Unveiling the Florida Patient Brokering Act: What Chiropractors Need to Know

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In the healthcare realm, ethical practices are the cornerstone of providing reliable and trustworthy services. One significant legislation in Florida aimed at maintaining these standards is the Florida Patient Brokering Act. This law is crucial for all healthcare providers, including chiropractors, to understand and abide by to ensure a lawful practice. This comprehensive guide, provided by the Florida Chiropractic Coalition, aims to unveil the intricacies of the Florida Patient Brokering Act and what it entails for chiropractors in the state.

Table of Contents:

  1. Overview of the Florida Patient Brokering Act
  2. Implications for Chiropractors
  3. Compliance Measures
  4. Potential Penalties and Legal Ramifications
  5. Advocacy and Support from the Florida Chiropractic Coalition
  6. Conclusion

Overview of the Florida Patient Brokering Act

The Florida Patient Brokering Act (FPBA) is a piece of legislation designed to combat fraud and maintain the integrity of healthcare services by prohibiting any form of compensation for patient referrals between healthcare providers and entities. Here are the key components of the act:

  • Prohibition of Referral Fees: The core provision of the FPBA is the prohibition of offering, paying, soliciting, or receiving any commission, bonus, rebate, kickback, or bribe, directly or indirectly, in cash or in kind, for referring patients.
  • Exclusions and Safe Harbors: The act provides certain exclusions and “safe harbors” where some arrangements are deemed permissible under specified conditions.
  • Enforcement Agencies: Enforcement of the FPBA is carried out by various state agencies, with the possibility of both criminal and administrative penalties for violations.

Understanding the breadth and depth of the FPBA is the first step for chiropractors to ensure compliance and avoid any inadvertent violations.

Implications for Chiropractors

Chiropractors, like other healthcare providers, must adhere to the provisions of the FPBA to maintain a lawful practice. Here are some of the implications:

  1. Referral Relationships: Chiropractors should scrutinize any referral relationships with other healthcare providers or entities to ensure they are compliant with the FPBA.
  2. Marketing Agreements: Any marketing or advertising agreements should be carefully reviewed to ensure they do not violate the provisions of the FPBA.
  3. Employment Arrangements: Employment and contractual arrangements, including those with marketers, should be structured to comply with the FPBA.
  4. Documentation: Maintaining thorough and accurate documentation of any financial arrangements or referral relationships is crucial for demonstrating compliance with the FPBA.

Understanding the implications of the FPBA is critical for chiropractors to navigate the legal landscape and ensure their practices are in compliance.

This segment provides an overview of the Florida Patient Brokering Act and begins to delve into the implications for chiropractors. The following sections will further discuss compliance measures, potential penalties, and how the Florida Chiropractic Coalition can provide support in this endeavor.

Compliance Measures

Ensuring compliance with the Florida Patient Brokering Act (FPBA) is imperative to avoid legal ramifications and maintain a reputable practice. Here are some key compliance measures chiropractors can adopt:

  1. Legal Counsel:
    • Engage a healthcare attorney to review your practice’s referral relationships, contracts, and employment agreements to ensure they are in compliance with the FPBA.
  2. Education and Training:
    • Educate yourself and your staff on the provisions of the FPBA, and provide regular training to ensure everyone in your practice is aware of the law and its implications.
  3. Review of Marketing Agreements:
    • Carefully review all marketing and advertising agreements to ensure they do not involve any prohibited referral fees.
  4. Documentation:
    • Maintain meticulous documentation of all financial arrangements and referrals to demonstrate compliance in case of an audit or investigation.
  5. Regular Audits:
    • Conduct regular internal audits to identify and rectify any potential compliance issues.
  6. Development of Compliance Policies:
    • Establish clear compliance policies and procedures and ensure they are adhered to by all members of your practice.

Potential Penalties and Legal Ramifications

Violation of the FPBA can lead to severe penalties and legal consequences. Here are some of the potential ramifications:

  1. Criminal Penalties:
    • Violations of the FPBA can lead to criminal charges, including felony charges depending on the nature and extent of the violation.
  2. Financial Penalties:
    • Substantial fines may be imposed for each violation of the FPBA.
  3. License Sanctions:
    • The state medical board may take disciplinary action against a chiropractor’s license, including suspension or revocation.
  4. Civil Liability:
    • Violators may also face civil liability, including lawsuits from patients or other parties affected by the violation.
  5. Reputational Damage:
    • Legal action and penalties can cause significant reputational damage, affecting the ability to attract and retain patients.

Awareness of the potential penalties and legal ramifications is crucial for chiropractors to fully grasp the importance of compliance with the FPBA.

The steps towards ensuring compliance and understanding the potential legal ramifications are crucial for maintaining a lawful and reputable chiropractic practice.

Advocacy and Support from the Florida Chiropractic Coalition

Navigating the complexities of the Florida Patient Brokering Act (FPBA) can be a daunting task for chiropractors. However, with the right guidance and support, ensuring compliance becomes a manageable endeavor. The Florida Chiropractic Coalition (FCC) stands as a solid pillar of support, providing advocacy and resources to chiropractors in Florida. Here’s how the coalition can significantly contribute to understanding and compliance with the FPBA:

  1. Educational Resources:
    • The FCC provides educational materials and seminars that delve into the intricacies of the FPBA, helping chiropractors to better understand the law and its implications for their practice.
  2. Legal Advocacy:
    • By engaging in legal advocacy, the FCC works to create a favorable legislative environment for chiropractors, making it easier to comply with laws like the FPBA.
  3. Networking Opportunities:
    • The coalition provides a platform for chiropractors to network with legal experts and experienced practitioners who can provide insights and advice on navigating the FPBA.
  4. Business Support:
    • Access business support services that can aid in reviewing and structuring contractual and employment arrangements to ensure compliance with the FPBA.
  5. Continuing Education:
    • Stay updated with the latest legal developments through the FCC’s Continuing Education classes. These classes can be conveniently purchased online or by contacting the coalition.


The Florida Patient Brokering Act is a significant legislation that aims to uphold the integrity and trustworthiness of healthcare practices, including chiropractic care. Understanding and adhering to the FPBA is not only a legal requirement but a moral obligation to ensure fair and ethical practices. With a clear understanding of the FPBA, and by leveraging the support and resources provided by the Florida Chiropractic Coalition, chiropractors in Florida can operate with confidence in a compliant and ethical manner.

Contact Information:

This comprehensive guide is tailored to provide a well-rounded understanding of the Florida Patient Brokering Act and the support available to chiropractors through the Florida Chiropractic Coalition. Feel free to reach out to the coalition for further assistance and support in ensuring compliance with the FPBA and other legal requisites for your practice.

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