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Delegating Massage Therapy to Licensed and Unlicensed Staff

By Adrienne Hersh, JD, ICS Legal Counsel · November 6, 20245 min read
Person receiving a massage
Delegating Massage Therapy to Licensed and Unlicensed Staff
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The Illinois Chiropractic Society was instrumental in initiating and passing Section 54.2 of the Medical Practice Act regarding physician delegation of authority to licensed and unlicensed personnel in the office.  Prior to this amendment, the MPA did not specifically permit chiropractic physicians to delegate patient care tasks to office staff.  The ICS worked with other groups licensed under the MPA to clarify that physicians may assign some patient care tasks to office personnel if conditions are met.  (Note that this section applies only to delegation, which is not the same as referral to an independent contractor within or outside of your practice.)

The Illinois Department of Financial and Professional Regulation (IDFPR) Medical Board counsel issued information about the Department’s interpretation of the law, and, specifically, how it applies to delegation to licensed massage therapists and to qualified unlicensed assistants in a physician office.  

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About the Author

Adrienne serves as Illinois Chiropractic Society general counsel and provides legal advice and support on a wide range of legal issues affecting chiropractic physicians, including licensing and other health care regulations, scope of practice, insurance and reimbursement, business structuring, labor and employment, contracts, and litigation. Adrienne previously served for 8 years as general counsel to the Illinois Department of Professional Regulation (now the Division of Professional Regulation, Department of Financial and Professional Regulation), where she was chief legal counsel responsible for overseeing all legal issues and advising the 50+ licensing and disciplinary boards, including the Medical Disciplinary Board and the Medical Licensing Board. She is a member of the Illinois State Bar Association Health Care Section, the Illinois Association of Healthcare Attorneys, and the National Association of Chiropractic Attorneys.

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