Now, more than ever, supporting your profession matters


Dr. Dave Butters

It seems hard to believe that it’s been three months since the end of the 2020 legislative session, and it’s been a while since I’ve provided an update.

I know you can all relate when I say that navigating the weekly, sometimes daily, changing directives in running a chiropractic practice during this COVID-19 pandemic has been stressful and time-consuming. Most of us have been working hard to manage and mitigate our losses, which has included applying for the SBA Paycheck Protection and EIDL loans. We’ve been there for our patients who need us! If you have received a Paycheck Protection Program loan, the WSCA is preparing a video with information you need to know about PPP loan forgiveness — getting that process right is important for loan forgiveness. Watch for information coming from the WSCA.

On a positive note, good things have happened and continue to be happening on legislative and administrative fronts. I’m pleased to report that chiropractic and our patients fared well during the 2020 state legislative session. Two important bills passed – one regulating benefit managers and the other regarding prior authorization – and both were signed into law by the governor. The prior authorization law becomes effective June 11, 2020 and the benefit manager bill will be implemented on January 1, 2022. The Office of the Insurance Commissioner (OIC) has taken up our complaints against Kaiser and Aetna regarding unfair payment practices.  Thus far, as a result of OIC’s review, Kaiser has recently retroactively made additional payments to chiropractors for previously provided spinal manipulation services; we expect to hear soon in regard to E&M and other services that Kaiser has refused to reimburse chiropractors for.  We understand that OIC is still reviewing and communicating with Aetna on these same issues.

Here’s a summary of each bill passed in 2020:

2SSB 5601– Regulating Benefit Managers

Gives OIC regulatory oversight over health care benefit managers. These are entities like Evicore, Tivity, Optum and ASHN, which routinely and arbitrarily deny patients access to their chiropractic benefits with no accountability.

2SSB 5887– Prior Authorization

Provides access to up to six (6) visits of care without prior authorization for each episode to each of the following: a chiropractor, physical therapist, occupational therapist, acupuncturist, massage

2SSB 5887– Prior Authorization

therapist and speech and hearing therapists.  Importantly:  A new episode is defined as 90 days without treatment for the same condition.  The intent of the legislation is to also allow an episode of 6 visits not requiring prior authorization for treatment of a new condition not previously treated, if the patient is currently treating for a different condition.

You can see the full text of both these bills at at this link..

I understand that we’re in very challenging times (strangest in my lifetime). The reality is none of this changes the fact that we have a major election in November 2020 and there are key state House and Senate races up for election. Our continued success depends on our continued involvement in the legislative process. It’s about having friends in the state Legislature who understand and appreciate what we do as chiropractors — every day — to improve the health of our patients.  Simple as that!

I also understand that the political division in our country is probably as high as you can get on the Richter scale. Please remember that the Washington State Chiropractic Trust (WSCT) and Washington State Chiropractic Association (WSCA) function as special interest entities for Chiropractic.  We are bipartisan, we have members and contributors from both sides and in the middle. We’re about strategic positioning legislatively to win as a profession and for our patients. We have friends on both sides of the aisle.

I invite you to learn more about our legislative efforts by attending a virtual Go2Meeting, presented by WSCA lobbyist Lori Grassi.  They are organized by WSCA Legislative District – but anyone is welcome to attend any session. You can earn 1.5 CE credits by attending, but to receive the CE credits, you must register. You can register at www.chirohealth.org/events/event_list.asp

We have the following sessions coming up:

Tuesday, July 21 at  noon     Central King County

Thursday, July 23 at 10 AM   Thurston & South Pierce Counties

Thursday, July 23 at 2 PM     Chelan, Kittitas, Eastern Pierce and Eastern King Counties

Your financial support of the WSCT and membership in the WSCA is EVERYTHING! You have and will continue to benefit from EVERYTHING that we do.  If you have donated recently and/or are a regular contributor to the WSCT, it is appreciated, and it makes a difference. You can also click on the DONATE button to make either a one-time or recurring donation.And you can become a WSCA member by filling out the membership application at www.chirohealth.org/page/join_wsca.

— Dave Butters, WSCT President

 

State chiropractors gather in Olympia for annual Chiropractic Legislative Day


State chiropractors met in Olympia Jan. 30 to educate legislators about chiropractic-related bills before lawmakers during the 2020 session.

You can read more about each of the four bills we are prioritizing at the following links:

HB 2702: Allowing chiropractors to deliver care to adult Medicaid patients (support)

SB 5887: Concerning health carrier requirements for prior authorization standards (support)

HB 1562/SB 5601: Concerning health care benefit management (support)

HB 2482/SB 6407: Concerning spinal manipulation endorsement requirements for physical therapists (oppose)

If you didn’t attend legislative day and have questions — or want to visit Olympia another day to meet with your lawmakers — email lobbyist Lori Grassi.

Annual Legislative Day in Olympia Plus Continuing Education


The annual WSCA Legislative Day is a time for chiropractors from all over the state to take part in grassroots lobbying on behalf of the entire profession. This year, in addition to meeting with your legislators, the WSCA will offer a continuing education program where you may earn up to 4 CEs

Following meetings with legislators, attendees can take the DASH from the capitol to the seminar venue.  The DASH is a free bus that runs through the capitol and surrounding areas every 12 minutes.  Attendees will board the DASH outside the Insurance Building (next door to the legislature) and take it to Sylvester Park, three stops down Capitol Way.  Directly across the street from Sylvester Park is the Red Lion Inn & Suites Olympia, Governor Hotel.

The free continuing education program will be held from 1:00-4:00pm in the Legislative room.

Leading our technique-based continuing education program will be Dr. Marvin Kunikyo of Finesse Chiropractic in Lacey.

There is no fee to attend Legislative Day or the continuing education program that follows.  Although we expect most of the legislative meetings will take place in the morning, it is possible that some will be held in the afternoon.  If that is the case for you, don’t worry–you are free to come and go from the seminar as needed.

 

Join us for Chiropractic Legislative Day Thursday, Jan. 30 — and earn up to 4 CE credits


Join us at the State Capitol in Olympia Jan. 25.

Washington state chiropractors are encouraged to participate in 2020 Chiropractic Legislative Day, an annual gathering at the state Capitol in Olympia, on Thursday, Jan. 30.

Legislative Day, sponsored by the Washington State Chiropractic Trust and the Washington Chiropractic Association, is a time for chiropractors statewide to take part in grassroots lobbying on behalf of the entire profession. As always, we’ll meet in the Capitol Rotunda at 8 a.m. The location if 416 Sid Snyder Ave. S.W., Olympia.

It’s key that you schedule appointments to meet with your legislators after our 8 a.m. meeting. You can find a list of your legislators at https://app.leg.wa.gov/DistrictFinder/.

Contact the WSCA office at 206-878-6055 to RSVP for Legislative Day and for assistance in making your appointments. A large turnout of doctors in Olympia Jan. 30 is key to showing our strength to legislators who will be deciding these issues on our behalf!also

This year, in addition to meeting with legislators, the WSCA will offer a continuing education program where you may earn up to 4 CEs.

Following meetings, attendees can take the DASH from the capitol to the seminar venue. The DASH is a free bus that runs through the capitol and surrounding areas every 12 minutes.  Attendees will board the DASH outside the Insurance Building (next door to the legislature) and take it to Sylvester Park, three stops down Capitol Way. Directly across the street from Sylvester Park is the Red Lion Inn & Suites Olympia, Governor Hotel.

The free continuing education program will be held from 1-4 p.m. in the Legislative room.

Leading our technique-based continuing education program will be Dr. Marvin Kunikyo of Finesse Chiropractic in Lacey.

There is no fee to attend Legislative Day or the continuing education program that follows. Although we expect most of the legislative meetings will take place in the morning, it is possible that some will be held in the afternoon. If that is the case for you, don’t worry — you are free to come and go from the seminar as needed.

Marvin Kunikiyo, DC is a graduate of Palmer Chiropractic College West and practices at Finesse Chiropractic in Lacey, WA.  He uses Motion Palpation technique for diagnosis and the Gonstead technique for adjusting.  Dr. Kunikiyo teaches spinal adjusting to chiropractors throughout the state and has lead several other programs through the WSCA over the years. Join us as we advocate for chiropractic in Washington, and after you meet with your legislators, learn why Dr. Kunikyo’s tag line is “Gentle Adjusting with Results.”

Learn more and register here. 

 

Here’s proof that our work for chiropractors and patients is more important than ever


Dr. Dave Butters

The Washington State Chiropractic Trust is on a mission: To promote and protect patient access to chiropractic care. And our work is more important than ever, as the chiropractic profession has been under attack lately on multiple fronts.

We have compiled the detailed information below because we believe that knowledge is power.  You need to know what the challenges are, and you need to see how we – in conjunction with the Washington State Chiropractic Association – are responding.

Here is a list of the issues we are focused on, with accompany documentation enclosed.  It’s important for every member of our Washington state profession to read these documents, and then act accordingly. (Specific steps on how you individually can make a true difference in protecting our profession and our patients are included at the end of this message.)

  • We responded to the Washington Medical Commission’s attempted “grab” at spinal manipulation in MD Scope of Practice. The WSCT and the WSCA learned Nov. 12 that the Washington Medical Commission introduced an Interpretive Statement to ignore the two statutory prohibitions on a medical doctor’s ability to perform spinal manipulation. These prohibitions are found in both the Chiropractic and Medical Practice Acts within the Revised Code of Washington. After hearing protests from both the Washington State Chiropractic Association and the Chiropractic Quality Assurance Commission, the medical commission backed down and withdrew — for now. But they made it clear that they would work with their staff and have a new draft for their January meeting. (Details of our efforts to fight this “grab” are here.)
  • We provided public comment on needed changes to Washington Health Benefit Exchange Draft Standard Plans for Cascade Care. Our comment outlines recommended changes to coverage in Cascade Care, the so-called “public option” approved by the state Legislature. In our comments, we stress the importance of ensuring chiropractic access and benefit limits are at least equal to those provided for PT/OT, and that appropriate constraints are provided for insurance pre-authorizations. We also point out how chiropractic care addresses the Legislature’s stated concern about providing nonpharmacological pain management alternatives in light of the opioid crisis. (Read more in the Cascade Care public comment here.)
  • We provided public comment on the Apple Health Nonpharmacologic Pain Treatment Coverage Draft Report to the Legislature. Our comment points out key areas for reconsideration, improvement and clarification in the report regarding chiropractic care, including system-wide fiscal savings offered by chiropractic care, the role of chiropractic as an integrated health care profession, and the benefit structure included in the Apple Health coverage.  (Read more in the Apple Health public comment here.)
  • We have been working since November 2018 with the Office of the Insurance Commissioner to address the unfair practice of Kaiser Permanente and their refusal to pay chiropractors for Evaluation and Management (E&M) Services. In July 2019, we learned that Aetna was acting in the same manner. We are continuing to advocate for the chiropractic profession and our patients as the OIC works through the legal documents related to this issue. (Read more in the OIC and Kaiser/Aetna Nonpayment of E&M Services summary here.)
  • We have researched and are seeking clarification with the Veterans Administration — on behalf of state chiropractors – that doctors can still contract directly with TriWest to treat military veterans rather than going through EmpowerChiro. (Read more in the EmpowerChiro Contracting for Veteran Services letter here.)
  • Here’s a link to our 2020 Legislative Agenda, which includes issues of critical importance to our profession – some of which are mentioned above. They include:
    • Regulating Benefit Managers
    • Correcting Prior Authorization bill regarding “Episode of Care”
    • Making DC education loan repayment program permanent
    • Creating chiropractic access for Adult Medicaid recipients
    • Blocking the MD request to remove prohibition on spinal manipulation
    • Blocking PT from modifying spinal manipulation endorsement agreement

It’s time to become engaged in protecting your profession and your patients.  Resolve after the holidays to engage with members of your state legislative delegation, as they will be considering many of these issues during the upcoming session, which starts Jan. 13, 2020. All chiropractors should plan to attend our annual state Legislative Day, this year on Thursday, Jan. 30. We’ll meet at 8 a.m. in the Capitol Building Rotunda. It’s key that you schedule appointments to meet with your legislators after our 8 a.m. meeting. You can find a list of your legislators at https://app.leg.wa.gov/DistrictFinder/.

Contact the WSCA office at 206-878-6055 to RSVP for Legislative Day and for assistance in making your appointments. A large turnout of doctors in Olympia Jan. 30 is key to showing our strength to legislators who will be deciding these issues on our behalf!

We also need your financial support! If you have contributed recently and/or are a regular contributor to the WSCT, it is appreciated, and it makes a difference. Click here to make either a one-time or recurring donation. Or you can mail your donation to the WSCT, PO Box 2163, Seattle, WA 98111

Make a one-time contribution of $1000, $500, $250, $100. Or sign up for monthly credit card withdrawals of $100, $50 or $25 monthly.

P.S. It’s critically important that every member of our profession join the WSCA, they work tirelessly and jointly with the WSCT to advocate for Doctors of Chiropractic in Washington State and to move all of our issues forward. You can join online at www.chirohealth.org/page/join_wsca.

— By Dr. Dave Butters

President, Washington State Chiropractic Trust
Legislative Director, Washington State Chirorpactic Assocation

Time is running out: Help us protect the chiropractic profession


Dr. Dave Butters

The 2020 session of the Washington State Legislature is fast approaching, and it’s critical that you learn more about the issues impacting your practice – and how you can support the Washington State Chiropractic Trust’s efforts to protect chiropractic and our patients.

We have scheduled several two-hour legislative and policy update seminars for chiropractors in specific legislative districts (see information below). These seminars are free, and you can receive 2 CE credits attending. WSCA lobbyist Lori Grassi will discuss a range of important issues, including which Washington State laws protect your patients’ access to chiropractic care, an update on bills that passed and failed during the 2019 legislative session, and chiropractic legislative priorities for 2020.  You will also receive current details on our challenges to the Kaiser E&M payment and other insurance-related issues.

Here’s a recap of our 2020 legislative agenda, as approved by the Washington State Chiropractic Association Board of Directors:

Legislation:

1) Regulating Benefit Managers (ASHN, Tivity, eviCore, Optum)

2) Prior authorization (clarifying “episode of care”)

3) Medicaid inclusion of chiropractors

Policy:

1) Monitoring the implementation of SB 5380, passed during the 2019 session, which addresses prescription opioid misuse via prevention, education and treatment.

2) Tracking the details and service area requirements for a program in underserved communities that would make chiropractors eligible for student loan repayment.

3) Monitoring the progress of Cascade Care, the state’s new public option health plan and the state’s new Universal Health Plan Work Group. Making every effort to maintain access to chiropractic services consistent with statutory protections, such as Every Category of Provider.

Insurance:

Continue to challenge unfair practices regarding chiropractic coverage and push for fair laws.

It is important that all chiropractors connect now with their state senators and representatives. Those relationships will be important as we begin meeting with lawmakers to get support for our issues in 2020. Invite your legislators to coffee or lunch or take them on a tour of your office. It’s all about educating them about what you do to provide health and wellness care in your community.

You can find the names and contact information of your legislators here.

We have numerous requests from legislators for campaign contributions, and we need to make those contributions soon to meet the campaign contribution cutoff date. Our strong financial participation in key campaigns is critical to successfully moving our agenda. We need donations now!

Click DONATE to make a one-time contribution of $1,000, $500, $250, $100 or sign up for monthly credit card withdrawals. If you prefer, you can do the same by filling out and returning the enclosed contribution envelope.

Here’s a list of the legislative information sessions scheduled so far. Please note that while they are scheduled by district, chiropractors from any area are welcome to attend. You can register online by date at www.chirohealth.org/events/event_list.asp or you can call the WSCA office at (206) 878-6055. Meals are available for purchase at each venue.

Legislative District 1 – Bothell
Monday, Oct. 14, 2019

Revolve Restaurant
10024 Main St.
Bothell, WA 98011
6:30-8:30 p.m.

Legislative District 34 – Burien
Monday, Oct. 21, 2019

Angelo’s of Burien
601 S.W. 153rd St.
Burien
6:30-8:30 p.m.

Legislative District 12 – East Wenatchee
Friday, Oct. 25, 2019

Shari’s
501 Valley Mall Parkway
East Wenatchee, WA 98802
509-886-9502
Noon-2 p.m.

Our 2020 legislative agenda — and how you can help!


Dr. Dave Butters

Fall is right around the corner, then the holidays, then the New Year and then the 2020 legislative session.  This means that we are working hard to lay the groundwork to move our legislative agenda in the 2020 session of the Washington State Legislature.

Our 2020 agenda as approved by the Washington State Chiropractic Association Board of Directors includes:

Legislation:

  • Regulating Benefit Managers (ASHA, Tivity, eviCore, Optum)
  • Prior authorization (clarifying “episode of care”)
  • Medicaid inclusion of chiropractors

Policy:

  • Monitoring the implementation of SB 5380, passed during the 2019 session, which addresses prescription opioid misuse via prevention, education and treatment. There is huge opportunity here as its clear legislative intent is that patients be directed toward trials of non-drug treatment prior to opioid prescriptions being administered.
  • Tracking the details and service area requirements for a program in underserved communities that would make chiropractors eligible for student loan repayment.
  • Monitoring the progress of Cascade Care, the state’s new public option health plan and the state’s new Universal Health Plan Work Group. Making every effort to maintain access to chiropractic services consistent with statutory protections, such as Every Category of Provider.  So much to keep track of!

Insurance:

  • Continue to challenge unfair practices regarding chiropractic coverage and push for fair laws.

While many of us are still enjoying summer activities, the January 2020 legislative session will be here before we know it! I encourage all chiropractors to connect now with their state senators and representatives.  Those relationships will be important as we begin meeting with lawmakers to get support for our issues in 2020. Invite your legislators to coffee or lunch or take them on a tour of your office.  It’s all about educating them about what you do to provide health and wellness care in your community.

You can find the names and contact information of your legislators here: https://app.leg.wa.gov/districtfinder/.

We have numerous requests from legislators for campaign contributions.  To move our agenda successfully we must participate financially and at a grass roots level.  We can’t be successful without your contributions!

If you are a regular WSCT contributor, it is appreciated. If you haven’t donated, please do so now!  Click here to make either a one-time or recurring donation.  Or, if you prefer, fill out and return the enclosed contribution envelope. You can make a one-time contribution of $1,000, $500, $250, $100 or you can sign up for monthly credit card withdrawals.

Finally, here’s a reminder to place the WSCA’s Annual Fall Conference on your calendar.  It will be October 4-5 at Bellevue Marriott, and you can earn up to 25 CEs. Continuing education topics include:

  • Today’s Chiropractor on the Witness Stand: Presenting and Defending Treatment of Acute and Chronic Injuries, with featured speakers Richard Adler, JD and Dan Murphy, DC, DABCO
  • Current Evidence-Based Approach to Diagnosis, Triage, and Clinical Chiropractic Management of Common Lumbar Spine Conditions, with Anthony Lisi, DC
  • Establishing Trust with Patients through Professional Marketingby Siouxsie Jennett

Learn more and register at www.chirohealth.org/wsca19. Hope to see you there!

— Dr. Dave Butters, President
Washington State Chiropractic Trust

 

2019 Chiropractic Legislative Day


All Washington State Chiropractors are invited to attend Legislative Day Thursday, Jan. 31, 2019 in Olympia. It’s your opportunity to meet with the legislators who represent you, and to advocate for your profession and your patients.

So we know how many are coming to Olympia Jan. 31, please register in advance at http://bit.ly/2019chiroday.

Also, call or email your legislators as soon as possibleand make your appointments to meet with them on Thursday Jan. 31.  You can find your state legislator at this link: http://app.leg.wa.gov/districtfinder.  If you would like help setting up meetings with your legislators, contact Shaka Forest at sforest@chirohealth.org or 206-878-6055 and he will help you.

If you cannot attend the Legislative Day on Jan. 31, you can still come any day during the session. Just schedule your time in advance with lobbyist Lori Grassi at LGrassi@chirohealth.org.

Time to take action: Attend 2019 Chiropractic Legislative Day


Dr. Dave Butters
Dr. Dave Butters

The 2019 Washington State Legislative session begins Jan. 14, and we again have our work cut out for us.

Last year we celebrated what we thought were two major legislative wins for Chiropractic: the passage of both Fair Pay (ESB 5518) and Prior Authorization (ESSB 6157) bills. I am sure you are aware by now that some of the insurers have demonstrated a lack of good faith in implementing both the Fair Pay and Prior Authorization legislation.

Over the past couple months, we have been working with our chiropractic friends in the state Legislature to propose new bills to demand the insurers implement the 2018 laws as directed, and as always, we will need your help this session.

Based on Premera’s 2019 fee schedules, we filed complaints with the State Office of the Insurance Commissioner – and every Washington state chiropractor should do the same. You should also be submitting complaints to your state representatives and senators. Find your legislators and their contact information at http://app.leg.wa.gov/districtfinder

Fair Pay: Tell them it is unacceptable that insurers have modified the Resource Based Relative Value Scale (RBRVS) methodology by reducing the conversion factor for spinal manipulation. The conversion factor is the dollar amount assigned to a geographic location multiplied by the relative value unit (RVU) of the specific service (CPT) to determine fair reimbursement for that service. This violates the Legislative intent and a new bill to demand the appropriate methodology will need to be introduced.

Prior Authorization: Tell them that some benefits managers like ASHN and OPTUM have chosen to manipulate the terminology in the Prior Authorization law to get around a patient’s access to the initial 6 visits of their benefits in a new episode of care. Their stories: ASHN isn’t requiring prior authorization, they’re just requiring prior proof of medical necessity if the provider wants to get paid and OPTUM uses a “concurrent process” to determine medical necessity — so it is a game of semantics.

Yes, I’m very frustrated and disappointed too! But It’s not the first time I’ve felt this way.  It reminds me of a quote often used by my good friend, the late Dr. Frances “Butch” Corbin: “Life is just one damn thing after another. The only glory is in going on.” Be assured that we are committed to seeing this issue through on behalf of our profession and our patients.

It’s critical that you attend Legislative Day, set this year for Thursday, Jan. 31, 2019 in Olympia. We will meet in the Capitol Rotunda at 8 a.m. It’s your opportunity to meet with the legislators who represent you, and to advocate for your profession and your patients. We are counting on a large chiropractic turnout to ensure that legislators are focused on our issues.

1) So we know how many are coming to Olympia Jan. 31, please register in advance at http://bit.ly/2019chiroday

2) Also, call or email your legislators as soon as possible and make your appointments to meet with them on Thursday Jan. 31. You can find your state legislator at this link: http://app.leg.wa.gov/districtfinder.  If you would like help setting up meetings with your legislators, contact Shaka Forest at sforest@chirohealth.org or 206-878-6055 and he will help you.

3) If you cannot attend the Legislative Day on Jan. 31, you can still come any day during the session. Just schedule your time in advance with our lobbyist Lori Grassi at LGrassi@chirohealth.org.

Finally, if you are a regular WSCT contributor, it is appreciated.  If you haven’t donated, please click to make either a one-time or recurring donation. You can make a one-time contribution of $1,000, $500, $250, $100 or you can sign up for monthly credit card withdrawals. Or you can mail your donation to WSCT, PO Box 2163, Seattle, WA 98111.

Wishing all the best in 2019!

Dr. Dave Butters, President
Washington State Chiropractic Trust

 

Urgent, unfinished business for Washington state chiropractors


Dr. Dave Butters

We have urgent, unfinished business.

That’s my simple message as we prepare to advocate once again for chiropractic during the 2019 Washington State Legislature.

Yes, we achieved tremendous gains during the 2018 session, including fair pay regarding spinal manipulation (which becomes effective Jan. 1, 2019) and six visits without prior authorization for each new episode of care, new episode = 90 days with no treatment for same condition (in effect since June 6, 2018).

Now, in this critical mid-term election year we must support those state legislators who supported us. To complete our contribution objectives we need to raise an additional $30,000 between now and the general election. Our legislative strength and effectiveness depends on this!

You can learn more about the legislators we are supporting in this online WSCA Election Guide.

Our main priority for the 2019 legislative session, as outlined by the WSCA Board of Directors, is to emphasize drugless services to combat the opioid crisis: This proposed legislation is modeled after legislation that passed in West Virginia this year. This bill is intended to do three things:

1) Require health plans to increase their visit limits to 20 for drugless services such as chiropractic, acupuncture, physical therapy, massage therapy and occupational therapy.

2) Require the copay for these drugless services to be the same as Primary Care services.

3) Require patients who seek opioid services/prescriptions to first visit for a trial of care at least one of the named drugless providers prior to receiving an opioid prescription.

We have expended enormous political capital to achieve our latest legislative wins, and much will be expected of us. I can’t stress enough how important it is to donate to the Trust, to help elect those who support chiropractic. Your donations ensure that we have access to legislators who are in a position to help our profession and our patients.

If you have contributed recently and/or are a regular contributor to the WSCT, it is appreciated and makes a difference.  If you haven’t contributed, I urge you to do so today. Just click on the DONATE button.

Make a one-time contribution of $1,000, $500, $250, or $100, or sign up for monthly credit card withdrawals: $100, $50 or $25.

— By Dr. Dave Butters, President
Washington State Chiropractic Trust