THE BILL ITSELF
SB 1524
Practice of Chiropractic Medicine
Florida Senate - 2026 SB 1524 By Senator Simon 3-00907A-26 20261524__
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A bill to be entitled
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An act relating to the practice of chiropractic
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medicine; amending s. 460.403, F.S.; revising the
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definition of the term “practice of chiropractic
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medicine”; authorizing chiropractic physicians to
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possess, prescribe, and administer vitamins, nutrient
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preparations, homeopathic remedies, dietary
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supplements, and prescription epinephrine, by
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specified means; requiring chiropractic physicians to
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be certified by the Board of Chiropractic Medicine to
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administer by injection vitamins, nutrient
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preparations, homeopathic remedies, dietary
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supplements, and epinephrine; authorizing licensed
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pharmacists to fill, compound, or dispense certain
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prescriptions for licensed chiropractic physicians
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under certain circumstances; providing requirements
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for the certification program; providing an effective
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date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Paragraph (c) of subsection (9) of section
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460.403, Florida Statutes, is amended to read:
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460.403 Definitions.—As used in this chapter, the term:
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(9)
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(c)1. Chiropractic physicians may adjust, manipulate, or
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treat the human body by manual, mechanical, electrical, or
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natural methods; by the use of physical means or physiotherapy,
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including light, heat, water, or exercise; by the use of
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acupuncture; by the use of monofilament intramuscular
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stimulation treatment, also known as dry needling, for trigger
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points or myofascial pain; or by the administration of foods,
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food concentrates, food extracts, and items for which a
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prescription is not required and may apply first aid and
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hygiene, but chiropractic physicians are expressly prohibited
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from prescribing or administering to any person any legend drug
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except as authorized under subparagraph 2., from performing any
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surgery except as stated herein, or from practicing obstetrics.
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2. Notwithstanding the prohibition against prescribing and
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administering legend drugs under subparagraph 1. or s.
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499.83(2)(c), pursuant to board rule chiropractic physicians may
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order, store, possess, prescribe, and administer vitamins,
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nutrient preparations, homeopathic remedies, and dietary
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supplements in the form of sterile substances by means of
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injection but not by means of intravenous therapy; , for
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emergency purposes only at the chiropractic physician’s office
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or place of business, prescription medical oxygen and
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prescription epinephrine using an autoinjector delivery system;
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and may also order, store, and administer the following topical
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anesthetics in aerosol form:
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a. Any solution consisting of 25 percent ethyl chloride
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ethylchloride and 75 percent dichlorodifluoromethane.
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b. Any solution consisting of 15 percent
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dichlorodifluoromethane and 85 percent
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trichloromonofluoromethane.
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3. A chiropractic physician may only administer by
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injection vitamins, nutrient preparations, homeopathic remedies,
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dietary supplements, or epinephrine after being certified by the
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board. Certification shall be granted to a chiropractic
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physician who has satisfactorily completed at least 36 hours of
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education and training as established by board rule and
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successfully passed an examination administered by the
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department in collaboration with the board. The certification
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program shall consist of didactic lectures and laboratory
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training on the safe and effective administration of vitamins,
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nutrient preparations, homeopathic remedies, dietary
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supplements, and epinephrine, including, but not limited to,
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protocols, indications, contraindications, and emergency
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procedures.
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4. Licensed pharmacists may fill, compound, or dispense
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prescriptions of vitamins, nutrient preparations, homeopathic
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remedies, and dietary supplements prescribed by certified
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licensed chiropractic physicians.
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However, this paragraph does not authorize a chiropractic
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physician to prescribe medical oxygen as defined in s.
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499.82(10).
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Section 2. This act shall take effect July 1, 2026.