests of the Federation and its member boards. The Chair of the Executive Board is elected for a one year term, and is one of the FCLB District Directors. The Officers and the Chair constitute the Executive Committee. OFFICERS President Vice-President Treasurer Immediate Past President Maggie Colucci, D.C. Kirk Shilts, D.C. Carol Winkler, D.C. Farrel Grossman, D.C Village Center Cir, Ste Beacon St 1431 Interstate Loop PO Box Las Vegas, NV (702) drmrc@cox.net Brookline, MA (617) drshilts@verizon.net Bismarck, ND (701) cwinklerdc@gmail.com Charleston, SC (843) adjustu@gmail.com FCLB DIRECTORS District I Director District II Director District III Director James Buchanan, D.C. Robert Daschner, D.C. Keita Vanterpool, D.C. 50 E. Brundage St 117 N. State St 2833 Alabama Ave #30276 Sheridan, WY (307) buchanachiropractic@yahoo.com Waseca, MN (507) rpdaschner@gmail.com Washington, DC (202) DrKeitaV@gmail.com District IV Director & Board Chair Cynthia Tays, D.C Far West Blvd, #3 Austin, TX (512) drtaysdc@gmail.com District V Director Ned Martello, D.C O Neal Lane, Ste F-11 Baton Rouge, LA (225) martellochiro@aol.com Administrative Fellow Director Patricia Oliver Louisiana State Board of Chiropractic Examiners 8621 Summa Ave Baton Rouge, LA (225) lsbce@eatel.net

84 FCLB 2018 Annual Congress Page 84 FCLB Committee Appointments: 2018 APPOINTMENTS TO OTHER ORGANIZATIONS TO WHICH FCLB HAS VOTING REPRESENTATION NATIONAL BOARD OF CHIROPRACTIC EXAMINERS Board of Directors Maggie Colucci, D.C. (NV) - Expires 5/18 Kirk Shilts, D.C., (MA) - Expires 5/18 CHIROPRACTIC SUMMIT FCLB Executive Committee Member - Ongoing FEDERATION OF ASSOCIATIONS OF REGULATORY BOARDS (FARB) Board of Directors Jon Schwartzbauer, D.C. - No expiration date FCLB STANDING COMMITTEES Next cycle of appointments begins November 2018 FINANCE AND AUDIT COMMITTEE Expires 11/18 Carol Winkler, D.C. (ND) - Chair Ms. Beth Kidd (OK) Cathy Riekeman, D.C. (NM) Chaired by the Treasurer. Prepares and submits a budget to the member chiropractic boards at the annual meeting. Reviews the financial statement and audit of the corporation and advises the Board of Directors on changes in fiscal status. Appointed by the President, approved by the FCLB Board of Directors NOMINATING COMMITTEE Expires 5/18 Farrel Grossman, D.C. (SC) - Chair Richard Guarino, D.C. (AZ) Lisa Lanzara-Bazzani, D.C. (NH) Dorthy Pernell, D.C. (MS) Scott Salita, D.C. (MN) Glenn Taylor, D.C. (OR) Five members, represent each of five districts. Must be Fellows who have also attended at least one FCLB annual meeting. Chaired by FCLB immediate past president. Committee reviews letters of interest and cvs which are submitted at least 60 days prior, conducts interviews and sets forth a slate of those candidates it feels are best suited for leadership in the offices elected by the membership as a whole, including the Nominating Committee itself. No limit to number of candidates they may slate. Nominating committee submits slate to member boards not less than 30 days prior to annual meeting. Elected by the membership RESOLUTIONS & BYLAWS COMMITTEE - Expires 11/18 Kevin Fogarty, D.C., (FL) - Chair Daniel Cote, D.C. (OR) Benjamin Lurie, D.C. (NV) Brian McIntyre, D.C. (MO) Amy Pezo, D.C. (MT) Maintains a continuing assessment of the bylaws, and receives all proposals for amendments thereof. Makes recommendations to the Federation regarding all amendments. Receives all proposals for resolutions to be considered by the Federation and makes recommendations for approval or denial. Appointed by the President, approved by the FCLB Board of Directors

85 FCLB 2018 Annual Congress Page 85 FCLB Committee Appointments: 2018 FCLB SPECIAL COMMITTEES Task Forces and Special Committees expire annually in November or as determined by their responsibilities CHIROPRACTIC BOARD ADMINISTRATORS COMMITTEE Beth Carter (OK) - Chair Patricia Oliver (LA) - Board Liaison Justin Bohall, (AZ) Emily Cronbaugh (WY) Provides support and information for chiropractic board administrators. Participation is open to all board administrators. MODEL PRACTICE ACT - TASK FORCE Kirk Shilts, D.C. (MA) - Chair James Buchanan, D.C. (WY) Maggie Colucci, D.C. (NV) Carol Winkler, D.C. (ND) A task force charged with developing, maintaining and amending a model practice act for regulating the chiropractic profession. PASSPORT CREDENTIALING COMMITTEE Kindra Ingram, D.C. (MD) Patricia Schumacher, D.C. (WI) Ms. Emily Cronbaugh (WY) The Passport Credentialing Committee is charged with overseeing the administration of the Chiropractic Passport program CERTIFIED CHIROPRACTIC CLINICAL ASSISTANT COMMITTEE Kirk Shilts, D.C. (MA) - Chair Paul Andrews, D.C. (MA) Ms. Lisa Blanchard (ND) Michael Fedorczyk, D.C. (MD) Carol Winkler, D.C. (ND) Provides support and guidance for the CCCA program. GOVERNMENT ISSUES - Task Force Sal LaRusso, D.C. (FL) - Chair Beth Ehlich, D.C. (SC) Bruce Hilton, D.C. (NC) Michael Fedorczyk, D.C. (MD) A task force formed to target grants and funding for the Federation of Chiropractic Licensing Boards. PACE COMMITTEE Staggered three year terms Robert Daschner, D.C. (MN) - Chair FCLB board member position William Rademacher, D.C. (IL) Current regulatory board position Lisa Blanchard (ND) Board executive administrator position Justin Klein, D.C. (DC) Regulatory board member within the past five years position Vincent DiCianni Public member position John Downes, D.C. Life University Current CE Provider position Shannon Gaertner-Ewing, D.C. (ID) Chair - Pace Review Team PRACTITIONER MOBILITY - Task Force Maggie Colucci, D.C. (NV) - Chair Edward Corley, D.C. Jay S. Greenstein, D.C. Sherri L. Lashomb, D.C. Phillip Santiago, D.C. A task force formed to assess ways of facilitating mobility for chiropractors traveling while practicing. INVESTMENT COMMITTEE Farrel Grossman, D.C. (SC) - Chair Kirk Shilts, D.C. (MA) Carol Winkler, D.C. (ND) The Chair of the Investment committee shall provide the board of directors detailed information about (1) assets allocation, (2) investment performance, (3) future investment strategies, and (4) any other matters of interest to the board concerning these investments.

86 FCLB 2018 Annual Congress Page 86 Thank You to Our 2018 Conference Supporters On behalf of its member boards and staff, the Board of Directors would like to thank the entities and individuals listed below who have generously contributed funds to FCLB in recognition and support of the 2018 FCLB 92nd Annual Congress. This recognition, however, should in no way be viewed as a Federation endorsement of any product or program they provide. Thank you to all supporters who assist FCLB in our mission to protect the public and serve our member boards by promoting excellence in chiropractic regulation. Thanks to NBCE for sharing support for the 92nd Annual Congress

87 FCLB 2018 Annual Congress Page 87 Upcoming Meetings Districts I & IV District II Districts III & V 2019 Annual Conference Affiliated Organizations

88 FCLB 2018 Annual Congress Page 88 September 20-23, 2018 Renaissance Palm Springs Room rate: $129 Reservations: (888) The Districts I & IV Fall Regional Meeting includes: Jurisdictional Roundtable Discussions Reports from Other Organizations Networking Opportunities Brainstorming and Problem Solving Hot Issues in Professional Governance Federation Resources Overview

89 FCLB 2018 Annual Congress Page 89 October 11-14, 2018 Seaspray Condominiums Reservations: (850) The District II Fall Regional Meeting includes: Jurisdictional Roundtable Discussions Reports from Other Organizations Networking Opportunities Brainstorming and Problem Solving Hot Issues in Professional Governance Federation Resources Overview

90 FCLB 2018 Annual Congress Page 90 September 13-16, 2018 Hilton West Palm Beach Room rate: $149 Book online through The Districts III & V Fall Regional Meeting includes: Jurisdictional Roundtable Discussions Reports from Other Organizations Networking Opportunities Brainstorming and Problem Solving Hot Issues in Professional Governance Federation Resources Overview

91 FCLB 2018 Annual Congress Page 91 for the Federation of Chiropractic Licensing Board s 93rd Annual Educational Congress. May 1-5, 2019 at the Hilton San Diego Resort & Spa Room rate: $219/night + taxes - single/double What We re Planning: Learn from your peers in interactive breakout sessions Participate in educational sessions relevant to the issues your board is tackling Seize opportunities to network and build relationships with others facing the same challenges you are Discover current and emerging resources for regulation Get involved in the next steps Re-energize your dedication to public protection

92 FCLB 2018 Annual Congress Page 92 Note: This represents only a partial listing of chiropractic related organizations American Black Chiropractic Association (ABCA) Quentin M. Brisco, DC, President Connie Chipp, DC, Membership Chair 3915 Cascade Rd, Ste 220 Atlanta, GA Phone: Website: info@abcachiro.com American Chiropractic Association (ACA) David A. Herd, DC, President Richard Miller, Acting Executive Vice President 1701 Clarendon Boulevard Arlington, VA Phone: Website: memberinfo@acatoday.org The purpose of the ABCA is to help recruit, encourage, and support black persons to study chiropractic. The organization encourages research and development of the science, philosophy, and art of chiropractic Annual Convention - June 22-25, Denver, CO The largest chiropractic association in the country. Its mission is to preserve, protect, improve, and promote the chiropractic profession and the services of Doctors of Chiropractic for the benefit of the patients they serve. National Chiropractic Legislative Conference and Educational Symposium TBA ACA Specialty Councils Symposia Rehab Council - March 31-April 2, Orlando, FL Council on Diagnosis & Internal Disorders - April 27-30, Tempe, AZ Council on Chiropractic Orthopedics - April 27-29, Las Vegas, NV Council on Nutrition - April 27-30, Tempe, AZ Association of Chiropractic Colleges (ACC) Dennis Marchiori, DC, PhD, Chair David O'Bryon, JD, CAE, President 4424 Montgomery Avenue Suite 202 Bethesda, MD Phone: or Fax: Website: info@chirocolleges.org Association for the History of Chiropractic (AHC) Patrick Montgomery, D.C., President Alana Callender, Ed.D., Executive Director th St Rock Island, IL Phone: Website: ahc1895@gmail.com A non-profit organization of chiropractic educational institutions providing leadership, education, research, and service regarding chiropractic education. A non-profit membership organization committed to exploring and preserving the rich heritage of the chiropractic profession. The AHC holds an annual conference at one of the chiropractic colleges and publishes a scholarly journal, Chiropractic History. 37th Annual Conference - June 10, Hayward, CA

93 FCLB 2018 Annual Congress Page 93 Canadian Chiropractic Association (CCA) Dr. David Peeace, Chair Alison Dantas, CEO 186 Spadina Ave, Ste 6 Toronto, Ontario M5T 3B2 Phone: Fax: Toll Free: Website: adantas@chiropractic.ca The mission of the CCA is to promote the interests of the chiropractic profession in Canada by promoting the benefits of chiropractic, professional unity and research; by providing member services and benefits and by safeguarding members' interests. Canadian Chiropractic Examining Board (CCEB) Suite 230, th Avenue SE Calgary, AB T2H 2P6 Canada Fax: Website: exams@cceb.ca CCEB is the sole administrator for all chiropractic exams in Canada. Theyare a federally incorporated not-for-profit organization whose members are the provincial licensing bodies, to whom they report candidate results. Canadian Federation of Chiropractic Regulatory and Educational Accrediting Boards (CFCREAB) The CFCREAB is now the Federation of Canadian Chiropractic (FCC) Chiropractic Centennial Foundation (CCF) Contact ACC for information Organized the Grand Celebration: Commemorating 100 Years of Chiropractic. Held in Washington, D.C. in July The Foundation in process of dissolution in Proceeds of $40,000 will be placed in a trust fund to produce a Bicentennial event in The trust will be administered by the CCA with advisors from ACA, ICA, and WFC. Chiropractic Economics 5150 Palm Valley Rd. Suite 103 Ponte Vedra Beach, FL Phone: or Fax: Website: dsosnoski@chiroeco.com A private media company that provides education to doctors and students of chiropractic through publishing Chiropractic Economics magazine, hosting webinars, sponsoring educational conferences, and maintaining educational resources online. Chiropractic Summit Dr. Norman Ouzts, Chair Website: admin@chirosummit.org It is the goal of the Chiropractic Summit to work on the following critical issues: 1. National Health Care Reform/Medicare Reform & DoD/VA/PHSC 2. Doctor Practice Satisfaction & Self Esteem 3. Profession wide collaboration, grassroots mobilization and self regulation. 4. Reimbursement/Anti-discrimination 5. Public Relations - telling the chiropractic story and promoting the brand (competition and cultural authority) 6. Improved practitioner documentation quality and compliance particularly within the Medicare system.

94 FCLB 2018 Annual Congress Page 94 ChiroWeb -Dynamic Chiropractic Online PO Box Santa Ana, CA Phone: Fax: Website: Chiropractic news, archives, discussion groups, calendar of events. ChiroFind - locate a doctor of chiropractic. Links to educational and other resources. CitizenAdvocacy Center (CAC) David Swankin, President and CEO Steven Papier, Administrative Officer th St. NW, Ste 101 Washington, DC Phone: Fax: Website: cac@cacenter.org Congress of Chiropractic State Associations (COCSA) Don Cross, DC, President Amy Hardin, Executive Director E. Meadow Drive Wichita, KS Phone: Fax: Website: amy4hardin@yahoo.com A private, nonprofit organization that provides support and training for public members of licensing and other health-related boards. Also conducts research and convenes conferences and forums on significant public issues related to health care quality assurance. Composed of state chiropractic associations from the 50 states. The mission of the Congress is to provide an apolitical forum for the promotion and advancement of the chiropractic profession through service to member state associations COCSA Convention - November 1-5, San Juan Puerto Rico 2018 COCSA Convention - November 1-3, Austin, Texas Council on Chiropractic Education - Australasia (CCEA) Dr. Michael Shobbrook, Chairperson' Ms. Rachel Portelli, Executive Officer GPO 622 Canberra, ACT 2601 AUSTRALIA Phone: Website: admin@ccea.com.au The CCEA establishes and maintains standards of excellence in chiropractic education in Australia and New Zealand and, upon request, the Asian region. The Standards are appropriate to the Australasian education setting and consistent with international equivalencies enabling international recognition and mobility for graduates of accredited chiropractic programs. The Accreditation Committee is a balance of professional, institutional and lay representatives, providing expertise in accreditation and educational issues. Council on Chiropractic Education - US (CCE-USA) Craig Little, DC, President/CEO Mr. S. Ray Bennett, Vice President for Accreditation & Operations 8049 N. 85th Way Scottsdale, AZ Phone: or Fax: Website: cce@cce-usa.org An autonomous national organization, recognized by the U.S. Secretaryof Education to accredit programs and single-purpose institutions offering the doctor of chiropractic degree, which seeks to ensure the quality of chiropractic education in the U.S. by means of accreditation, educational improvement, and public information. Council on Chiropractic Education Canada (CCEC) Dr. Rodney Thompson, Chair Developed and maintained by the CFCREAB, CCEC interprets the Standards Website: (click on the Accreditation for Doctor of Chiropractic Programmes, implements the process of of Educational Programmes link) accreditation, and certifies the quality and integrity of DCPs through evaluation of their compliance with the Criteria for Accreditation.

95 FCLB 2018 Annual Congress Page 95 Council on Chiropractic Guidelines and Practice Parameters (CCGPP) Gregory Baker, DC, Chairperson PO Box 2542 Lexington, South Carolina Phone: Fax: Website: Formed to oversee the chiropractic guidelines development process from prioritization of projects, through panel selection, process formulation, education, peer review, evaluation and revision. Made up of the Board of Directors (policy-making) and the Commission (scientific arm). Council on Licensure, Enforcement and Regulation (CLEAR) Steve Hart, President Adam Parfitt, Executive Director 403 Marquis Ave., Ste.200 Lexington, KY Phone: Fax: Website: An international association for professional and occupational regulators. Its mission is to improve the quality and understanding of professional and occupational regulation to enhance public protection. Annual Educational Conference - September 13-16, Denver, CO International Congress on Professional & Occupational Regulation - November 16-17, Melbourne, AUS Councils on Chiropractic Education International (CCE-I) Michael Shobbrook, D.C., President Kylie Woolcock, Executive Secretary P.O. Box 4943 Pocatello, ID Phone: Website: secretariat@cceintl.org Ethics and Boundaries Assessment Services, LLC (EBAS) Stacey Kjeldgaard, D.C., Executive Director th Avenue Greeley, CO Phone: Website: skjeldgaard@ebas.org The Councils on Chiropractic Education International (CCEI)isanorganization of chiropractic accrediting bodies worldwide. CCEI is committed to excellence in chiropractic education through emphasis on quality in its International Chiropractic Accreditation Standards, and by aiding in the development and recognition of new accrediting bodies in geographic regions where such agencies are not currently recognized. CCEI provides accreditation services through its assigned member organizations to chiropractic educational entities situated in areas not currently served by a CCEI member agency. Accreditation agency actions and status designations for chiropractic educational entities that award equivalent degrees are mutually endorsed on the basis of membership in CCEI. Ethics and Boundaries Assessment Services, LLC (EBAS), was established to address the post-licensure testing needs of regulated professions concerning ethical violations. The E&B Essay Examination is a computerized examination that provides a tool to assess a licensee s understanding of ethical and boundary issues as relevant to the professional workplace environment. European Chiropractors' Union (ECU) Oystein Ogre, President Claire Wilmot, ECU Administrator The Glasshouse 5A Hampton Rd, Hampton Hill Middlesex TW12 1JN ENGLAND Phone/Fax: +44 (0) Website: info@chiropractic-ecu.org The European Chiropractors' Union (ECU) is established to promote the development of Chiropractic in Europe as well as to pursue the interests of Chiropractic as a science and a profession by research, teaching, publications and legal activities. It represents the Chiropractic profession in Europe on a supranational level Convention - May 25-27, Limassol, Cyprus

96 FCLB 2018 Annual Congress Page 96 European Council on Chiropractic Education (ECCE) Dr. Olivier Lanlo, President Mandy Stagg, Executive Secretary Scharenkamp Wolfsburg Germany Phone: (44) (0) Fax: (44) Website: The ECCE's mission is to establish standards of excellence for the education and training of chiropractors as safe and competent primary contact practitioners. Executive Committee Meeting, Commission on Accreditation Meeting, Annual Council Meeting: London - Nov 24-25, 2017 Federation of Associations of Regulatory Boards (FARB) Dale Atkinson, Executive Director 1466 Techny Road Northbrook, IL Phone: Fax: Website: farb@farb.org An organization of associations composed of professional regulatory boards. Objectives are to exchange information and engage in programs and joint activities relating to the licensing of professionals, solving mutual problems, improving standards of the professions, etc. FARB Leadership Conference (By invitation only) - Kansas City, MO - July 28-29, 2017 FARB Regulatory Law Seminar - October 5-8, Savannah, GA Federation of Canadian Chiropractic (FCC) (Formerly Canadian Federation of Chiropractic Regulatory and Educational Accrediting Boards (CFCREAB) David Hayes, DC, President H. James Duncan, CEO 30 Gloucester St, Ste 2301 Toronto, Ontario M4Y 1L6 Phone: Website: jduncan@chirofed.ca Federation of State Medical Boards of the, Inc. (FSMB) 400 Fuller Wise Rd, Ste 300 Euless, TX Phone: Fax: Website: ua@fsmb.org The Canadian Federation of Chiropractic Regulatory and Educational Accrediting Boards (the Federation) is a national association of provincial and territorial chiropractic licensing authorities and accredited educational programmes and is incorporated under the Canada Corporations Act. All health care professions are regulated at the provincial and territorial level, as such, the role of the Federation is to provide a forum at the national level for the exchange of information, resources and experience in order to assist the member regulatory boards to best carry out their responsibilities. Composed of the medical boards of the states, DC, and territories. Operates as a clearinghouse, forum, and representative body for state medical boards. Contributed to the effectiveness and integrity of medical licensing and discipline systems and offers educational programming. Federation of Straight Chiropractors and Organizations (FSCO) See International Federation of Chiropractors & Organizations Fellow of the International College of Chiropractors (FICC) See ICC Foundation for Chiropractic Progress (F4CP) Dr. Sherry McAllister, Executive Vice President PO Box 869 Georgetown, CA Phone: Website: marta@foundation4cp.com The Foundation for Chiropractic Progress embraces a mission of generating positive press for the chiropractic profession and increasing public awareness to the many benefits associated with chiropractic care. The Foundations public awareness campaign consists of monthly press releases, advertorials, public service announcements, advertisements (print, radio, television), and partnerships with high profile spokespeople.

97 FCLB 2018 Annual Congress Page 97 International Board of Chiropractic Examiners (IBCE) th Avenue Greeley, CO Phone: Website: The International Board of Chiropractic Examiners (IBCE) was established to assist interested regulatory authorities in the international chiropractic community. The IBCE does not embrace any particular chiropractic philosophy. Instead, the IBCE produces tests according to information provided collectively by the chiropractic educational institutions, regulatory authorities, field practitioners, and subject specialists, along with an analysis of the chiropractic profession within each jurisdiction that chooses to utilize IBCE services. International Chiropractic Regulatory Society (ICRS) Representatives from WFC, CCEI, World-wide regulatory agenices, IBCE, CCEB Website: The ICRS is an informal group established to support those jurisdictions that have legislative authority to regulate chiropractors, and to assist those who wish to work toward adding the appropriate regulatory structure to protect the public. Anyone interested in the goals of the ICRS is welcome to attend the annual Forum and to participate in the project groups. International Chiropractors Association (ICA) George Curry, DC, President Dr. Don Reno, Executive Director 6400 Arlington Blvd, Ste. 800 Falls Church, VA Phone: Toll free: Fax: Website: A professional organization dedicated to advancing the chiropractic profession and representing and promoting the interests of doctors of chiropractic and the patients they serve through advocacy, research and education. Its mission is to move the profession forward while preserving its unique identity as a separate, distinct and drugless health care profession. Annual ICA Symposium on Natural Fitness & Sports - March 2-7, Columbus, OH International College of Chiropractors, Inc. (ICC) Kenneth Padgett, D.C., President Richard Brassard, D.C., Interim Secretary 27 Armand Shore Dr. Houston, TX Phone: Web: rbrassard@txchiro.org "An Order of Merit, Service and Fellowship", an ancillary agency of the ACA, promotes the philosophy, study, and teaching of chiropractic, encourages a high code of ethics and high standard of morals, and seeks valuable discoveries to the further development of the science of chiropractic. Fellows are honored members of the society. International Federation of Chiropractors And Organizations (formerly the FSCO) Jack Bourla, DC, President Brandi MacDonald, Executive Director 2276 Wassergass Road Hellertown, PA Phone: Website: IFCOChiro@gmail.com National organization representing straight chiropractic and those straight chiropractors adhering to its non-therapeutic practice. Its objective is to promote, protect, and advance the philosophy, science, and the art of correcting vertebral subluxation and to facilitate the public access to and knowledge of the services of straight chiropractic. IFCO Global Summit TBA

98 FCLB 2018 Annual Congress Page 98 International Federation of Sports Chiropractic (FICS ) Federation Internationale de Chiropratique du Sport FICS Headquarters MSI Maison du Sport International Avenue de Rhondanie 54 CH-1007 Laussane VD Switzerland FICS Administration World Federation of Chiropractic 1246 Yonge Street, Ste 203 Toronto, ON M4T 1W5 Phone: +41 (21) Fax: +41 (21) Phone: (416) Fax: (416) Website: cdavis@fics-sport.org Activities include building relationships with international sports federations, athletes, other health care professionals and their representative organizations; developing and presenting postgraduate educational programs for sports chiropractors; and coordinating teams of properly credentialed sports chiropractors to provide services to athletes at major sporting events up to and including the Olympic Games. National Association of Chiropractic Attorneys (NACA) Paul W. Lambert 1026 E Park Avenue Tallahassee, FL Phone: (850) Fax: (850) Lambertlawfirm@aol.com National Board of Chiropractic Examiners (NBCE) Sal LaRusso, DC, President th Avenue Greeley, CO Phone: Fax: Website: nbce@nbce.org The principal testing organization for the chiropractic profession. Provides standardized academic and pre-licensure clinical testing services. These include: Part I (Basic Science), Part II (Clinical Science), Part III (Written Clinical Competency), and Part IV (Practical Demonstration of Skills), Special Purposes Exam for Chiropractic (SPEC), and optional tests in physiotherapy, acupuncture, and ethics and boundaries. National Committee for Quality Assurance (NCQA) th Street, NW Ste Washington, DC Phone: or Fax: Website: customersupport@ncqa.org An independent, not-for-profit organization that assesses and reportson health plan quality. Holds health plans accountable for the quality of care and services they deliver. Provides information to consumers and employer. Does not intervene directly on behalf of consumers. World Chiropractic Alliance (WCA) 2683 Via delavalle, Ste G 629 Del Mar, CA Phone: Fax: or Website: comments@worldchiropracticalliance.org Publishes The Chiropractic Journal.

99 FCLB 2018 Annual Congress Page 99 World Congress of Chiropractic Students (WCCS) Dr. Damiano Costa, President 1246 Yonge Street, Suite 202/203 Toronto, ON M4T 1W5 Canada Website: wccsworldwide.org An international organization representing future doctors of chiropractic. Meets annually to discuss issues pertaining to students. 38th Annual General Meeting San Francisco World Federation of Chiropractic (WFC) Espen Johannessen, DC, President Richard Brown, DC, Secretary-General 160 Eglinton Ave East, Ste #601 Toronto, Ontario M4P 3B5 Phone: Fax: Website: info@wfc.org Members are national associations of chiropractors in over 60 countries. The WFC represents them and the profession in the international community. WFC/ACC Education Conference - October 19-22, Montreal, Quebec 2017 WFC Congress - March 15-18, Washington, D.C.

100 FCLB 2018 Annual Congress Page 100 Resources CIN-BAD Report CIN-BAD HIP Statistics PACE Report Wolfson Scholarship Janse Lecture Series

101 FCLB 2018 Annual Congress Page 101 S e t t i n g o u r s i g h t s HIGHER Chiropractic Information Network - Board Action Databank CIN-BAD certainly has come a long way since Technology has brought us from a dial-up and DOS system to an online, instant-access, searchable database with approximately 62,483 doctors. S O A F T E R 25 YEARS A R E Y O U R E A D Y F O R Something New? Y O U ' V E A L R E A D Y H E A R D A L I T T L E B I T A B O U T ACTION NOTIFICATION SYSTEM (ANS) Send us your list of licensees annually; Add or subtract to the list as necessary; We will upload your list and tag your list of doctors; We will notify you if a board action from any other jurisdiction is reported against a doctor on your list. OR, you can still perform an individual query just like before with immediate results!

102 S P E A K I N G O F C I N - FCLB 2018 Annual Congress Page 102 B A D some questions for thought How can you make it be the best it can be? D O Y O U USE CIN-BAD? Access to CIN-BAD is free as a benefit of your membership to the FCLB. *** See Attached Chart *** CIN-BAD's interjurisdictional database is the best, way to ensure you can make an informed decision regarding credentialing / licensure. ARE YOU DOING YOUR PART IN PROTECTING THE PUBLIC? D O Y O U REPORT ELECTRONICALLY? Online access to the CIN-BAD allows you to submit your board actions electronically -- FAST & EASY! The DHHS requires reporting to their National Practitioner Databank (NPDB). You can name the FCLB as your reporting agent to the NPDB at no additional cost -- submit your report once and we'll take it from there. D O Y O U K N O W THE FCLB (CIN-BAD) WILL REPORT TO THE FEDERAL DATABASE (NPDB) ON YOUR BEHALF? A R E Y O U N E W T O YOUR BOARD? We are happy to help answer your questions -- How do I access CIN-BAD? How do I report? What other services does FCLB provide? Contact us: FCLB Bridget Seader CIN-BAD Administrator Website: bseader@fclb.org Phone:

103 Board Accessing / Using CIN-BAD: Board Reporting On-Line: FCLB is NPDB Reporting Agent CIN-BAD reporting current as of: State / Province: Latest Action Date Notes: Alabama Yes Yes No 3/02/2018 4/03/2018 Alaska Yes Yes No 7/24/2017 4/10/2018 Arizona Yes Yes Yes 2/22/2018 4/19/2018 Arkansas Yes Yes Yes 6/20/2017 4/10/2018 California Yes Yes Yes 3/29/2018 4/12/2018 Colorado Minimal Yes Yes 6/13/2017 1/11/2018 Connecticut Yes Yes No 9/25/2017 1/30/2018 Dist of Col. Yes Yes No 5/31/2017 4/10/2018 Delaware Not since 7/2015 No No 8/04/2016 8/04/2016 Florida Yes No No 12/05/2017 3/21/2018 Final Orders submitted via Georgia Not since 2/2008 No Yes 12/08/2017 4/10/2018 Data submitted quarterly via report on Hawaii Not since 6/2012 No No 1/23/2014 4/10/2018 Data gathered from Board website Idaho Yes Yes No 11/06/2017 1/25/2018 Illinois Yes No No 2/05/2018 3/23/2018 Reports via NPDB Adverse Action Report Indiana Very Minimal Yes Yes 10/19/2017 1/12/2018 Iowa Some Yes Yes 1/11/2018 1/25/2018 Kansas Yes Yes No 2/19/2018 4/17/2018 Kentucky Yes Yes Yes 3/23/2018 4/03/2018 Louisiana Not since 12/2005; No No 6/25/1998 4/10/2018 One search in 9/2007 Maine Yes No No 4/14/2017 4/19/2018 Data gathered from Board website Maryland 2 searches in 2017 Yes Yes 4/12/2018 4/19/2018 Mass Yes No No 2/02/2018 2/02/2018 Data gathered from Board website Michigan Not since 8/2009 No No 3/01/2018 3/23/2018 Data gathered from Board website Minnesota Yes Yes Yes 4/12/2018 4/19/2018 Mississippi Yes Yes Yes 12/01/ /18/2017 Missouri Minimal Yes Yes 1/23/2018 4/17/2018 Montana Not since 11/2009 No No 4/17/ /31/2017 Data submitted via report on One search in 2/2011 Nebraska Yes Yes No 10/20/2016 1/18/2018 Nevada Yes Yes Yes 3/08/2018 4/17/2018 New Yes No No 7/09/2015 4/10/2018 Last report from a 7/2015 spreadsheet Hampshire New Jersey Yes Yes Yes 12/21/2017 4/10/2018 New Mexico Very Minimal Not since 2013 Yes 6/13/2017 5/18/2017 Discipline Actions are posted on website New York No No No 3/12/2018 4/10/2018 Data gathered from Board website No Carolina Minimal since 2016 Yes Yes 1/26/2018 4/02/2018 Almost never prior No Dakota Yes Yes Yes 9/01/2017 4/19/2018 Ohio Yes Yes No 11/30/2017 4/11/2018 FCLB 2018 Annual Congress Page 103

104 State / Province: Board Accessing / Using CIN-BAD: Board Reporting On-Line: FCLB is NPDB Reporting Agent Latest Action Date CIN-BAD reporting current as of: Notes: Oklahoma Yes Yes Yes 10/31/2017 4/11/2018 Oregon Yes Yes Yes 3/14/2018 4/03/2018 Pennsylvania Minimal 2015 & earlier No No 9/26/2017 2/28/2018 Data gathered from Board website None since 2016 Rhode Island One search in 9/2015 Yes No 11/01/2017 4/10/2018 So Carolina Yes Yes Yes 12/01/ /27/2017 So Dakota Yes Yes Yes 1/23/2014 4/10/2018 Tennessee Minimal since 2016 No No 2/05/2018 3/31/2018 Data gathered from Board website Texas Yes Yes Yes 2/15/2018 4/03/2018 Utah Yes Yes Yes 3/06/2018 4/03/2018 Virginia Not since 2014 Yes No 3/12/2018 4/12/2018 Vermont Not since 11/2013 Not since No 5/06/2014 4/10/2018 5/2014 Washington Yes Yes No 3/19/2018 4/03/2018 West Virginia Yes Yes Yes 1/29/2015 4/10/2018 Wisconsin No No No 12/21/2017 4/10/2018 Data gathered from Board website Wyoming Yes Yes Yes 4/29/2017 1/22/2018 Guam No No -- Puerto Rico No No -- Virgin Islands No No -- CANADA Alberta No n/a 11/13/2008 British Col No n/a -- Manitoba No n/a 1/13/2003 New Bruns No n/a 10/03/2002 Newf / Lab No n/a -- Nova Scotia Yes n/a 10/21/2008 Ontario No n/a 2/03/2014 PEI No n/a -- Quebec No n/a 6/16/1998 Sask. No n/a 10/08/1994 AUSTRALIA New S Wales Yes n/a 6/28/2001 Victoria No n/a 12/22/1995 FCLB 2018 Annual Congress Page 104 NEW No n/a -- ZEALAND MEXICO No n/a -- Updated 4/23/2018

105 FCLB 2018 Annual Congress Page 105 PACE - Chiropractic Report May 2018 NEW FOR PACE PACE has a new look! Check out our extensive catalog of PACE courses online. New search options include Live Course Calendar, Upcoming Events, and geographic radius search!

106 FCLB 2018 Annual Congress Page 106

107 FCLB 2018 Annual Congress Page 107 PACE Pre-Check If your board would like to use PACE, but still requires individual course applications, consider the PACE Pre-Check. PACE has already pre-screened approved providers, so we re happy to help you develop a shortened course application form for providers who have earned this FCLB seal of approval. Contact FCLB to learn more about this simplified course approval. CE Tracking Reports Your licensees who ve earned credits through PACE can now view, print and even a consolidated credit report. No more worrying about lost certificates, and no more mountains of paper for you! Ask your licensees to their CE verifications via PACE and have all their numbers in one place. Boards Accepting PACE Board Year of adoption; regulatory reference Alaska Adopted 2005; Statute 12AAC Connecticut Adopted 2017; Board Policy District of Columbia Adopted 2016; Rule Idaho Adopted 2005; Board Policy Indiana Adopted 2008; Board Policy per Indiana Code 25-1, Chapter Iowa Adopted 2012; Board Policy per Iowa Administrative Rule (1) Kansas Adopted 2006; Board Policy #06-02 Maine Adopted 2006; Board Policy Maryland Adopted 2014; Regulation Massachusetts Adopted 2006; Regulation 233 CMR 3.00 Minnesota Adopted 2006; Board Policy per Rule Montana Adopted 2006; Rule (1) Nebraska Adopted 2012; Regulation Title 172, B, Item 4 Nevada Adopted 2014; Nevada Code New Jersey Adopted 2014; Regulation 13:44E-1A.5(c) North Carolina Adopted 2006; Board Policy North Dakota Adopted 2007; Board Policy Ohio Adopted 2013; Regulation Oregon Adopted 2006; Rhode Island Adopted 2015; Board Policy (reference 10/22/2015 Meeting Minutes) South Carolina Adopted 2006; Regulation 25-5 B (3) South Dakota Adopted 2006; Regulation 20:41:08:01 Tennessee Adopted 2014; Board Policy 2/20/2014, updated 2/27/ click for details Utah Adopted 2009; Regulation b (1) (b) (iv) Vermont Adopted 2006; Regulation 5.10 (d) Virginia Adopted 2015; Board Policy per Regulation

108 FCLB 2018 Annual Congress Page 108 Washington Adopted 2017; Board Policy 10/12/2017 Wyoming Adopted 2013; Rules chapter 4, section 3 Puerto Rico Adopted 2005; Reglamento Educacion Continea, 2005 Nova Scotia Adopted 2005; Board Policy PACE Precheck Boards: Offers a streamlined, independent application process for PACE Providers. Click the links below to download the individual application forms. Alabama Arizona Louisiana New Mexico Oklahoma Texas Uses PACE Precheck - just check the PACE box in Alabama's online application. Uses PACE Precheck (click to download form) Uses PACE Precheck - streamlined application process via the LA board Uses PACE Precheck (click to download form) Additional restrictions - please see this policy statement. Uses PACE Precheck (click to download form) Uses PACE Precheck (click to download form) for Chiropractic Colleges ONLY Learn more about the PACE program at

109 FCLB 2018 Annual Congress Page 109 About the Recipient of numerous professional and civic recognitions including the 2007 George Arvidson Award for Meritorious Service to Chiropractic Regulation, Dr. Wayne Wolfson has long been a generous, foresighted individual and a tireless advocate of patient-centered chiropractic care. His service has been characterized by humility, generosity, and strength of character. A past president of the Federation of Chiropractic Licensing Boards, Dr. Wolfson s commitment to leadership and service has manifested in this visionary scholarship program, awarding outstanding students with the opportunity to learn more about the important work of regulatory boards. The Dr. Wayne C. Wolfson Regulatory Scholarship is awarded to current chiropractic college students who are nominated by their college president. The student must show leadership, community awareness, and a strong sense of responsibility. Scholarship recipients receive waived registration fees and an invitation to attend the FCLB Annual Educational Congress where they may sit in on the business meetings, participate in educational sessions, and meet with regulators during social events. Thirteen students have received this scholarship award since its inception in The 2018 scholarship recipient is Justin Stilson from Parker University.

110 FCLB 2018 Annual Congress Page 110 About The Joseph Janse Lecture Series Whenever he spoke, whether from a podium or behind a desk, Dr. Janse challenged the minds and captured the hearts of his audiences. His elocution was enchanting, charged with excitement and conviction. It stimulated and motivated peers and students alike. Beideman, Ronald P., D.C., Biography of Dr. Joseph Janse The FCLB s Joseph Janse Lecture Series was established to honor Dr. Joseph Janse and the fire of passion he brought to chiropractic. Speakers in the Janse Lecture Series are charged with the mission to challenge and energize regulators. Like Dr. Janse, they are encouraged to envision the future of chiropractic and share both the inspiration and the hard truths of that vision. Out of respect for the wisdom, insight, and character of the speakers in the Janse Lecture Series, and out of respect for the discernment, honesty, and true dedication of our board members, the FCLB does not limit or proscribe the content of the Janse lectures. Instead, the Board of Directors thoughtfully selects a speaker whose public service, ethics, and devotion to chiropractic and public protection already speak loudly of Dr. Janse s vast contributions and commitment. Dr. Joseph Janse Some years, speakers in the Janse Lecture series have perceived a need to comfort or inspire and have set the topic and tone of their lecture accordingly. Other years, speakers have shown us where we need to improve for the sake of the public and the profession. Ultimately, the role of the Janse lecturer is to lead the way as we celebrate our successes and mend our mistakes. Dr. Janse s untiring commitment to chiropractic is a living legacy. His desire to see chiropractic prosper has served and will serve as a testament to generations of doctors. Through this lecture series, the FCLB strives to honor both his dedication and his passion.

111 FCLB 2018 Annual Congress Page 111 Forms Volunteer for Service Update Records Evaluation

112 FCLB 2018 Annual Congress Page 112 Volunteer for Service! FCLB is run by its members and we need you to help. Please tell us how you d like to participate. Your name: Phone: Interested in serving on a task force? Let us know! Note: The board of directors appoints new members every January. Area of interest, programs you d like to be involved in: Special skills, talents, and interests you d like to use:

113 FCLB 2018 Annual Congress Page 113 Please help us update our records! Name: Board/Organization: Title (President, Board Member, etc.): Term ending: Mailing address: Day phone: Cell: Fax: Address: Other information you d like us to know: Please complete and return this form to an FCLB staff member, fax it to (970) mail it to: FCLB 5401 W. 10 th Street, Ste 101 Greeley, CO or kwebb@fclb.org

114 FCLB 2018 Annual Congress Page 114 Name: 2018 Conference and FCLB Services Evaluation. Board or Organization: Do you anticipate referencing your meeting materials or conference presentations (posted online) in the future? What was your primary reason for coming to this meeting? Suggestions for 2019 (topics, speakers, social events) Comments on educational sessions Comments on social events, hotel, location Please rate the overall usefulness of the sessions listed below: Presentation - Speaker Useful Fair Mediocre N/A Joseph Janse Lecture (Nicchi) Opioid Epidemic (McAllister) Board Member Training (Atkinson) Animal Chiropractic (Ormston & Hayek) Stroke in Chiropractic (Clum) Attorney Panel FCLB Services Workshop Keynote Address: Spirit of Chiropractic (Floyd) NBCE Plenary Sessions NBCE Breakout: Ethics and Boundaries (Conway, Kjeldgaard, Morin) NBCE Breakout: Communications (Lurie, Grossman, McGinnis, Shilts) NBCE Breakout: Part IV (Otto, Gow) NBCE Breakout: Computerized Exam Update (Nab, LaRusso, Côté) Sharpen Your Skills: Malpractice Defense and Regulatory Vignettes FAA Basic Med Physical (Megehee) Roberts Rules (Morin) Call to Action (Winkler) Open Forum (Tays) Comments on specific presentations

115 FCLB 2018 Annual Congress Page 115 FCLB Services Which FCLB services does your board currently use? (mark all that apply) CIN-BAD (for checking licenses) Web site Links CIN-BAD (for HIP reporting) Model Documents PACE Official Directory NewsAlerts PowerPolls Ethics Brochure Other CCCA What services would you like the FCLB to work on? Questions for FCLB staff / Do you need more information about any of our services? Other Comments District Meetings Any comments or suggestions for the 2018 District Meetings? Thank you! We appreciate your input. Please return evaluations to your District Director or fax to (970)

116 FCLB 2018 Annual Congress Page 116 Regulation in the News Assorted media coverage of professional licensing

117 FCLB 2018 Annual Congress Page 117 Arizona governor orders boards to justify every licensing requirement Posted on August 8, 2017 in Administration, Licensing Reforms, News, Sample Articles Arizona licensing boards were given just three months to justify all their licensing requirements, under a sweeping executive order that state governor Douglas Ducey issued March 29. The Republican governor, who succeeded Jan Brewer in January 2015, alluded to right-to-work values in a statement accompanying the order: Government should never stand in the way of someone s efforts to start a new life or profession. In Executive Order , Ducey mandated that state occupational licensing boards conduct a review of all licensing requirements and justify any found to be in excess of the national average for the particular license, with specific reference to potential harm to individuals in the state of Arizona. For any fields in which 24 or fewer states require a license, the board is required to justify why the profession should be licensed in the state as well. The Arizona boards specifically ordered to complete reports were those regulating accountancy, boxing and mixed martial arts, acupuncture, athletic training, barbers, behavioral health, chiropractors, cosmetology, dentistry, funeral directors and embalmers, homeopathic and integrated medicine, massage therapy, medicine, naturopathic physicians, nursing, nursing care institution administrators and assisted living facility managers, occupational therapy, dispensing opticians, optometry, osteopaths, pharmacy, physical therapy, podiatry, psychologists, respiratory care, technical fields, and veterinary medicine. The order also required information on: Criminal records place in the screening of applicants Boards were ordered to answer whether applicants with a criminal record are barred from being licensed, for how long they are barred, and why the board believes the bar is necessary. The order stated: If the board does not have a complete bar, but may use a criminal conviction to deny an applicant based on character, the board shall report how many applicants with criminal convictions were denied due to character concerns each year for the past five years. Consent agreements Boards were ordered to report the number of consent agreements entered into for each of the past five years, the total amount of fines and fees imposed under the agreements, and the ten most frequent violations resulting in a consent decree. Timeframes for issuing of licenses The average timeframe for approval for each type of license issued was also to be included in each board s report. Ducey required the boards to produce the required information and submit it to his office by June 30, 2017.

118 Minimum-fee policy for licensees violates antitrust law, FTC asserts in complaint Posted on October 25, 2017 in Competition, Consumer Protection, Ethics FCLB 2018 Annual Congress Page 118 In its first antitrust action against a licensing board since the landmark U.S. Supreme Court case North Carolina State Board of Dental Examiners v. FTC in 2015, the Federal Trade Commission filed a May 31 complaint against the Louisiana Real Estate Appraisal Board over its requirement that appraisers charge at least as much as median fees in their region. The FTC says the board s rules violate antitrust law and go well beyond the requirement in the Dodd-Frank Wall Street Reform and Consumer Protection Act, enacted in 2010, that appraisal management companies pay a customary and reasonable fee for the market area. The board responded in June that the FTC complaint is factually false and politically wrongheaded; the board maintains it is operating well within its rights and following federal regulatory mandates. The FTC complaint centers on rules codified into Louisiana state law in They include the appraiser board s stipulation that appraisers must be compensated at a rate determined by one of three methods: a survey of fees recently paid by lenders in the relevant geographic area, a fee schedule established by the board, or recently paid fees adjusted by six specified factors such as appraiser qualifications, scope of work, and type of property. In effect, said the FTC, the rules required appraisal management companies to pay appraisal fees that equaled or exceeded the median fees. These rules were apparently driven by [the board s] dissatisfaction with the free market, and unlawfully restrain price competition, the FTC said. According to the federal agency, the rules and the board s insistence on enforcing them led appraisal management companies to use the state s reports to set fees in an effort to avoid board scrutiny and sanctions. Thus the rules limit the freedom of appraisers and their customers to engage in bona fide negotiations to set fees for real estate appraisals in the state, the FTC alleged. In addition, the makeup of the board could be in violation of the North Carolina dental board decision, in which the high court ruled against the regulatory body for allowing private market participants unsupervised authority to suppress competition. A state may not give private market participants unsupervised authority to suppress competition even if they act through a formally designated state agency,' the Supreme Court said, essentially imposing an active supervision requirement on licensing boards composed primarily of members of the occupation being regulated. According to the FTC, the Louisiana appraiser board is made up almost entirely of appraisers eight appraisers, one of whom must also be engaged in the business of appraisal management, and two representatives of the lending industry and operates without appropriate supervision from the state s government. In response to the FTC action, the board issued a statement denying the FTC claims and describing them as ludicrous. Bruce Unangst, executive director of the board, said it had adopted the rules in a good faith effort to comply with federal law and there was no shadowy price-fixing conspiracy. Rather, Congress and six financial regulatory agencies in Washington have directed Louisiana to do exactly what the FTC is now alleging is an antitrust violation. The FTC contends that it is committed to the judicious exercise of its enforcement discretion as mapped out by the Supreme Court. The great preponderance of state board activity across the country occurs without significant antitrust concern, and the Commission will respect the authority of such boards when they operate within the defined scope of antitrust law, said the acting director of the FTC s Bureau of Competition, Abbott (Tad) Lipsky. The complaint shows that the Commission remains vigilant and will exercise its prescribed authority when economically sound and otherwise consistent with the public interest. Nearly everyone that purchases or refinances a home in the state of Louisiana pays appraisal fees, Lipsky added. These consumers deserve to benefit from a free market where those fees are set by competition.

119 Is the Internet making occupational regulation obsolete? Posted on January 2, 2018 in Administration, Consumer Protection, Licensing Reforms An online portal like Angie s List could take the place of professional licensing, at least in certain fields, if a novel concept in Washington State gains traction. Prompted by the expanding roles being played by the Internet, the state House Business and Financial Services Committee held hearings during the lengthy 2017 legislative session on a proposal to eliminate occupational regulation in certain fields and replace it with online Uber- or Yelp-style ratings of people offering now-regulated services. The brainchild of a free-market think tank, the Washington Policy Center, the proposal found its way into a bill (HB 1361) sponsored by state Rep. Matt Manweller. HB1361 would replace some current licensing with an online rating system similar to those used by Angie s list, Yelp, Uber, and Lyft. The bill proposes to use this public feedback structure to sideline current regulatory programs for animal massage, auctioneers, boxing announcers, fishing guides, landscape architecture, manicurists, and horse floaters (equine dentistry). Manweller points out that the main advocates for licensing of fields like these are practicing those occupations. They often want to control entry rather than protect consumers, he says; the bills are designed to make sure that outsiders cannot compete with insiders. When they say they want to maintain standards, what they really want is to cut out a lot of competition and set very high barriers for entering the occupation so they can keep their prices high, says Todd Myers of the Washington Policy Center, who helped draft the bill. The public safety rationale for licensing requirements in fields like landscape architecture is weak, he adds. Over the last 10 years Myers found 16 instances of a Washington state landscape architect required to appear before the board; 15 of those were violations for operating without a license while one was for alleged malfeasance. He argues that before the Internet age, consumers may have needed government oversight through licensing because information about professionals providing the services they received was scarce. With avenues like Yelp or Angie s List, however, We have an opportunity to use another system in a way in which we haven t before. It s time we come into the IPhone era. HB 1361 did not get beyond the committee hearing in 2017 but is slated to be reintroduced in the 2018 Washington legislative session. The bill would: FCLB 2018 Annual Congress Page 119 Require the Department of Licensing to create a user-friendly public website called the Washington Effective Licensing Port, for the public to comment and review all individuals working in one of seven specific occupations. Provide that the website allow the public to view postings regarding an individual registered with the website and allow consumers to post reviews of registered individuals on a five-star rating scale. Eliminate occupational licensure requirements related to the seven regulated occupations and instead require people working in those fields to register with the Washington Effective Licensing Port and create a profile.

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121 &0*1ÿ45ÿ6*&"$ÿ&.1ÿ6#7.0*"8 9:)*$*ÿ,-.1-.0$ÿ"&-$*ÿ&.ÿ-.(*"*$(-.0ÿ;7*$(-#.ÿ&<#7(ÿ=)*()*"ÿ!)-"#+"&!(#"$/ÿ+)6$-#()*"&+-$($ÿ&.1ÿ#$(*#+&()$ >&'*ÿ+"&!(-(-#.*"$ÿ"*!*-c*1ÿ3#"*ÿ()&.ÿ(=-!*ÿ&$ÿ3&.6ÿ!#3+'&-.($ÿ&$ÿ,*3&'*ÿ+"&!(-(-#.*"$/ÿ*c*.ÿ&,(*"ÿ&1d7$(-.0!"#$ÿ&'ÿ()"**ÿ+"#,*$-#.$/ÿ+"&!(-(-#.*"$ÿ&0*1ÿ22ÿ#"ÿ#'1*"ÿ)&1ÿ)-0)*"ÿ"&(*$ÿ#,ÿ!#3+'&-.(ÿ!#3+&"*1ÿ(#ÿ()#$* 9E-()-.ÿ()*ÿ#$(*#+&()6ÿ+"#,*$-#./ÿ3#"*ÿ()&.ÿ#.*ÿ;7&"(*"ÿ#,ÿ!#3+'&-.($ÿ"*'&(*1ÿ(#ÿ-.(*"+*"$#.&'ÿ<#7.1&"-*$,#"ÿ()*-"ÿ&0*ÿ&.1ÿ()*ÿ.73<*"ÿ#,ÿ)#7"$ÿ=#"A*18ÿ:)-$ÿ,-.1-.0ÿ-$ÿ!#.$-$(*.(ÿ=-()ÿ+"*C-#7$ÿ"*$*&"!)ÿ=-()ÿ1#!(#"$/ =)-!)ÿ)&$ÿ,#7.1ÿ()&(ÿ3&'*ÿ1#!(#"$ÿ&"*ÿ&'$#ÿ&(ÿ)-0)*"ÿ"-$aÿ,#"ÿ!#3+'&-.($ÿ&.1ÿ3&'+"&!(-!*ÿ!'&-3$ÿ!#3+&"*1 =-()ÿ()*-"ÿ,*3&'*ÿ+**"$8 $#!-&(*ÿb"#,*$#"ÿ?-$3&"aÿ$&6$8 (#ÿ()*ÿ#$(*#+&()-!ÿ+"#,*$-#.89 9E)-'*ÿ&<$#'7(*ÿ.73<*"$ÿ&"*ÿ'#=/ÿ3*&$7"*$ÿ(#ÿ3#.-(#"ÿ&.1ÿ&11"*$ÿ()*$*ÿ&"*&$ÿ&"*ÿ'-A*'6ÿ(#ÿ<*ÿ#,ÿ-3+#"(&.!* FGÿIJKLMNOÿGONKPQÿMÿRMSNTJU V"8ÿW6&.ÿ$&6$ÿ3#"*ÿ"*$*&"!)ÿ-$ÿ.**1*1ÿ(#ÿ7.1*"$(&.1ÿ()*ÿ"*&$#.$ÿ,#"ÿ1-,*"*.!*$ÿ-.ÿ!#3+'&-.($ÿ"&(*$ÿ<*(=**. #"ÿ<*)&c-#7"/ÿ$7!)ÿ&$ÿ"71*.*$ÿ#"ÿ1-$"*$+*!(/9ÿ()*ÿ"*$*&"!)*"$ÿ$&6ÿ-.ÿ()*ÿ+&+*"8 ()*$*ÿ+"#,*$-#.$ÿ&.1ÿ-3+#"(&.(ÿ&"*&$ÿ(#ÿ*x+'#"*ÿ-.!'71*ÿ+"#,*$-#.y$+*!-,-!ÿ()*"&+*7(-!ÿ(*!).-;7*$/ÿ+&(-*.( Z.ÿ&ÿ3#"*ÿ+#$-(-C*ÿ.#(*/ÿ$)*ÿ$&6$ÿ=*ÿ$)#7'1ÿ&'$#ÿ-.C*$(-0&(*ÿ=)6ÿ+)6$-#()*"&+6ÿ&("&!($ÿ"*'&(-C*'6ÿ,*= C#'73*/ÿ0"#7+ÿ+"&!(-!*/ÿ-.(*"1-$!-+'-.&"6ÿ-.(*0"&(-#.ÿ&.1ÿ*C-1*.!*ÿ<&$*1ÿ!&"*8 9\#"ÿ*X&3+'*/ÿ=)*.ÿ+&(-*.($ÿ&"*ÿ("*&(*1ÿ<6ÿ(*&3$ÿ#,ÿ+"#,*$-#.&'$ÿ-.ÿ&ÿ+7<'-!ÿ)*&'()ÿ$*(-.0/ÿ"&()*"ÿ()&.ÿ&. -.1-C-17&'ÿ-.ÿ&ÿ+"-C&(*ÿ+"&!(-!*/ÿ1#*$ÿ()&(ÿ-3+"#C*ÿ()*ÿ;7&'-(6ÿ#,ÿ!&"*ÿ&.1ÿ3&A*ÿ!#.!*".$ÿ'*$ÿ'-A*'6ÿ(#ÿ&"-$*] &0&-.$(ÿ!#3+'&-.($/9ÿ$)*ÿ$&6$8!#3+'&-.($8 9[(ÿ!#7'1ÿ<*ÿ()&(ÿ()*"*ÿ&"*ÿ3#1*'$ÿ#,ÿ!&"*ÿ-.ÿ+'&!*ÿ-.ÿ+)6$-#ÿ!&"*ÿ$*(-.0$ÿ=)-!)ÿ&"*ÿ$#3*)#=ÿ+"#(*!(-C* uvwxyz8ÿvz[bÿxw8xxy2{$xv yywxyywxywy}ÿ ^TJOÿKPRTJ_MNKTP`ÿ B"#C-1*1ÿ<6ÿ~.-C*"$-(6ÿ#,ÿ>*'<#7".* &!)-*C*ÿ()*ÿ$&3*ÿ<*.*,-($ÿ,#"ÿ+&(-*.($]9 9 "*("#$+*!(-C*ÿ!#)#"(ÿ$(716ÿ#,ÿ)*&'()/ÿ+*",#"3&.!*/ÿ&.1ÿ!#.17!(ÿ!#.!*".$/ÿcdefghfijkejÿmÿniopiqÿrdsfihest.1ÿ-,ÿ$#/ÿ&"*ÿ()*"*ÿ*'*3*.($ÿ#,ÿ()&(ÿ3#1*'ÿ=)-!)ÿ!&.ÿ<*ÿ&1&+(*1ÿ-.ÿ$#3*ÿ=&6ÿ,#"ÿ+"-C&(*ÿ+"&!(-!*ÿ(#..&ÿ:8ÿW6&.ÿ*(ÿ&'8ÿa#3+'&-.($ÿ&<#7(ÿ!)-"#+"&!(#"$/ÿ#$(*#+&()$/ÿ&.1ÿ+)6$-#()*"&+-$($bÿ& ÿ889ÿ9ÿÿ9ÿ9899ÿÿ989 9W*$*&"!)ÿ*X&3-.*$ÿ!#3+'&-.($ÿ-.(#ÿ!)-"#+"&!(#"$/ÿ+)6$-#()*"&+-$($ÿ&.1ÿ#$(*#+&()$9ÿ )(+$b{3*1-!&'x+"*$8!#3{.*=${vwxyyw}y!#3+'&-.($y!)-"#+"&!(#"$y+)6$-#()*"&+-$($y#$(*#+&()$8)(3' +"-'ÿxv/ÿvwxy FCLB 2018 Annual Congress Page

122 Panel led by Mississippi governor to control all licensing regulations Posted on August 8, 2017 in Administration, Licensing Reforms, Sample Articles FCLB 2018 Annual Congress Page 122 Mississippi legislators in April joined in a growing national trend to regulate the regulators in charge of professional licensing by establishing a powerful panel, to be led by the governor, that will vet any regulation proposed by a licensing board. The purpose of the measure, House Bill 1425, signed by the governor April 11, is to ensure that occupational licensing boards and board members avoid liability under federal antitrust law. In line with the U.S. Supreme Court s 2015 ruling (North Carolina State Board of Dental Examiners v. FTC), that boards dominated by active market participants should be supervised, the new law sets up a panel to include the governor, attorney general, and secretary of state, or their respective designees, called the Occupational Licensing Review Commission. The panel will meet quarterly; the governor s office will provide research and clerical assistance. Providing active supervision of any state occupational licensing boards controlled by active market participants is the purpose of the commission. (However, that supervision does not extend to individual disciplinary actions imposed by the boards.) All proposed regulations must be submitted to the commission before being filed with the secretary of state. Also in the law is relatively novel language narrowing the definition of the harm against which occupational licensing is designed to protect consumers. The law now refers to present, significant and substantiated harms that threaten public health and safety. One loophole was included: the act does not apply to licensing boards that are not controlled by active market participants. Theoretically, this could mean that boards with a majority of public members could avoid the review provisions.

123 Law restricting advertising of specialties held unconstitutional Posted on October 24, 2017 in Civil Rights, Consumer Protection A Texas law that restricts dentists from advertising as specialists unless their specialty is one of nine approved by the American Dental Association (ADA) violates constitutional protections of free speech, the judges of the U.S. Court of Appeals for the Fifth Circuit held in a June 19 decision. The ruling upheld a lower court opinion. (American Academy of Implant Dentistry v. Parker) FCLB 2018 Annual Congress Page 123 The plaintiffs, a group of dentists and dental industry organizations, brought suit to stop enforcement of a Texas law that prohibits dentists from advertising as specialists in areas of practice not recognized as specialties by the American Dental Association, which limits its recognized specialties to nine areas of practice. The dentists and other plaintiffs argued that the First Amendment s protections of speech gave them the right to advertise, truthfully, as they pleased. While prohibiting the use of the word specialty, the law did allow dentists to list board certification and other accreditations. After a district court found in favor of the dentist plaintiffs, ruling that the prohibition was unconstitutional on First Amendment free speech grounds, the board appealed, and the case went up the Fifth Circuit. In its appeal, the board argued that the word specialist, if used in a context of unregulated advertising, would be devoid of meaning and, thus, inherently misleading; without an agreed-upon meaning, set by the board, it claimed, the phrase indicates nothing helpful. The court did not agree. The term specialist... is not void of intrinsic meaning, wrote Judge Leslie Southwick in her opinion for the court. Although the board had brought in several experts whose testimony on the definition of the term differed, all of the testimony offered by the board demonstrates that the term specialist conveys a degree of expertise or advanced ability. Although different consumers may understand that degree of expertise in different ways, that only shows the term has the potential to mislead. It does not mean the term is devoid of intrinsic meaning and, therefore, inherently misleading... Here, the individual plaintiffs intend to use specialist in the same manner as dentists practicing in ADA-recognized specialties, namely, to convey useful, truthful information to the consumer. Although the court agreed with the board that the state had a substantial interest in protecting the public from misleading information, the court disagreed that the rule furthered that interest, a requirement for state restrictions on speech. The board provided testimony from witnesses who described complications arising from patients who visited a general practitioner, but the challenged rule, wrote Judge Southwick, would not address these problems, as it only prohibits dentists from advertising as certain specialists. The prohibition was also more extensive than necessary. The rule completely prohibits the plaintiffs from advertising as specialists in their fields solely because the ADA has not recognized their practice areas as specialties, the judge noted. The board has not justified [the rule] with argument or evidence, and the board has not suggested that it considered lessburdensome alternatives. The court thus upheld the lower court s decision declaring the law unconstitutional. Justice James Graves, Jr., dissented from the majority s opinion, agreeing with the board s argument that the term specialist is without inherent meaning outside of the regulatory strictures of the board and that its use, without board permission, is potentially misleading. He also maintained that the board had presented enough evidence that the disputed rule advanced the state s interest in avoiding misleading consumers that the question should go to a fact-finder.

124 Texas axes anonymous complaints, whittles entry requirements, mandates fingerprinting Posted on January 2, 2018 in Administration, Licensing Reforms FCLB 2018 Annual Congress Page 124 Sunset review occupied quite a bit of the Texas' legislature's time in 2017 so much that after it failed to renew five boards amid disputes about their future before the session ended in July, the governor had to call legislators back for extra duty. When the dust settled, with the session's end in August, state senators and representatives had agreed to give a two-year reprieve to the state medical board and to four behavioral science boards (psychology, marriage and family therapy, professional counseling, and social work) that sunset reviewers had recommended combining into one. Whether or not Texas, with a population of nearly 28 million, may be a bellwether of national trends in professional licensing is unknown. But several themes of the 2017 sunset process in Texas are becoming familiar to other states as well: Opioids driving tighter regulations Several of the health licensing boards were ordered to monitor providers prescribing and dispensing of prescription drugs and to develop guidelines for responsible prescribing of controlled substances. The pharmacy board must develop red flag indicators to address potentially harmful prescribing patterns or patient activity. Structural changes to address failed governance putting the state at risk Both the dental and veterinary boards were hit with charges of failed governance by the Sunset Commission leading to an order to sweep the dental board by replacing the leadership and reducing the number of board members. Restructuring of the veterinary board to include a veterinary assistant and members representing animal shelters and large-animal care, and to reduce board members conflicts of interest was also ordered. The veterinary board, due to concerns about its oversight and operations, was only extended four years rather than the normal 12 years. Axing of anonymous complaints Several boards are prohibited from accepting anonymous complaints and must maintain confidentiality of investigative reports, complaints, and other investigative information. Upping regulation of danger areas Following media spotlighting of patient deaths in recent years, extensive requirements regulating anesthesia by dentists were set in place including inspection, additional training, and an online exam for an anesthesia permit to be conducted every five years. The licensing agency is to appoint an independent blue-ribbon panel to review de-identified data, including confidential investigative information related to dental anesthesia deaths and mishaps over the last five years. Requiring fingerprinting for background checks The physician assistant, podiatry, and other boards must conduct fingerprint-based criminal background checks of licensure applications Curbing mental health questions Addressing a simmering controversy, the legislature ordered the Board of Law Examiners to stop requiring applicants to attest that they do not have a mental health diagnosis. This will ensure licensing decisions are based on present conditions and conduct and are in line with the Americans with Disabilities Act, the legislature said.

125 FCLB 2018 Annual Congress Page 125 Inserting religious freedom into statutes The Board of Law Examiners and the pharmacy board are prohibited from rulemaking action that would violate religious freedom protections in the state s Civil Practice and Remedies Code. Slimmed-down, more objective entry standards Some boards must remove unnecessary and restrictive education requirements for applicants for licensure, set clearer expectations for supervision where it s required, and replace onerous license verification processes. The nursing board, for one, must demonstrate a connection between a nurse s conduct and the practice of nursing before adopting a standard. Centralization pushed The Texas podiatry board, an independent board, was transferred to the central Department of Licensing and Regulation to assure the agency s mission is carried out more effectively and efficiently. However, the proposed consolidation of behavioral science professions was not approved. Prioritizing of complaints Boards such as the chiropractic board were ordered through non-statutory management actions to develop policies for prioritize complaints and complaint investigations Reducing anti-competitive rules The psychology board must evaluate all rules for potential anti-competitive effects and repeal rules susceptible to legal challenge. Other changes included: Ending letters of recommendation requirement Letters of recommendations or reference, required by some boards, must no longer be part of initial application processing. Expunging certain discipline Certain disciplinary actions by some boards must be removed from their public websites and the public licensure information system. Bans on charging licensees for hearings Administrative costs of conducting hearings may not be charged to nurses by the nursing board. Requiring adoption of ALJ conclusions The nursing board may not change an administrative law judge s findings of fact or conclusions of law in issuing a disciplinary order. Efficient enforcement The chiropractic board must drop a provision requiring five affirmative votes of the nine-member board to take a disciplinary action, removing a regulatory bias favoring the licensee. Increased Data Bank reporting Letters of formal agreement by the chiropractic board must be reported to the National Practitioner Data Bank unless the federal agency or agency counsel advise otherwise. Expanded scope of practice The word diagnosis was added to the definition of the practice of chiropractic.

126 Chiropractor properly sanctioned for using Neurologist in job title Posted on October 24, 2017 in Consumer Protection, Discipline The Mississippi chiropractic board disciplined a licensee for labeling himself as a "chiropractic neurologist," a title that the board determined was misleading and in violation of recent state legislation limiting the wording that health professionals are permitted to use in advertising. The Supreme Court of Mississippi upheld the board's decision May 25. (Barlow v. Mississippi State Board of Chiropractic Examiners) The board investigated chiropractor Andy Barlow after receiving two patient complaints that he misleadingly advertised himself as a Chiropractic Neurologist and listed two lengthy private certifications based on that, indicating that he specialized in both neurology and chiropractic. The three labels Barlow used in his advertising were: Chiropractic Neurologist DACNB (Diplomate of the American Chiropractic Neurology Board); and FACFN (Fellow of the American College of Functional Neurology) FCLB 2018 Annual Congress Page 126 According to the court, Barlow s advertising material did not spell out what the initialisms DACNB or FACFN stood for. After hearings, the board held that Barlow had inappropriately advertised himself as something other than a chiropractor, and imposed a fine of $500 and approximately $3,200 in costs. Barlow appealed and, after an unfavorable decision from a state circuit court, the case went up to the Supreme Court. On appeal, Barlow claimed that the circuit court had been required to review the board s evidence and make its own judgment based on the facts, an action the lower court declined to take. As a court with statutorily-empowered de novo review a status that gives a court the power to review a case with little deference to a lower body s decision over his case, Barlow argued that the circuit court should have made its own judgment on the factual evidence in his case. The justices of the Supreme Court did not agree, and rejected Barlow s argument. Although the circuit court had de novo authority over the case, wrote Justice Leslie King, Barlow s appeal of the lower court s decision was still limited to those issues allowed within the confines of the deference given to agency decisions. Here, de novo (which means from the new ) simply referred to the fact that the circuit court was the first formal state judicial body hearing the case, on appeal from a board decision. However, the board s fact-finding decision was still owed deference; under explicit Mississippi statute, any appeal was limited to one of several issues that did not include fact-finding. In a second argument, Barlow cited a Mississippi statute the Patient s Right to Informed Health Care Choices Act of 2012 which, in specifying medical qualifications and licensure for prospective patients, defines categories of health care practitioners and requires that advertising for health care services must identify the type of license held according to the definitions under this chapter. The statute also states that doctors of chiropractic are signified by D.C. or the words chiropractor, doctor of chiropractic, or chiropractic physician. Barlow, a little cheekily, argued that, because of the Act s goal of making medical professionals qualifications clear, he was actually required to list all of his certifications. Again the Court disagreed with Barlow. The Act very clearly has the purpose of ensuring that patients can differentiate among the different types of doctors, wrote Justice King. Indeed, the Act requires that advertisements must identify the type of license held according the Act s definitions... The only license that the record reveals that Dr. Barlow holds is a doctor of

127 FCLB 2018 Annual Congress Page 127 chiropractic. His additional certifications are not licenses. Nor are they included in the Act s definitions, which identify only the category of practitioners of chiropractic.' Viewing the Act as a whole, instead of one sentence in isolation, the justice concluded, it is very clear that the purpose of the Act is for the various types of doctors to reveal the type of doctors they are, i.e., to reveal the particular licenses they hold, so that a patient will not, for example, show up to a dentist s office for prenatal care. Barlow s non-licensure certifications did not meet that criterion. In a last argument, Barlow challenged the board s assessment of $3,200 in costs as beyond its authority and not supported by evidence. This time the Court agreed. The governing statute allows the Board to assess monetary penalties for violations found. However, it does not explicitly allow the Board to assess the costs of the investigation to the party disciplined, wrote Justice King. Several other licensing bodies in the state do have explicit authority to recoup the costs of an investigation, the court noted. While it is entirely possible that the lack of authority for the chiropractic board, as well as for several other professional boards, to recoup those fees may be a mere oversight by the Legislature, this Court cannot read that authority into the statute where it does not exist. Further, although the board is authorized to consider the costs of its investigation when it assesses a penalty on a disciplined licensee, the board fined Barlow $500 and then specifically assessed the $3,200 in costs as a separate item. If the board had not expressly designated the money as a reimbursement of its investigation costs, it may have been able to include the total in Barlow s penalty as a factor in its calculation of the proper fine. And, although the board argued that the error was harmless, as Barlow had committed eight different professional violations and the board was entitled to fine him up to $1,000 for each, Justice King noted that the board had failed to make any findings regarding multiple violations; it had only fined King for one violation. The findings of fact must govern, and the findings of fact do not quantify the number of violations, she wrote.

128 Bloomfield considers chiropractor's application for drug treatment facility Matt Kadosh, Staff 7:40 a.m. ET April 3, 2018 Updated 7:50 a.m. ET April 11, 2018 FCLB 2018 Annual Congress Page 128 CLOSE Are you concerned that a loved one is using drugs? Here are some signs that they may be in the throes of addiction. Wochit The Bloomfield chiropractor says methadone would only be used in select cases. (Photo: Matt Kadosh/NorthJersey.com) STORY HIGHLIGHTS WHAT: Zoning Board to hear doctor's application to use methadone in treatment. WHERE: Municipal Building, 1 Municipal Plaza. WHEN: April 12, at 7 p.m. CONNECTTWEETLINKEDINCOMMENT MORE BLOOMFIELD A chiropractor seeking approval to add addiction services to his Watsessing Avenue practice, which is being opposed by the developer of nearby apartments, will have the second portion of his township Zoning Board application heard this month. Dr. Robert Matturo filed an application with the Zoning Board earlier this year seeking permission to open a drug treatment and psychological counseling center at his office. He filed the application after the township's zoning officer denied his request for a certificate of occupancy, Matturo said. Matturo said that because he asks permission to use methadone to treat patients, officials misunderstood and believed he was asking to open a methadone clinic. A methadone clinic, the likes of which were common in the 1970s, treated opiate addiction only with methadone, Matturo said. However, he said, his plan is to bring in additional professionals to treat addiction with modern methods. Matturo's existing office provides orthopedics, pain management and chiropractic services, and while methadone would play a role in his plan to treat opiate addiction, it is not intended to be the primary means of treatment, Matturo said. The new treatment, he said, would include counseling and the use of the drug, Suboxone, among other medications. In order to gain his approval from state authorities to use the medication, Matturo said he must first receive township approval. There are new ways to treat heroin addiction, Matturo said. They re caught up on methadone, and that s not the treatment of choice anymore. But some people, who can t be treated, that s what they use so you have to back them down off of it.

129 FCLB 2018 Annual Congress Page 129 Drug use has become an epidemic across the state and nation. In New Jersey there was a 40 percent spike in drug-related deaths in In Bloomfield, 280 people were sent to hospitals as a result of drug overdoses in 2016, according to the state Department of Health. Dan Knitzer, a spokesman for the township, declined to comment. He cited a policy of not commenting on applications pending before the board. Robert Lipschitz, an attorney representing Arlington Bloomfield Associates LLC, a developer proposing to build on the site of a former Westinghouse Electric Corp. factory in Bloomfield, objected to the proposal. There are a school and park down the road, Lipschitz told the zoning board. The residents of this proposed development would have to pass by this drug treatment facility to get to the school and the park. The presence of a drug treatment facility so close to this proposed development may have a substantial negative effect on our ability to fill these units. Watsessing Park and Watsessing Elementary School are about half-a-mile from the chiropractor's office. In February, Matturo s attorney, Brian J. Aloia told the zoning board his client was seeking an exception from a township regulation that bans methadone clinics. Bloomfield's law prohibits methadone clinics, along with tattoo parlors and the sale of firearms in the commercial zone. For the past 26 years, the property has been used as a medical office, Aloia said. My client is not asking to change the use. It will continue to be used as a medical office. kadosh@northjersey.com What's next? Dr. Matturo will likely present the rest of his application to the township Zoning Board on Thursday, April 12 at the Township Hall, 1 Municipal Plaza, which just off of Bloomfield Avenue, at 7 p.m.

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132 FCLB 2018 Annual Congress Page 132 Chicago chiropractor kept practicing after license revoked, state alleges Nicholas LeRoy biography page from his Illinois Center for Progressive Health website. (Nicholas LeRoy) Gregory PrattChicago Tribune Months after Nicholas LeRoy lost his chiropractor license in 2016, an investigator for the state of Illinois made an unannounced visit to his West Town office. There, the investigator found LeRoy s license in a glass case behind a receptionist s desk and removed it from its frame. Wearing surgical scrubs, LeRoy approached the front desk and the investigator told him the Department of Financial and Professional Regulation had received reports he had been treating patients without a license. The state last month filed an administrative complaint against LeRoy detailing the August 2016 incident and alleging he has continued to see patients despite losing his chiropractic physician license. LeRoy has a hearing before an administrative law judge Nov. 6. When the Tribune called LeRoy and asked whether he s continued practicing, he replied, Not technically. I m doing consulting work, LeRoy said. So there could be the claim that I am, but it s a bit of a gray area. LeRoy, 49, received a chiropractic license in 1995 and lost it in February 2016 when the state cited a 1989 felony conviction in Wisconsin. In court records, LeRoy said the state knew about this offense when it licensed him in It s not clear why the state took action related to the felony in 2016.

133 FCLB 2018 Annual Congress Page 133 Court records show LeRoy and another man went into a dorm room on the Carroll College campus, where they took a computer and stereo. The other robber placed a knife to the throat of a victim in the room, and LeRoy was convicted of being a party to armed robbery, records show. LeRoy told the Tribune he feels picked on by state officials, who have cited him for a number of infractions over the years. That s why I say they re trying to persecute me, LeRoy said. In 2008 and 2010, the state fined and reprimanded LeRoy for violations of the Medical Practice Act and issues with his advertising, records show. A June 2015 complaint by the state alleged LeRoy held himself out as a specialist in treatment of cervical dysplasia and uterine fibroids as well as performed actual vaginal/pelvic examination on patients of his practice. That 2015 complaint quoted testimonials from LeRoy s website from October 2012 indicating he performed multiple gynecological examinations and procedures on patients, including Pap smears. The state received a complaint in July 2016 that LeRoy was still actively practicing medicine without a license. The chief of medical prosecutions, Laura E. Forester, called the phone number on LeRoy s website, and the receptionist told her he was still practicing, officials said. The receptionist said his license was in effect for another year because she was looking right at it here on the wall, officials said. Not long after, an investigator visited LeRoy s office at 1002 W. Lake St., leading to the encounter where LeRoy s license was removed from its frame. In April, the state received another complaint that LeRoy was holding himself out as being able to engage in the practice of medicine, the state said. As of April 7, LeRoy had an account with Ortho Molecular Products, which supplies supplements to licensed health care professionals, the state said.

134 FCLB 2018 Annual Congress Page 134 While updating LeRoy s account, an employee of the company learned his license was revoked, the state said. LeRoy attempted to provide Ortho a copy of his license showing he could practice as a chiropractic physician, the state said in its complaint, noting his license had been revoked for more than a year. Last month, LeRoy s website claimed he was able to treat conditions in women s health, gastrointestinal disorders, internal medicine and musculoskeletal medicine, the state said. The website noted LeRoy is board-certified in acupuncture by the National Certification Commission for Acupuncture and Oriental Medicine, but he has not been certified by that group in more than seven years, the state said. LeRoy s website also claimed that breast thermography was approved in 1982 by the FDA for breast cancer screening, but that is not true, the state said. In June 2011, the FDA issued a public warning to women not to substitute breast thermography for mammography to screen for breast cancer, the complaint said. The state also alleges that insurance claims were submitted by LeRoy or on his behalf to Blue Cross Blue Shield of Illinois for care, treatment and/or evaluation LeRoy gave patients from March 2016 to September 2016 after his license was revoked. The state is seeking unspecified discipline against LeRoy. He has not been charged with a crime. Asked by the Tribune to clarify his relationship with the people who visit his office, LeRoy said, Well, they re clients. It s sort of like doing health coaching. There s trainers that do stuff like that, LeRoy said. I give advice about exercise and fitness, stuff like that. He said he s thinking of taking down his website, which includes a page to schedule an appointment. He said he has maintained the site because of book sales. LeRoy s website indicates he s written a book about human papillomavirus, a sexually transmitted infection known as HPV. gpratt@chicagotribune.com

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