On January 6, 2025, Alabama lawmakers introduced House Bill 84 (HB84), a legislative proposal aimed at reforming the state's chiropractic licensing process. This bill seeks to establish a preceptorship and extern program that would allow final-year chiropractic students and recent graduates from accredited institutions to practice under limited supervision. The initiative is designed to address the growing demand for chiropractic services in Alabama while ensuring that new practitioners receive adequate mentorship.

One of the key provisions of HB84 is the introduction of a limited license for chiropractic students and graduates, permitting them to practice under the direct supervision of a licensed chiropractor. This arrangement is intended to enhance practical training opportunities for students, allowing them to gain hands-on experience before taking the licensure examination. However, the bill stipulates that a supervising chiropractor may only oversee one student or graduate at a time, ensuring focused guidance and maintaining quality standards in patient care.

The bill also includes a clause that mandates the forfeiture of board seats for members of the State Board of Chiropractic Examiners who fail to meet ongoing qualifications. This provision aims to uphold accountability and ensure that board members remain qualified throughout their terms.

While the bill has garnered support for its potential to alleviate workforce shortages in the chiropractic field, it has also sparked debates regarding the implications of allowing students to practice with limited supervision. Critics express concerns about patient safety and the adequacy of training provided under such arrangements. Proponents argue that the bill will help bridge the gap between education and practice, ultimately benefiting patients by increasing access to chiropractic care.

The economic implications of HB84 could be significant, as expanding the workforce in chiropractic care may lead to increased competition and potentially lower costs for consumers. Additionally, the bill could enhance the attractiveness of chiropractic programs in Alabama, drawing more students to the state and contributing to local economies.

As HB84 moves through the legislative process, stakeholders from the chiropractic community, educational institutions, and patient advocacy groups are expected to weigh in on its provisions. The outcome of this bill could reshape the landscape of chiropractic practice in Alabama, influencing both the training of future practitioners and the availability of services for residents. The next steps will involve committee reviews and potential amendments, as lawmakers seek to balance the interests of education, patient safety, and healthcare accessibility.