By the Division of Professional Licensure

November 4, 2004

The Massachusetts Board of Registration of Chiropractors ("Board") has today voted to adopt the following Policy Guidelines. These policy guidelines are intended as a recommended protocol for the profession to follow. The guidelines set forth below do not have the force or effect of law, as would a Massachusetts General Law or a Board rule or regulation. However, the Board utilizes these and other guidelines as an internal management tool in formulating decisions that relate to issues of chiropractic practice.

Manipulation under anesthesia or MUA is within the scope of chiropractic practice in the Commonwealth of Massachusetts as defined by MGL Chapter 112, Sections 89 to 97.

Any chiropractic physician wishing to perform MUA must have completed appropriate coursework in this procedure and be certified in the performance of said procedure.

MUA as a procedure shall only be performed in an appropriate healthcare facility under the direction of a licensed anesthesiologist.

Follow up care shall then be according to established protocols and shall be properly documented.