Wednesday, May 17, 2006

Kentucky Passes Historic Acupuncture Law

Here is a little more on the new KY Acupuncture Bill from acupuncture Today. This was truly a grass-roots campaign with lots of letter writing and phone calls to representatives. This is not the first attempt at regulation, but it is the first one to be written with the help of the Acupuncture and Oriental Medicine Alliance and NCCAOM certified and Master Degree-level practitioners. Although it will be a year before I can get my hands on an actual license, it is wonderful to be able to advertise and be recognized as a professional by the state government. Now if we could just get NCCAOM certification to be a requirement for ALL people wanting to practice acupuncture . . .

On April 24, 2006, after unanimous passage by the Kentucky Senate and House of Representatives, Gov. Ernie Fletcher affixed his signature to House Bill 17, one of the first pieces of legislation voted on in the 2006 session. In so doing, Gov. Fletcher has made Kentucky the 43rd state in the U.S., and the second state in three months, to enact a law allowing for the practice of acupuncture by nonphysician acupuncturists.

"I've known people who have been helped tremendously with acupuncture," said state Rep. Denver Butler, chair of the House Licensing and Occupations Committee, who introduced the bill and was instrumental in its passage. "Acupuncture has been around for more than 4,000 years in China. The medical doctor may not be able to explain why, but it does help, and I felt that people deserved that opportunity to try it and be helped."

House Bill 17 was introduced in the Kentucky House by Rep. Butler on Jan. 3, 2006, and assigned to the Licensing and Occupations Committee three days later. On Feb. 7, it passed the House 96-0 and was sent to the Senate for review by the Senate Licensing, Occupations & Administrative Regulations Committee. On March 23, the Senate passed the bill 36-0, at which time it was returned to the House, which passed it by a 95-0 vote on April 10. According to the Kentucky Legislature's Public Information Office, the bill will officially go into effect July 12, 2006.

Rather than requiring licensure, HB 17 calls for a certification process, whereby practitioners will be certified by the Kentucky Board of Medical Licensure to practice acupuncture. To be certified, applicants must:

submit a completed and board-approved application for certification;
be "of good character and reputation;"
have passed the acupuncture examination administered by the National Certification Commission for Acupuncture and Oriental Medicine; and
have graduated from a course of training that has been approved by the Accreditation Commission for Acupuncture and Oriental Medicine and that is at least 1,800 hours in length, including 300 clinical hours.
Applicants who meet these criteria would be allowed to use the "CAc" designation and to call themselves "certified acupuncturists." Certificates will be renewed every two years, with all practitioners required to complete 30 hours of continuing education biennially as a condition of renewal.
For longtime practitioners who might not meet the bill's requirement of 1,800 hours of training, HB 17 includes a grandfathering provision that allows them until July 1, 2007, to achieve certification provided they meet the bill's other requirements. For acupuncturists who currently practice outside of Kentucky and might want to relocate, HB 17 also includes a provision that allows them to be "certified by endorsement" from the state of that acupuncturist's credentialing, provided the state has standards "substantially equivalent to those" of Kentucky.

Acupuncturists practicing in Kentucky will be subject to a somewhat restrictive scope of practice that allows for the insertion of needles "with or without accompanying electrical or thermal stimulation" at certain points or meridians "for purposes of changing the flow of energy in the body." Acupressure, cupping, moxibustion and dermal friction also are allowed. However, acupuncturists will be prohibited from practicing "laser acupuncture, osteopathic manipulative treatment, chiropractic adjustments, physical therapy or surgery." The bill does not specify whether acupuncturists may dispense herbs or recommend dietary supplements as part of their scope of practice.

All certified acupuncturists will be required to develop a written plan for consultation, emergency transfer and referral of patients to appropriate health care facilities or to other health care practitioners. While diagnosis is not included in an acupuncturist's scope of practice, if a patient discloses that he or she suffers from one of several "potentially serious disorders or conditions" during acquisition of the patient's medical history, the acupuncturist must verify that the patient currently is under the care of a physician and consult with the treating physician before performing acupuncture. If the patient refuses to provide a medical history or disclose information regarding any of those conditions, acupuncture treatment shall not be
provided.

In addition to establishing certification standards and a scope of practice, HB 17 requires the Board of Medical Licensure to create an eight-member Acupuncture Advisory Committee, which is charged with reviewing and making recommendations to the board regarding standards of practice, continuing education requirements, renewal requirements, and other matters related to the practice of acupuncture. Four acupuncture practitioners will serve on the committee, with all committee members serving four-year terms.

The passage of HB 17 leaves only seven states (Alabama, Delaware, Mississippi, North Dakota, Oklahoma, South Dakota, and Wyoming) without regulations allowing for the practice of acupuncture by licensed, registered or certified acupuncturists. Prior to Kentucky, the most recent state to pass an acupuncture licensing law was Michigan, whose governor, Jennifer Granholm, signed Senate Bill 351 into law in February.

3 comments:

backcare said...

Hi.very good site.so what do your think about the following things:

Seven “ facts “about acupuncture .

Myth: Acupuncture is widely used in China

Truth: Acupuncture is not widely used in China

Acupuncture is not widely used in China as a part of traditional Chinese medicine (TCM) - TCM also being a phrase that originated in the 20th century (1954). Acupuncture declined in popularity once scientific medicine was introduced to China.” In 1995 the Committee for Scientific Investigation of Claims of the Paranormal (CSICOP) went to China and found that around 15-20% of the population used TCM (not just acupuncture), and that those people used TCM in conjunction with scientific medicine: what we would term complementary medicine. This level of use is at the lower end of the scale compared to other countries with advanced healthcare systems and it falls well short of countries such as Germany, Canada, France and Australia where the use of alternative remedies is more than twice that of China. China's use of alternative remedies is actually lower than the UK population's - currently around 25%.

Myth:Acupuncture can stimulate the body’s own healing response and help restore its natural balance by “Qi”

Truth: There is no evidence for the existence of this universal energy(“Qi”)

There are no scientific instruments that can detect it. It seemingly can only be detected and adjusted by practitioners. It is not a falsifiable hypothesis (it can't be tested) and as such is meaningless.

Myth: Acupuncture is an ancient Chinese cure that has existed, unchanging, for centuries.

Truth: acupuncture was formalized in a complex way over the past 100 years, mostly in Europe and France and after the Communist takeover in China. Before that time there was no consistent formalization of acupuncture points or what each place was supposed to do. It was largely regional, and the thinking varied from city to city."

Myth:Acupuncture offers specific cures

Truth: Acupuncture doesn’t offer specific cure .

If it has the effect of, say, releasing endorphins through the application of needles, well, many things release endorphins -- a walk in the woods, a 5-mile run, a pinch on the butt."

Myth: Acupuncture can claim to have an effect many condition.

Truth: Acupuncture can only claim have an effect very few condition.

If there is one area that acupuncture can claim to have an effect it's in pain relief. Although most evidence supporting acupuncture can be dismissed as anecdotal, trials have been done where acupuncture does show a pain relieving effect above placebo. The effect is not large, of the same magnitude as taking Aspirin or Ibuprofen, but nonetheless it's there and cannot be ignored.That's not to say that there are not problems with such claims however. Pain is an entirely subjective experience; it cannot be directly measured and the severity felt depends to a large extent on the patient's state of mind; which can be influenced by the practitioner giving the treatment. This leads on to the problem of blinding procedures with acupuncture. The practitioner is always aware of whether he's giving real or sham acupuncture and which patients he's giving them to.The pain relief effect does seem to exist; however, it's not clear whether it's a real effect of acupuncture or a strong placebo effect that's induced in the patient by the elaborate procedure of an acupuncture treatment

Myth: Acupuncture is very safe:

Truth: Acupuncture is not inherently dangerous but being an invasive technique, it is not risk free.

Haematoma may result from the accidental puncture of a circulatory structure. Nerve injury can result from the accidental puncture of any nerve. Brain damage or stroke is possible with very deep needling at the base of skull. Also rare, but possible, is pneumothorax from deep needling into the lung, and kidney damage from deep needling in the lower back. Needles that are not properly sterilized can transfer diseases such as HIV and hepatitis. There is also the danger, common to all alternative therapies, of not seeking proper medical treatment because of an over reliance on alternatives. Acupuncturists are not doctors and will not have the capability of diagnosing a serious illness from its typical symptoms.

Myth: Acupuncture is more effective.

Truth: Acupuncture is not very effective.

The practise is based on untenable principles and the small amount of evidence there is to support its use in pain relief can also be called into question. Although there are claims that it has a mild pain relieving effect, it probably does so simply because it's an elaborate placebo. Whether the mild pain relieving properties are of acupuncture are real or not, most claims for the efficacy of acupuncture are grossly over-exaggerated. If there is a use for Acupuncture, it can only be in mild pain relief. The question then becomes a matter of whether the cost of acupuncture for this mild pain relief can be justified

(Content from internet)

Bristol Chinese Pain relief Acupuncture

www.backachetherapy.co.uk

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