What does 2026 hold for chiropractic? Here are a few issues on the horizon this year.
Posted in Articles on Wednesday, January 7, 2026
To say that the legislative and regulatory landscape in 2026 could significantly reshape the chiropractic profession is an understatement. From potential Medicare reform to increased state-level oversight and compliance expectations, chiropractors should be paying close attention to policy changes that directly affect practice, reimbursement, and professional autonomy.
The Biggest Opportunity: Medicare Reform
The Chiropractic Medicare Coverage Modernization Act continues to move through Congress. If passed, it will expand Medicare coverage beyond spinal manipulation to include all services chiropractors are licensed to provide under their state-specific law.
What it means for you: This would allow DCs to bill Medicare for evaluation and management services, diagnostics, and other care, bringing Medicare policy closer to private insurance and VA coverage models.
State Scope and Regulatory Battles Continue
Across the country, states are considering legislation to modernize chiropractic practice acts and clarify scope of practice. These efforts are meant to reflect your expanding role in healthcare, but are often met with pushback. At the same time, regulatory changes involving licensure, continuing education, and board governance are emerging.
What it means for you: Some proposals could reduce chiropractic board independence, making state-level engagement more important than ever.
Compliance Expectations Are Rising
Regulators are increasing scrutiny around billing practices and pricing transparency.
What it means for you: Make sure you have established clear financial policies, consistent fee disclosures, and staff training to avoid compliance issues, especially for cash and hybrid practices.
Trends Favor Conservative Care
Chiropractic continues to benefit from broader healthcare trends, including emphasis on non-opioid pain management and cost-effective, non-invasive care.
What it means for you: These trends strengthen the profession’s legislative position, but only with active participation and advocacy. Make sure you get involved!
Bottom Line
2026 presents both opportunity and risk for DCs. Expanded Medicare coverage, evolving scope laws, and growing regulatory oversight mean staying informed and engaged is no longer optional—it’s essential for protecting and advancing the profession. Get involved with your state and national associations to find out how you can best advocate and educate.