SESSION WATCH
Died HOUSE · SESSION 2026

No. CS/CS/HB 439

Practice of Chiropractic Medicine
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SPONSOR
Health & Human Services Committee; Health Professions & Programs Subcommittee; Cobb
FILED BY
Nan Cobb — District 26, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Rules

Filed under Healthcare.

PROVIDED SUMMARY

Practice of Chiropractic Medicine ; Revises definition of term "practice of chiropractic medicine"; authorizes chiropractic physicians to possess, for emergency purposes only at chiropractic physician's office or place of business, prescription medical oxygen; authorizes chiropractic physicians to order, store, possess, prescribe, & administer, only by means of injection at chiropractic physician’s office, sterile substances, including vitamins, minerals, & nutritional supplements; prohibits chiropractic physicians from administering certain sterile substances by means of injection unless he or she has been certified by board; prohibits chiropractic physicians from administering certain any substance through intravenous therapy; requires chiropractic physician to be certified before administering sterile substances in specified manner; requires Board of Chiropractic Medicine to establish minimum standards of practice for administration of certain sterile substances by means of injection by chiropractic physicians; provides requirements for such standards; requires board to issue chiropractic physician letter certifying that he or she is authorized to administer specified sterile substances by means of injection under certain conditions.

Full bill text →

Plain English Summary

AI-GENERATED
Lets certified chiropractic physicians inject vitamins and nutritional supplements at their office.

Chiropractic physicians may now order, prescribe, and inject vitamins, minerals, and nutritional supplements in sterile form, as long as those products are proprietary or over-the-counter drugs and the injection happens at the physician's own office.

Before giving any injection, a chiropractic physician must be certified by the Board of Chiropractic Medicine, which requires 36 hours of continuing education plus passing a written and practical exam.

Patients must consent to the injection after being told the risks, and that consent must be written into their documented care plan. Only a certified chiropractic physician can give the injection -- it cannot be delegated to staff.

Chiropractic physicians still cannot administer anything through intravenous therapy. Separately, they may now possess medical oxygen at their office for emergencies, not just order and administer it.

KEY PROVISIONS
§ 1 Authorizes chiropractic physicians to inject sterile supplements majors. 460.403

AIChiropractic physicians may order, prescribe, store, and inject vitamins, minerals, and nutritional supplements in sterile, proprietary, or over-the-counter form, but only at their own office or place of business.

“Order, store, possess, prescribe, and administer by means of injection, vitamins, minerals, and nutritional supplements in sterile form” bill text, line 68 →
§ 2 Bars chiropractic physicians from IV administration majors. 460.403

AIEven with the new injection authority, a chiropractic physician still may not administer any substance to a patient through intravenous therapy.

“or to administer any substance through intravenous therapy” bill text, line 77 →
§ 3 Requires certification with 36 hours of training and an exam majors. 460.4086

AIBefore administering any injection, a chiropractic physician must be certified by the board, which must require 36 hours of continuing education on safe administration plus a passing score on a written and practical exam.

“Completion of 36 hours of continuing education consisting of didactic lectures and laboratory training on the safe and effective administration” bill text, line 90 →
§ 4 Requires documented patient consent before any injection majors. 460.4086

AIAn injection may not be given without the patient's consent and education about the risks and possible adverse events, and that consent must be recorded in the patient's documented plan of care.

“the administration of sterile substances by means of injection may not be performed without patient consent and education on the risks” bill text, line 87 →
§ 5 Bars delegating injections to unauthorized staff majors. 460.4086

AIAn injection may not be handed off to anyone except another chiropractic physician who is separately authorized to administer sterile substances -- not to a technician, assistant, or uncertified colleague.

“may not be delegated to any person other than a chiropractic physician who is authorized to administer sterile substances” bill text, line 102 →
§ 6 Lets chiropractic physicians possess medical oxygen moderates. 460.403

AIChiropractic physicians may now physically possess prescription medical oxygen at their office for emergencies, not just order and administer it as before.

“Order, store, possess and administer, for emergency purposes only at the chiropractic physician's office” bill text, line 57 →
TIMELINE
3/13/2026
Died in Rules
2/26/2026
Received
2/26/2026
Referred to Rules
2/25/2026
In Messages
2/25/2026
CS passed; YEAS 110, NAYS 2
2/25/2026
Read 3rd time
2/25/2026
Added to Third Reading Calendar
2/25/2026
Read 2nd time
2/19/2026
Bill added to Special Order Calendar (2/25/2026)
2/13/2026
Added to Second Reading Calendar
2/13/2026
1st Reading (Committee Substitute 2)
2/13/2026
Bill referred to House Calendar
2/12/2026
CS Filed
2/12/2026
Laid on Table under Rule 7.18(a)
2/12/2026
Reported out of Health & Human Services Committee
2/10/2026
Favorable with CS by Health & Human Services Committee
2/6/2026
Added to Health & Human Services Committee agenda
2/6/2026
Now in Health & Human Services Committee
2/6/2026
Referred to Health & Human Services Committee
2/4/2026
1st Reading (Committee Substitute 1)
2/4/2026
CS Filed
2/4/2026
Laid on Table under Rule 7.18(a)
2/4/2026
Reported out of Health Professions & Programs Subcommittee
2/3/2026
Favorable with CS by Health Professions & Programs Subcommittee
1/30/2026
Added to Health Professions & Programs Subcommittee agenda
1/13/2026
1st Reading (Original Filed Version)
11/24/2025
Now in Health Professions & Programs Subcommittee
11/24/2025
Referred to Health & Human Services Committee
11/24/2025
Referred to Health Professions & Programs Subcommittee
11/17/2025
Filed
24 EARLIER →
STATUTES IT CHANGES
s. 460.403
+70 / −12
s. 460.4086
+242 / −0
STAFF ANALYSES