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Texas Performance Review
Realigning Chiropractic Oversight


The 1995 Legislature directed the Comptroller's office to "perform a review and analyze the effectiveness and efficiency of the policy, management, fiscal affairs, and operation of the Texas Board of Chiropractic Examiners" and report to the Legislature before January 10, 1997.[1]

Two years earlier, the Legislature attempted to guide the Texas Board of Chiropractic Examiners (TBCE) in the wake of a Texas Sunset Commission review raising concerns about the board's administration and enforcement practices. The 1993 legislative session resulted in a number of statutory changes intended to redirect the board's efforts, but criticism and scrutiny of TBCE activities continued in the 1995 session, contributing to the request for this review. Since the end of the 1995 session, seven of the nine members of the board have been replaced.

This review by the Comptroller's Texas Performance Review (TPR) Division focused on the agency's compliance with statutory changes. TPR staff reviewed state laws, interviewed TBCE board members, agency staff and other parties concerned with the chiropractic profession, contacted chiropractic regulatory offices in other states, and consulted with a national occupational licensing clearinghouse. TPR paid particular attention to the effectiveness of the board's enforcement activities in protecting the public from incompetent or fraudulent practices.

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