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Texas Association of Acupuncture and Oriental Medicine v. Texas Board of Chiropractic Examiners And Patricia Gilbert, Executive Director in Her Official Capacity

Citation: Not availableDocket: 03-15-00262-CV

Court: Court of Appeals of Texas; November 30, 2015; Texas; State Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

In this appellate case before the Third District Court of Appeals in Texas, the Texas Association of Acupuncture and Oriental Medicine (TAAOM) challenges the decision of the 201st District Court in Travis County, which ruled in favor of the Texas Board of Chiropractic Examiners. The dispute centers on whether the Chiropractic Board exceeded its statutory authority under the Chiropractic Act by enacting rules that allow chiropractors to perform acupuncture. The Texas Medical Association (TMA) submitted an amicus curiae brief supporting the TAAOM, arguing that the Chiropractic Act does not authorize chiropractors to perform procedures involving the nervous system, and the Acupuncture Act requires specific licensure for the practice of acupuncture. The trial court's decision is contested on the grounds that the Chiropractic Board’s actions are inconsistent with both the Chiropractic Act and the Medical Practice Act. The TMA emphasizes that these rules infringe upon the defined boundaries of chiropractic practice and could lead to unauthorized medical practice. The appeal seeks a reversal of the trial court’s decision, urging the invalidation of certain Texas Administrative Codes that exceed legislative authority. The outcome of the appeal will determine the permissible scope of chiropractic practices in relation to acupuncture within Texas.

Legal Issues Addressed

Definition of Chiropractic Practice

Application: The Chiropractic Act limits chiropractic practice to the biomechanical evaluation of the spine and musculoskeletal system, excluding the nervous system and acupuncture.

Reasoning: The Chiropractic Act defines chiropractic practice as limited to the biomechanical evaluation of the spine and musculoskeletal system and does not mention or authorize acupuncture, which involves stimulating the central nervous system.

Licensure Requirements under the Acupuncture Act

Application: The Acupuncture Act requires individuals to hold a specific license to practice acupuncture, which chiropractors do not possess, thereby making their practice of acupuncture unauthorized.

Reasoning: The Acupuncture Act mandates that individuals must possess a license issued by the acupuncture board to practice acupuncture, as detailed in TEX. OCC. CODE. 205.201.

Statutory Authority under the Chiropractic Act

Application: The case examines whether the Texas Board of Chiropractic Examiners exceeded its statutory authority by adopting rules that allow chiropractors to perform acupuncture.

Reasoning: The acupuncture rules adopted by the Chiropractic Board exceed the statutory authority granted under the Chiropractic Act.

Unauthorized Practice of Medicine

Application: The Chiropractic Board's expansion of definitions to include nerve-related concepts and acupuncture practices is argued to constitute unauthorized practice of medicine.

Reasoning: The Chiropractic Board's adoption of rules permitting acupuncture and other procedures on the nervous system is claimed to overstep its authorized scope, which is limited to the spine and musculoskeletal system.