Chiropractic Medicare Coverage Modernization Act of 2025

Key Points

• This bill would expand Medicare to cover all chiropractic services a chiropractor is licensed to perform in their state, not just spinal manipulation. Currently, Medicare only pays for one narrow service: manual manipulation of the spine to correct a subluxation (misaligned joint).
• The bill's sponsors argue Medicare chiropractic coverage is outdated and hasn't kept pace with private insurance, the VA, the Department of Defense, or federal employee health plans, all of which cover a broader range of chiropractic treatments.
• To qualify for expanded coverage under the new rules, chiropractors would need to complete a one-time online training webinar designed by the Secretary of Health and Human Services about proper documentation. Chiropractors who only provide traditional spinal manipulation would not need to complete this training.
• If enacted, Medicare beneficiaries — mainly seniors 65 and older and people with disabilities — would gain access to a wider range of chiropractic care covered by their insurance, potentially reducing out-of-pocket costs for treatments like physical therapy modalities and other services chiropractors can legally provide.
• The bill has bipartisan support, introduced by Rep. Steube with five co-sponsors from both parties, and has been referred to the House Energy and Commerce Committee and the Ways and Means Committee.