Chiropractic Medicare Coverage Modernization Act of 2025
Congress moves to expand Medicare coverage for chiropractor services beyond spinal manipulation
Stalled
No legislative action in over 90 days.
Legislative Progress
Key Points
- Would expand Medicare to cover all chiropractic services that a state license allows, not just spine manipulation.
- Treats a licensed doctor of chiropractic more like other “physicians” under Medicare for covered services.
- Could give Medicare patients more options for care like exams and other chiropractor-provided services, depending on state rules.
- Medicare payment would be limited unless the chiropractor completes a required Medicare education webinar (or similar training) or provides spine manipulation for a subluxation.
- If passed, this could change what Medicare will pay for at chiropractic offices and what patients may owe out of pocket.
Impact Analysis
Personal Impact
How this policy affects specific groups of people
Milestones
Read twice and referred to the Committee on Finance.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in Senate
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
4 articles
New Bill: Representative W. Gregory Steube introduces H.R. 539: Chiropractic Medicare Coverage Modernization Act of 2025
Explains H.R. 539’s core change: expanding Medicare coverage for chiropractor-provided services within state scope, and describes the bill’s Medicare payment limitation concept.

Neurosurgery Opposes Expansion of Chiropractic Services Under Medicare
Reports on a multi-organization opposition letter targeting S. 106/H.R. 539, citing concerns about patient safety, costs, and confusion over qualifications if Medicare coverage expands.
IPSIS & Coalition Oppose Chiropractic Coverage Expansion
Summarizes coalition opposition to S. 106/H.R. 539 and argues expanding Medicare-covered chiropractic services and “physician” labeling could mislead patients and affect resources.
Source Information
Document Type
Congressional Bill
Official Title
Chiropractic Medicare Coverage Modernization Act of 2025
Data Sources
Sponsor
Cosponsors
(15)Analysis generated by AI. Always verify with official sources.