Maryland's House Bill 514, introduced on March 3, 2025, aims to clarify and expand the definitions and regulations surrounding chiropractic practice in the state. The bill seeks to enhance the framework governing the State Board of Chiropractic Examiners, ensuring that the definitions of key terms such as "chiropractor," "direct supervision," and "practice chiropractic" are clearly articulated.

One of the significant changes proposed in the bill is the removal of the "extern license" definition, which previously allowed individuals to practice chiropractic under direct supervision. This shift could streamline the licensing process and potentially increase the number of licensed chiropractors in Maryland, addressing the growing demand for chiropractic services.

The bill also emphasizes the drugless nature of chiropractic care, reinforcing that chiropractors focus on manual manipulation and adjustment of the spine and skeletal structures without the use of drugs or surgery. This aspect of the bill has sparked discussions among healthcare professionals about the role of chiropractors in the broader healthcare system, particularly regarding their ability to provide holistic care.

While the bill has garnered support from chiropractic associations advocating for clearer regulations, it has faced some opposition from traditional medical practitioners who express concerns about the scope of chiropractic practice and the potential for overlapping responsibilities with other healthcare providers.

The implications of House Bill 514 are significant, as it could reshape the landscape of chiropractic care in Maryland. By clarifying the definitions and regulations, the bill aims to improve patient access to chiropractic services while ensuring that practitioners adhere to established standards. As the legislative process unfolds, stakeholders will be closely monitoring the bill's progress and its potential impact on healthcare delivery in the state.