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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.
Judge, Jury, and Insurer? The Geico No-Fault Wake-Up Call
This episode of PCA Deep Dive, a service of the Pennsylvania Chiropractic Association, explores the New York Court of Appeals decision in Geico v. Mayzenberg. This landmark case redefines the boundaries of authority between insurers and state regulators. It highlights the court’s ruling that insurers cannot unilaterally deny claims based on suspected misconduct. Instead, such assessments must be made by state regulatory bodies like the New York State Board of Regents. The episode delves into the case specifics, legal strategies, and the broader implications for healthcare providers, insurance professionals, and the no-fault system. Despite potential new bottlenecks at the regulatory level, the ruling aims to protect due process and maintain the efficiency of accident victim compensation.
00:00 Introduction to PCA Deep Dive
00:13 Case Overview: Guyco v. Mayzenberg
01:25 The Alleged Scheme and Legal Strategy
04:02 Court’s Ruling and Its Implications
04:32 The Role of State Regulators
10:10 Balancing Efficiency and Justice
11:44 Conclusion and Key Takeaways
13:12 Closing Remarks and Call to Action
PCA Website:https://pennchiro.org/
PCA Email:pca@pennchiro.org
Disclosure
The Pennsylvania Chiropractic Association did not generate this data. PCA Deep Dive reviews and discusses independent, peer-reviewed research to help translate long-term outcomes and clinical implications for patients, clinicians, policymakers, and healthcare decision makers.

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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
University of Pittsburgh launches a Doctor of Chiropractic program
The University of Pittsburgh School of Health and Rehabilitation Sciences (SHRS) will begin offering a Doctor of Chiropractic program, the first at a research-intensive public university in the United States and the only one in Pennsylvania, Anthony Delitto, dean of...
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
News Across the Country
Let’s pass the Chiropractic Medicare Coverage Modernization Act this year!
The ACA is aware of, and is attempting to correct the error that is occuring with the original flyer/QR code. IN THE MEANTIME PLEASE USE QR Code: Sign for Your Office (PDF) (updated 4.4.2023) Please print and hang this near the front desk. Your patients can...



























