Joan Adam, Secretary of Health

South Dakota Board of Chiropractic Examiners

Meeting Minutes


South Dakota Board of Chiropractic Examiners Meeting
Chamberlain, South Dakota
June 6, 2015       


Dr. Mark Bledsoe called the board meeting to order at 7:30 a.m. The following members were present: Dr. Jeff Kramer, Dr. Kathleen Deutsch, Beverly McCracken, Dr. Jerrid Goebel and Marcia Walter, Executive Director. 

M/S Goebel/McCracken to approve secretary’s report from March 7, 2015 meeting

Passed, no opposition


Marcia Walter presented the financial update.  The state account currently has a balance of $271,159.79 as of May 31, 2015.   Fiscal year ends June 30.  With no additions or corrections, the board received the financial update as presented.


Dr. Kramer presented the investigative report.

M/S Deutsch/McCracken to approve #10-13, #01-15 and #02-15

Passed, no opposition


Marcia Walter reported that there haven’t been any peer reviews received since March meeting.  No further action taken.


Dr. Goebel shared information from the FCLB meeting regarding the Patriot Project.  The founder spoke to the group at FCLB, 1000 active participants in all 50 states, treat one veteran a week for free. Although this is a worthwhile project and the goals of the program are good there were concerns raised consisting of concern of only treating one person per week and how to determine who that is, length of care, ongoing treatment, how to avoid the bait and switch, advertising of this program is in violation of our rules. 

M/S Kramer/Goebel to allow participation in the Patriot Project if the doctor so chooses, however, state statutes and rules still apply in respect to advertising and all areas of treatment and case management

Passed, no opposition


Dr. Goebel gave an update on FCLB conference.  Areas of discussion were held regarding telemedicine and concerns of billing from state to state and who is responsible for care; registering CA’s; expert witnesses licensed in one state can they be a witness in another state if not licensed; ProBe Plus new program of 12 months of one on one; practice analysis 2015 results, survey done every 5 years; spec exam allows states to dictate scores; board exec meeting on Thursday starting next year; computer based testing parts 1-3 done 6 times a year in centers; website changing; $150,000 is cost for each part iv site to do the testing; Florida has NBCE do their state board exam and new docs need to attend a meeting within 1 year of licensure; talked a little about passport program. 


Discussion was held regarding terminating doctor patient relationships and best way to go about doing so.  Marcia will check with NCMIC if they have a form for termination. Table for further discussion at September meeting.


Dr. Scott Munsterman participated via telephone to update the board on his telemedicine legislation being worked on similar to SB 63 passed last year for medical board.  Best Practices Academy has spent a lot of time researching this area.  Purpose of legislation is 1) license portability and 2) create interstate licensure compact.  Legislation develops a commission that governs one main oversight licensing board that gets licensees through the hoops to get them into those levels.  Main reason for chiropractors to develop legislation is telehealth (general category) which has three key areas 1) telemedicine (direct patient format – skype, phone, etc.) 2) clinical consult (radiology services, consults clinician to clinician) 3) business education (webinars, online).  To allow chiropractic patients to benefit from this health care type of delivery is very key moving ahead.  Would be great if FCLB would take on license portability from state to state.  There appears to be a shift for patients to move to chiropractic for musculoskeletal care.  The board has concern of license portability and who is in control. Dr. Munsterman assured that the state licensing board is still in control of license, discipline, etc. for all licensees.  No action taken at this time.  Dr. Munsterman will keep in touch with the board as this develops. 


The board reviewed a request for clarification of federally qualified health center mandates in particular the sliding fee scale involved with this program.  There are numerous requirements a doctor needs to meet to belong to this federal program of which our board has no jurisdiction over.  The sliding fee schedules are part of the program but they cannot be advertised.  Doing so would be in violation of chiropractic rules. 

M/S Kramer/Deutsch to approve doctors being part of this program as long as all federal mandates are met, however, chiropractic statute and rules need to be followed if advertising participation in the program.

Passed, no opposition


Special request was received from doctor requesting approval for continuing education hours for accelerated BSN program started but not completed.

M/S Kramer/Goebel to deny request since doctor did not pass/complete coursework

Passed, no opposition


Reviewed special request and transcript from doctor requesting approval for continuing education hours for nursing degree being pursued.

M/S Goebel/Kramer to approve request for continuing education hours

Passed, no opposition


Marcia shared information with the board regarding the Health Professionals Assistance Program available to licensing boards listed under Title 36 per statute 36-2A.  This program may be used for individuals susceptible to substance and/or mental health disorders.  Health professionals may self-refer or regulating boards may make referrals or require enrollment as part of disciplinary sanctions or in lieu of loss of licensure.  No action taken. 


Dr. Bledsoe requested the post grad intern agenda item be removed from docket as this was listed in error. 


M/S McCracken/Goebel approve preceptorship of Pamela Harvey with Dr. Christine Wakefield

Passed, no opposition


M/S Kramer/Deutsch approve inactive to active application of Dr. Mark Kruse pending completion of file

Passed, no opposition



M/S Goebel/Kramer Dr. Bledsoe, Dr. Deutsch and Marcia Walter attend the FCLB District meeting October 1-4, 2015 in Coeur D’Alene, ID

Passed, no opposition


Dr. Bledsoe opened the floor for election of officers.

M/S Goebel/McCracken nominated Dr. Kramer for President to begin at the close of the current meeting

With no further nominations, Dr. Bledsoe closed nominations and a unanimous ballot was cast for Dr. Kramer as President.


M/S Deutsch/Kramer nominated Dr. Goebel for Vice President

With no further nominations, Dr. Bledsoe closed nominations and a unanimous ballot was cast for Dr. Goebel as  Vice President.


M/S Kramer/McCracken nominated Dr. Deutsch for Secretary/Treasurer

With no further nominations, Dr. Bledsoe closed nominations and a unanimous ballot was cast for Dr. Deutsch as Secretary/Treasurer.


Additional board members consist of Dr. Mark Bledsoe and Bev McCracken, Lay Member.  Marcia Walter continues to serve as Executive Director.


Dr. Bledsoe recessed the board meeting at 10:00 a.m. for new doctor matriculation.  The board meeting reconvened at 11:15 a.m. 


M/S Kramer/Goebel approve matriculants 61501, 61502, 61503 pending completion of files

Passed, no opposition


With no further business,

M/S Goebel/Deutsch – motion to adjourn at 11:30 a.m.

Passed, no opposition