By Jen Steinberg
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March 7, 2025
The International Federation of Chiropractors and Organizations (IFCO) stands firmly against Montana’s HB 500, a dangerous and misguided bill that seeks to grant chiropractors the ability to prescribe drugs. Chiropractic is and always has been a distinct, drug-free profession. Expanding its scope to include pharmaceuticals would not only compromise patient safety but also blur the essential distinction between chiropractic and medicine. This is not just a state-level issue. If Montana allows this expansion, it will set a precedent for other states to follow, jeopardizing the integrity of chiropractic nationwide. Chiropractors, students, and patients must understand the consequences and take a stand to protect the profession. Chiropractic Leaders Reject HB 500 Two of the most respected chiropractic colleges in the world have issued strong statements opposing HB 500, reaffirming that chiropractic was never meant to include drugs. Dr. Dennis Marchiori, DC, PhD, Chancellor of Palmer College of Chiropractic—the oldest and largest chiropractic institution—made Palmer’s position absolutely clear: “As Chancellor and CEO of the oldest and largest college of chiropractic in the world, I am writing to express opposition to the expansion of prescription pharmaceuticals into the clinical scope of chiropractic practice. Chiropractic was founded in 1895 in Davenport, Iowa, at Palmer College of Chiropractic. Palmer has spent years researching and carefully crafting an identity for chiropractors as the primary care professionals for spinal health and well-being. Chiropractic focuses on neurological and musculoskeletal integrity and aims to favorably impact human health, relieve pain and infirmity, enhance performance, and improve quality of life—without drugs or surgery.” Likewise, Dr. Jack M. Bourla, DC, ACP, President of Sherman College of Chiropractic, condemned the bill and highlighted the risks to public safety: “Prescribing medications has never been within the scope of chiropractic care. It is, and should continue to be, outside of our scope of practice. Chiropractors are not trained to prescribe medications, and our students are in no way prepared to be prescribers of medication. MDs and other medical specialists spend hundreds of hours in pharmacology education and clinical experience. They understand the desired effects, side effects, contraindications, addiction risks, and safety concerns related to prescription medications. A ‘weekend-style course’ ultimately allowing chiropractors to prescribe drugs is risky at best. Chiropractors are highly trained—nearly four years—at analyzing the spinal structure and its effects on the nervous system and vertebral misalignment. That is our scope of practice. We are not qualified, nor should we be trained, in an area already addressed by well-trained professionals. Sherman College of Chiropractic vehemently opposes this bill and urges lawmakers to recognize the risks and dangers it presents.” Medical Doctors Agree: Chiropractic and Medicine Are Separate Professions The Montana Medical Association (MMA) has also taken a firm stance against HB 500. Dr. Ernest J. Gray, MD, President of the MMA, reinforced the necessity of keeping chiropractic and medicine distinct: “As President of the Montana Medical Association, I share that the MMA and I, personally, oppose the granting of prescriptive authority for the chiropractic profession. The art and science of chiropractic is the adjustment and rebalancing of the spinal and skeletal system to achieve whole-body health. It has never advocated for the use of pharmaceutical agents as part of its treatment modalities.” This powerful statement underscores the fact that medical professionals themselves see the inherent dangers in allowing chiropractors to prescribe drugs. Chiropractic and medicine serve different purposes, and blurring the lines between them benefits no one—especially not the patients. HB 500 Undermines the Foundation of Chiropractic HB 500 is an outright assault on chiropractic’s foundational principles. Chiropractic was never meant to be an alternative route to prescribing drugs—it was created as a distinct, drug-free profession. Those pushing this bill are not acting in the best interests of patients or chiropractors; they are attempting to fundamentally change the profession for their own agenda. The IFCO rejects the argument that adding pharmaceuticals to chiropractic care would somehow “modernize” the profession. What has made chiropractic successful is its focus on natural health and its effectiveness without the use of drugs or surgery. Expanding scope into prescribing is not progress—it is a dangerous dilution of the very essence of chiropractic. Montana is now the battleground, but the outcome of this fight will have repercussions far beyond state borders. If HB 500 passes, it will open the door for similar legislative pushes across the country. This is not a state issue—it is a defining moment for the profession itself. IFCO’s Call to Action The IFCO remains steadfast in its commitment to protecting chiropractic’s drug-free identity. With HB 500 back in play, the time to act is now. We urge chiropractors, students, patients, and legislators to reject this blatant attempt to medicalize chiropractic. The message from Palmer College, Sherman College, and the Montana Medical Association is clear: Chiropractic does not and should not include drugs. The IFCO calls on Montana legislators to vote NO on HB 500. The future of chiropractic depends on it. IFCO President Travis M. Corcoran D.C., A.C.P.