Just as was the case for vaccine mandates under the VA which did not include chiropractic offices or community providers the newest Federal mandate announced by President Biden on September 10, 2021, does NOT include chiropractic providers or offices.

This new mandate is for Medicare facility providers such as hospitals and skilled nursing facilities. It does not include fee-for-service providers which would include chiropractic doctors.

A CMS spokesperson has clarified, ” This regulation does not directly apply to physician’s offices as these are not regulated under the provider-specific Medicare health and safety regulatory provisions, generally referred to as “Conditions of Participation.”

While we have clarification that offices are not considered such facilities and this particular mandate does not apply there can be local rules for your state that can be different. Our legal counsel suggests always clarify your state and locality as some jurisdictions have issued vaccine mandates affecting doctors’ offices (including doctors of chiropractic). Always assure and check with your respective licensing board or state laws.

For example, the state of Washington has made a mandate that includes chiropractic offices. California law has exempted chiropractic offices and you can see more in a previous news post on this site.

For that full release and language for Washington state see this link below.


For Oregon also note the following

On 8/25/21, the Oregon Health Authority (OHA) has amended its temporary rule, COVID-19 Vaccination Requirement for Healthcare Providers and Healthcare Staff in Healthcare Settings (OAR 333-019-1010), which requires healthcare providers and healthcare staff to be fully vaccinated against COVID-19 by October 18, 2021. There is no longer a testing option. This rule affects all OBCE licensees and healthcare staff.

Please closely read the rule’s requirements and possible exceptions allowed as those who violate any provision of the rule will be subject to civil penalties of $500 per day per violation, imposed by the OHA. These requirements are effective as of October 18, 2021. Read More: https://www.oregon.gov/…/Pages/COVID-19_Announcements.aspx

Here are states we have direct information on their mandates

Illinois, Rhode Island, and Washington DC have all mandated vaccines and include chiropractic providers.

Colorado’s mandate does not include chiropractors.


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