148.10 LICENSES REVOKED; NEW LICENSES.
Subdivision 1. Grounds.
(a) The state Board of Chiropractic Examiners may refuse to grant,
or may revoke, suspend, condition, limit, restrict or qualify a license to practice chiropractic, or
may cause the name of a person licensed to be removed from the records in the office of the
court administrator of the district court for:
(1) Advertising that is false or misleading; that violates a rule of the board; or that claims
the cure of any condition or disease.
(2) The employment of fraud or deception in applying for a license or in passing the
examination provided for in section
or conduct which subverts or attempts to subvert
the licensing examination process.
(3) The practice of chiropractic under a false or assumed name or the impersonation of
another practitioner of like or different name.
(4) The conviction of a crime involving moral turpitude.
(5) The conviction, during the previous five years, of a felony reasonably related to the
practice of chiropractic.
(6) Habitual intemperance in the use of alcohol or drugs.
(7) Practicing under a license which has not been renewed.
(8) Advanced physical or mental disability.
(9) The revocation or suspension of a license to practice chiropractic; or other disciplinary
action against the licensee; or the denial of an application for a license by the proper licensing
authority of another state, territory or country; or failure to report to the board that charges
regarding the person's license have been brought in another state or jurisdiction.
(10) The violation of, or failure to comply with, the provisions of sections
the rules of the state Board of Chiropractic Examiners, or a lawful order of the board.
(11) Unprofessional conduct.
(12) Being unable to practice chiropractic with reasonable skill and safety to patients by
reason of illness, professional incompetence, senility, drunkenness, use of drugs, narcotics,
chemicals or any other type of material, or as a result of any mental or physical condition,
including deterioration through the aging process or loss of motor skills. If the board has probable
cause to believe that a person comes within this clause, it shall direct the person to submit to a
mental or physical examination. For the purpose of this clause, every person licensed under this
chapter shall be deemed to have given consent to submit to a mental or physical examination when
directed in writing by the board and further to have waived all objections to the admissibility of
the examining physicians' testimony or examination reports on the ground that the same constitute
a privileged communication. Failure of a person to submit to such examination when directed
shall constitute an admission of the allegations, unless the failure was due to circumstances
beyond the person's control, in which case a default and final order may be entered without the
taking of testimony or presentation of evidence. A person affected under this clause shall at
reasonable intervals be afforded an opportunity to demonstrate that the person can resume the
competent practice of chiropractic with reasonable skill and safety to patients.
In addition to ordering a physical or mental examination, the board may, notwithstanding
, or any other law limiting access to health data, obtain health data and
health records relating to a licensee or applicant without the licensee's or applicant's consent if the
board has probable cause to believe that a doctor of chiropractic comes under this clause. The
health data may be requested from a provider, as defined in section
144.335, subdivision 1
paragraph (b), an insurance company, or a government agency, including the Department of
Human Services. A provider, insurance company, or government agency shall comply with any
written request of the board under this subdivision and is not liable in any action for damages for
releasing the data requested by the board if the data are released pursuant to a written request
under this subdivision, unless the information is false and the provider or entity giving the
information knew, or had reason to believe, the information was false. Information obtained under
this subdivision is classified as private under sections
In any proceeding under this clause, neither the record of proceedings nor the orders entered
by the board shall be used against a person in any other proceeding.
(13) Aiding or abetting an unlicensed person in the practice of chiropractic, except that it
is not a violation of this clause for a doctor of chiropractic to employ, supervise, or delegate
functions to a qualified person who may or may not be required to obtain a license or registration
to provide health services if that person is practicing within the scope of the license or registration
or delegated authority.
(14) Improper management of health records, including failure to maintain adequate health
records as described in clause (18), to comply with a patient's request made under section
or to furnish a health record or report required by law.
(15) Failure to make reports required by section
148.102, subdivisions 2 and 5
, or to
cooperate with an investigation of the board as required by section
, or the submission of a
knowingly false report against another doctor of chiropractic under section
148.10, subdivision 3
(16) Splitting fees, or promising to pay a portion of a fee or a commission, or accepting a
(17) Revealing a privileged communication from or relating to a patient, except when
otherwise required or permitted by law.
(18) Failing to keep written chiropractic records justifying the course of treatment of the
patient, including, but not limited to, patient histories, examination results, test results, and x-rays.
Unless otherwise required by law, written records need not be retained for more than seven years
and x-rays need not be retained for more than four years.
(19) Exercising influence on the patient or client in such a manner as to exploit the patient or
client for financial gain of the licensee or of a third party which shall include, but not be limited
to, the promotion or sale of services, goods, or appliances.
(20) Gross or repeated malpractice or the failure to practice chiropractic at a level of care,
skill, and treatment which is recognized by a reasonably prudent chiropractor as being acceptable
under similar conditions and circumstances.
(21) Delegating professional responsibilities to a person when the licensee delegating
such responsibilities knows or has reason to know that the person is not qualified by training,
experience, or licensure to perform them.
(b) For the purposes of paragraph (a), clause (2), conduct that subverts or attempts to
subvert the licensing examination process includes, but is not limited to: (1) conduct that violates
the security of the examination materials, such as removing examination materials from the
examination room or having unauthorized possession of any portion of a future, current, or
previously administered licensing examination; (2) conduct that violates the standard of test
administration, such as communicating with another examinee during administration of the
examination, copying another examinee's answers, permitting another examinee to copy one's
answers, or possessing unauthorized materials; or (3) impersonating an examinee or permitting
an impersonator to take the examination on one's own behalf.
(c) For the purposes of paragraph (a), clauses (4) and (5), conviction as used in these
subdivisions includes a conviction of an offense that if committed in this state would be deemed a
felony without regard to its designation elsewhere, or a criminal proceeding where a finding or
verdict of guilt is made or returned but the adjudication of guilt is either withheld or not entered.
(d) For the purposes of paragraph (a), clauses (4), (5), and (6), a copy of the judgment or
proceeding under seal of the administrator of the court or of the administrative agency which
entered the same shall be admissible into evidence without further authentication and shall
constitute prima facie evidence of its contents.
(e) For the purposes of paragraph (a), clause (11), unprofessional conduct means any
unethical, deceptive or deleterious conduct or practice harmful to the public, any departure from
or the failure to conform to the minimal standards of acceptable chiropractic practice, or a willful
or careless disregard for the health, welfare or safety of patients, in any of which cases proof of
actual injury need not be established. Unprofessional conduct shall include, but not be limited to,
the following acts of a chiropractor:
(1) gross ignorance of, or incompetence in, the practice of chiropractic;
(2) engaging in conduct with a patient that is sexual or may reasonably be interpreted by the
patient as sexual, or in any verbal behavior that is seductive or sexually demeaning to a patient;
(3) performing unnecessary services;
(4) charging a patient an unconscionable fee or charging for services not rendered;
(5) directly or indirectly engaging in threatening, dishonest, or misleading fee collection
(6) perpetrating fraud upon patients, third-party payors, or others, relating to the practice of
chiropractic, including violations of the Medicare or Medicaid laws or state medical assistance
(7) advertising that the licensee will accept for services rendered assigned payments from any
third-party payer as payment in full, if the effect is to give the impression of eliminating the need
of payment by the patient of any required deductible or co-payment applicable in the patient's
health benefit plan; or advertising a fee or charge for a service or treatment different from the fee
or charge the licensee submits to a third-party payer for that service or treatment. As used in this
clause, "advertise" means solicitation by the licensee by means of handbills, posters, circulars,
motion pictures, radio, newspapers, television, or in any other manner. In addition to the board's
power to punish for violations of this clause, violation of this clause is also a misdemeanor;
(8) accepting for services rendered assigned payments from any third-party payer as payment
in full, if the effect is to eliminate the need of payment by the patient of any required deductible
or co-payment applicable in the patient's health benefit plan, except as hereinafter provided; or
collecting a fee or charge for a service or treatment different from the fee or charge the licensee
submits to a third-party payer for that service or treatment, except as hereinafter provided. This
clause is intended to prohibit offerings to the public of the above listed practices and those
actual practices as well, except that in instances where the intent is not to collect an excessive
remuneration from the third-party payer but rather to provide services at a reduced rate to a patient
unable to afford the deductible or co-payment, the services may be performed for a lesser charge
or fee. The burden of proof for establishing that this is the case shall be on the licensee; and
(9) any other act that the board by rule may define.
Subd. 2. Issuance following refusal, revocation or cancellation.
The State Board of
Chiropractic Examiners may, at any time within two years of the refusal or revocation or
cancellation of a license under this section, by a majority vote, issue a new license or grant a
license to the person affected, restoring to, or conferring upon the person, all the rights and
privileges of, and pertaining to, the practice of chiropractic, as defined and regulated by sections
. Any person to whom such have been restored shall pay a fee set by the board
upon issuance of a new license.
Subd. 3. Reprimand; penalties; probation.
In addition to the other powers granted to the
board under this chapter, the board may, in connection with any person whom the board, after a
hearing, adjudges unqualified or whom the board, after a hearing, finds to have performed one or
more of the acts described in subdivision 1:
(1) publicly reprimand or censure the person;
(2) place the person on probation for the period and upon the terms and conditions that the
board may prescribe; and
(3) impose a civil penalty not exceeding $10,000 for each separate violation, the amount of
the civil penalty to be fixed so as to deprive the doctor of chiropractic of any economic advantage
gained by reason of the violation charged, to reimburse the board for the cost of the investigation
and proceeding, or to discourage similar violations. For purposes of this section, the cost of the
investigation and proceeding may include, but is not limited to, fees paid for services provided by
the Office of Administrative Hearings, legal and investigative services provided by the Office
of the Attorney General, court reporters, witnesses, reproduction of records, board members'
per diem compensation, board staff time, and travel costs and expenses incurred by board staff
and board members.
Subd. 4. Temporary suspension.
In addition to any other remedy provided by law, the board
may, without a hearing, temporarily suspend a license for not more than 60 days if the board finds
that a person has violated a statute or rule which the board is empowered to enforce and continued
practice by the person would create an imminent risk of harm to others. The suspension shall
take effect upon written notice to the person, specifying the statute or rule violated. At the time it
issues the suspension notice, the board shall schedule a disciplinary hearing to be held pursuant to
the Administrative Procedure Act. The person shall be provided with at least 20 days' notice of
any hearing held pursuant to this subdivision.
Subd. 5. Tax clearance certificate.
(a) In addition to the grounds provided in subdivision
1, the board may not issue or renew a license to practice chiropractic if the commissioner of
revenue notifies the board and the licensee or applicant for a license that the licensee or applicant
owes the state delinquent taxes in the amount of $500 or more. The board may issue or renew
the license only if (1) the commissioner of revenue issues a tax clearance certificate and (2) the
commissioner of revenue or the licensee or applicant forwards a copy of the clearance to the
board. The commissioner of revenue may issue a clearance certificate only if the licensee or
applicant does not owe the state any uncontested delinquent taxes.
(b) For purposes of this subdivision, the following terms have the meanings given.
(1) "Taxes" are all taxes payable to the commissioner of revenue, including penalties and
interest due on those taxes.
(2) "Delinquent taxes" do not include a tax liability if (i) an administrative or court action
that contests the amount or validity of the liability has been filed or served, (ii) the appeal period
to contest the tax liability has not expired, or (iii) the licensee or applicant has entered into a
payment agreement to pay the liability and is current with the payments.
(c) In lieu of the notice and hearing requirements of subdivisions 3 and 4, when a licensee
or applicant is required to obtain a clearance certificate under this subdivision, a contested case
hearing must be held if the licensee or applicant requests a hearing in writing to the commissioner
of revenue within 30 days of the date of the notice provided in paragraph (a). The hearing must
be held within 45 days of the date the commissioner of revenue refers the case to the Office of
Administrative Hearings. Notwithstanding any law to the contrary, the licensee or applicant must
be served with 20 days' notice in writing specifying the time and place of the hearing and the
allegations against the licensee or applicant. The notice may be served personally or by mail.
(d) The board shall require all licensees or applicants of a license to practice chiropractic
to provide their Social Security number and Minnesota business identification number on all
license applications. Upon request of the commissioner of revenue, the board must provide to the
commissioner of revenue a list of all licensees and applicants for a license to practice chiropractic,
including the name and address, Social Security number, and business identification number. The
commissioner of revenue may request a list of the licensees and applicants no more than once
each calendar year.
Subd. 6. Effect of appeal.
A suspension, revocation, condition, limitation, qualification,
or restriction of a license shall be in effect pending determination of an appeal unless the court,
upon petition and for good cause shown, shall otherwise order.
A license to practice chiropractic is automatically suspended if (1) a guardian of a licensee
is appointed by order of a court under sections
, for reasons other than
the minority of the licensee; or (2) the licensee is committed by order of a court under chapter
253B. The license remains suspended until the licensee is restored to capacity by a court and,
upon petition by the licensee, the suspension is terminated by the board after a hearing.
History: (5733) 1919 c 64 s 10; 1927 c 230; 1957 c 154 s 1; 1959 c 186 s 4; 1976 c 222
s 49; 1977 c 193 s 2,3; 1983 c 346 s 5-7; 1986 c 444; 1Sp1986 c 1 art 7 s 8; 1Sp1986 c 3 art
1 s 82; 1987 c 345 s 4-6; 1989 c 184 art 2 s 4; 1Sp1994 c 1 art 2 s 6; 1999 c 227 s 22; 2001 c
121 s 2,3; 2003 c 66 s 2; 2004 c 146 art 3 s 8