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, u, the official text

THE SENATE

S.B. NO.

2050

THIRTY-THIRD LEGISLATURE, 2026

S.D. 1

STATE OF HAWAII

H.D. 2

C.D. 1

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 individual actively enrolled in an
accredited doctor of chiropractic program who is participating in clinical
training required for completion 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, 2026; provided that section 1 shall take effect on July 1, 2028.