THE SENATE	S.B. NO.	2050
THIRTY-THIRD LEGISLATURE, 2026		S.D. 1
STATE OF HAWAII		H.D. 2

A BILL FOR AN ACT

RELATING TO CHIROPRACTIC.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

SECTION 1. Chapter 442, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:

"§442-    Chiropractic students; clinical training; supervision. (a) Notwithstanding any other law to the contrary, a chiropractic student may engage in clinical training involving the practice of chiropractic if:

(1) The student is actively enrolled in a doctor of chiropractic program that is accredited by the Council on Chiropractic Education, or its successor organization, and approved by the board;

(2) The clinical training conducted occurs pursuant to a formal affiliation agreement between the accredited doctor of chiropractic program and the supervising chiropractor or clinical training site;

(3) The student is directly supervised by the supervising chiropractor; provided that the supervising chiropractor shall:

(A) Be licensed to practice chiropractic in the State;

(B) Be physically present at the location where services are provided; and

(C) Retain full professional and legal responsibility for the care provided to the patient; and

(4) The student has completed all didactic coursework and is actively participating in the clinical phase of an accredited doctor of chiropractic program, having met all institutional requirements to engage in patient care as a clinical student.

(b) Before providing services to a patient, a chiropractic student providing services pursuant to this section shall inform the patient that the care will be provided by the student and obtain written consent from the patient acknowledging that the patient has agreed to receive services from the chiropractic student.

(c) The board shall adopt rules pursuant to chapter 91 to implement this section, including:

(1) Qualifications for supervising chiropractors;

(2) The permissible scope of clinical services that may be provided by a chiropractic student;

(3) Supervision requirements; and

(4) Documentation and reporting requirements.

(d) For the purposes of this section, "chiropractic student" means an individually actively enrolled in an accredited doctor of chiropractic program who is participating in clinical training required for completing of the degree."

SECTION 2. The Hawaii board of chiropractic shall submit a report to the legislature no later than twenty days prior to the convening of the regular session of 2027. The report shall include:

(1) Implementation of this Act;

(2) Patient safety;

(3) Student participation; and

(4) Any other recommendations.

SECTION 3. New statutory material is underscored.

SECTION 4. This Act shall take effect on July 1, 3000; provided that section 1 shall take effect on July 1, 2028.

Report Title:

Hawaii Board of Chiropractic; Licensure; Chiropractic Students; Clinical Training; Rules

Description:

Beginning 7/1/2028, allows chiropractic students enrolled in an accredited doctor of chiropractic program to engage in clinical training involving the practice of chiropractic as part of the completion of their degree, under certain conditions. Requires a report to the Legislature. Effective 7/1/3000. (HD2)

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.