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Spinal Chat with PCA
The PCA Podcast Each episode brings you insights, conversations, and practical guidance to help chiropractors strengthen their practice, elevate patient care, and thrive in today’s evolving healthcare landscape. Tune in, stay informed, and be part of the movement advancing chiropractic in Pennsylvania.

Welcome to Spinal Chat, the official podcast of the Pennsylvania Chiropractic Association. Each episode brings you insights, conversations, and practical guidance to help chiropractors strengthen their practice, elevate patient care, and thrive in today’s evolving healthcare landscape. Tune in, stay informed, and be part of the movement advancing chiropractic in Pennsylvania.
August President’s Address: A PCA Town Hall with Dr. Kris Arnold and Mike Barba
In this President’s Update from The Spinal Chat Podcast, PCA President Dr. Kris Arnold and Executive Director Mike Barba discuss the issues directly affecting your practice and the future of chiropractic in Pennsylvania.
- The urgent Senate push for HB 1106.
- Scope modernization through SB 1330.
- Declining insurance reimbursement, denials, and prior authorization.
- PCA’s meetings with Highmark and other insurers.
- Billing assistance and legal resources available to PCA members.
- PCA membership value and opportunities to become involved.
- Committees, working groups, districts, and board service.
- The importance of supporting the PCA PAC.
- Regional town halls, live continuing education, and the Harrisburg board luncheon.
- The annual May convention at Seven Springs.
- PCA newsletters, member groups, and science-based podcast resources.
The message is clear: Pennsylvania chiropractic advocacy is not about Republicans or Democrats—“We’re not Rs or Ds. We’re DCs.”
CHAPTERS
00:00 — HB 1106: A Major Legislative Victory 00:34 — Why Communication Matters 01:34 — Regional Town Halls Are Coming 02:33 — The Insurance Reimbursement Fight 04:15 — Billing Assistance and Member Resources 07:52 — Why Join the PCA? 11:47 — Stop Complaining and Become Involved 12:43 — Ways to Volunteer 14:57 — How PCA PAC Funding Is Used 18:38 — The Senate Push for HB 1106 20:36 — Scope Modernization and SB 1330 23:03 — Legislative Newsletters and Updates 23:38 — Social Media and Podcast Resources 28:21 — Regional Meetings, CE, and the Convention 32:23 — Invitation to the Harrisburg Board Luncheon 34:50 — Final Call to Action
TAKE ACTION
Restore Delegation Rights Through HB 1106 https://pennchiro.org/hb1106/
Modernize Pennsylvania’s Chiropractic Scope Through SB 1330 https://pa-chiropractic-moderniz-ur0a2zk.gamma.site/
PCA REIMBURSEMENT RESOURCES
What PCA Can Do About Reimbursement https://pca-reimbursement-guide-944g3e1.gamma.site/
For insurance, billing, or legal-support inquiries, contact the PCA office. Your request will be directed to the appropriate team member: pca@pennchiro.org
MEMBERSHIP, VOLUNTEERING, AND PCA INFORMATION
Pennsylvania Chiropractic Association https://www.pennchiro.org/
Membership, committee, working-group, board-service, and regional-meeting inquiries: pca@pennchiro.org
INFORMATIONAL NOTICE
This podcast is provided for general educational and informational purposes. It does not constitute legal, billing, coding, reimbursement, or clinical advice. Insurance policies, regulations, and legislative matters may change. Listeners should confirm requirements applicable to their practices and circumstances.
Created and produced by Mike Barba for the Pennsylvania Chiropractic Association. AI-assisted tools were used in the production of this content. Final content was reviewed and approved by PCA.

Contact Your Director – Get Involved in Your District – Support the PAC
The Directors are here to help you get what you need from your membership. Visit the link to get in direct contact with your Director right away.
The COCSA (Congress of Chiropractic State Associations) called our Scope “the most archaic and restrictive in the entire country”. It’s time to make a change.
PA Chiropractors have been using an outdated scope of practice for more than half of a Century!
PCA at Work
Current News for PA Chiropractors
Working Group Updates & Info
- Dry Needling Working Group
- UPMC Working Group
- Functional Nutrition Working Group
- Animal & Veterinary Chiropractic Working Group
- Sports Chiropractic Working Group
- Radiology Working Group
- Pediatrics and Pregnancy Working Group
- Neurology Working Group
UPMC Working Group
Co-Chairs Drs. Vic Rizzo and Justin Miller
Functional Nutrition Working Group
Chair Dr. Doug Pfeiffer
FNWG December 2023 Newsletter
FNWG November 2023 Newsletter
FNWG October 2023 Newsletter
FNWG September 2023 Newsletter
FNWG August 2023 Newsletter
FNWG July 2023 Newsletter
FNWG June 2023 Newsletter
FNWG April 2023 Newsletter
FNWG February/March 2023 Newsletter
FNWG January 2023 Newsletter
2022
FNWG December 2022 Newsletter
FNWG November 2022 Newsletter
FNWG October 2022 Newsletter
FNWG September 2022 Newsletter
FNWG August 2022 Newsletter
FNWG July 2022 Newsletter
FNWG June 2022 Newsletter
Animal & Veterinary Chiropractic Working Group
Chair Dr. Gregory Gray, DC
November 2023 Newsletter
October 2023 Newsletter
September 2023 Newsletter
August 2023 Newsletter
July 2023 Newsletter
June 2023 Newsletter
November Newsletter
Please be advised that the PCA X-ray Working Group was successful (as previously mentioned in emails and videos) in petitioning the Department of Environmental Protection (DEP) in 2022 to lower the annual DEP fees chiropractic offices pay per x-ray tube. This endeavor was started in 2015 by myself, Dr Vic Rizzo chairperson of the X-ray working group, in my position as the chiropractic representative to the PA Radiation and Protection Advisory Committee (RPAC).
The video above explains that the recent June1, 2023 letter you received from DEP refers to an upcoming fee increase to the prior category that chiropractors are leaving. It fails to mention that chiropractors will actually see a fee decrease from $400 to $195 per year per x-ray tube beginning of October 1. This was done by moving chiropractors into the dentist, podiatrist and veterinarian category due to our limited use of x-ray versus continuing in the same category as outpatient x-ray imaging centers like hospitals where chiropractors have been since the beginning of this fee. For those who were billed before October 1, 2023 you must pay the current $400 fee. For those billed after October 1, 2023 you will see the new fees.
Had the PCA NOT been able to get chiropractors moved into this new category, and then instead you would have seen a $130 increase in chiropractic office’s annual fees, or $530 per tube. Therefore, through the hard work of the PCA, ALL Pennsylvania Chiropractors will receive a $335 savings per year to chiropractors who take x-rays. Your PCA dues do make a difference. That means that if you have an X-ray machine, the PCA is really only costing you $265 a year, since the PCA saved you a $335 a year! PCA Dues pay for themselves!
Update from PCA Pediatrics and Pregnancy Working Group Co-Chair Dr. Lawrence Bagnell





























