Tex. Codes » Occupations Code · TITLE 3. HEALTH PROFESSIONS · SUBTITLE C. OTHER PROFESSIONS PERFORMING MEDICAL PROCEDURES · CHAPTER 201. CHIROPRACTORS
Texas Codes

Tex. Occ. Code § 201.154 (2026)

Certification For Manipulation Under Anesthesia Prohibited

✓ current as of May 2026
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Sec. 201.154. CERTIFICATION FOR MANIPULATION UNDER ANESTHESIA PROHIBITED. Notwithstanding any other provision of this chapter, the board may not adopt a process to certify chiropractors to perform manipulation under anesthesia.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Notes of Decisions
Cited in 12 cases, 2008–2015 · leading case: Texas Bd. of Chiropractic Examiners v. Texas Med. Ass'n, 375 S.W.3d 464 (Tex. App. 2012).
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Texas Bd. of Chiropractic Examiners v. Texas Med. Ass'n, 375 S.W.3d 464 (Tex. App. 2012). · cites it 2× “” See Tex. Occ.Code Ann. § 201.154. Second, the Physician Parties urged that MUA was a “surgical” procedure excluded from the scope of chiropractic.”
Texas Bd. of Chiropractic Examiners v. Texas Med. Ass'n, 270 S.W.3d 777 (Tex. App. 2008). “” Tex. Occ. Code Ann. § 201.154 (West 2004).”
Texas Bd. of Chiropractic Examiners, Glenn Parker, Exec. Dir., & Texas Chiropractic Ass'n v. Texas Med. Ass'n, Texas Med. Bd., & the State of Texas (Tex. App. 2012). · cites it 2× “" See Tex. Occ. Code Ann. § 201.154 . Second, the Physician Parties urged that MUA was a "surgical" procedure excluded from the scope of chiropractic.”
Texas Bd. of Chiropractic Examiners, Glenn Parker, Exec. Dir., & Texas Chiropractic Ass'n v. Texas Med. Ass'n, Texas Med. Bd., & the State of Texas (Tex. App. 2012). · cites it 2× “” See Tex. Occ. Code Ann. § 201.154 . Second, the Physician Parties urged that MUA was a “surgical” procedure excluded from the scope of chiropractic.”
Texas Bd. of Chiropractic Examiners, Glenn Parker, Exec. Dir., & Texas Chiropractic Ass'n v. Texas Med. Ass'n, Texas Med. Bd., & the State of Texas (Tex. App. 2012). · cites it 2× “” See Tex. Occ. Code Ann. § 201.154 . Second, the Physician Parties urged that MUA was a “surgical” procedure excluded from the scope of chiropractic.”
Texas Bd. of Chiropractic Examiners, Glenn Parker, Exec. Dir., & Texas Chiropractic Ass'n v. Texas Med. Ass'n, Texas Med. Bd., & the State of Texas (Tex. App. 2012). · cites it 2× “" See Tex. Occ. Code Ann. § 201.154 . Second, the Physician Parties urged that MUA was a "surgical" procedure excluded from the scope of chiropractic.”
Texas State Bd. of Veterinary Med. Examiners, & Nicole Oria, in Her Off. Capacity as Exec. Dir.// Ellen Jefferson, D.V.M. v. Ellen Jefferson, D.V.M.// Texas State Bd. of Veterinary Med. Examiners, & Nicole Oria, in Her Off. Capacity as Exec. Dir. (Tex. App. 2015). · cites it 2× “In this regard, they relied on the definition or description of “surgical procedure” added by the Legislature in 2005: “ ‘[s]urgical procedure’ includes a procedure described in the surgery section of the common procedure coding system as adopted by the Centers for Medicare and…”
Texas Bd. of Chiropractic Examiners & Glenn Parker, Exec. Dir. v. Texas Med. Ass'n & Texas Med. Bd. (Tex. App. 2008). “The TMA also alleged that the rule conflicted with section 201.154 of the Act, which provides, "Notwithstanding any other provision of this chapter, the board may not adopt a process to certify chiropractors to perform manipulation under anesthesia.”
Charles Monroe Waller v. State (Tex. App. 2008). “” Tex. Occ. Code Ann. § 201.154 (West 2004).”
Texas Bd. of Chiropractic Examiners & Glenn Parker, Exec. Dir. v. Texas Med. Ass'n & Texas Med. Bd. (Tex. App. 2008). “The TMA also alleged that the rule conflicted with section 201.154 of the Act, which provides, "Notwithstanding any other provision of this chapter, the board may not adopt a process to certify chiropractors to perform manipulation under anesthesia.”
Texas Bd. of Chiropractic Examiners & Glenn Parker, Exec. Dir. v. Texas Med. Ass'n & Texas Med. Bd. (Tex. App. 2008). “” Tex. Occ. Code Ann. § 201.154 (West 2004).”
Texas Ass'n of Acupuncture & Oriental Med. v. Texas Bd. of Chiropractic Examiners & Patricia Gilbert, Exec. Dir. in Her Off. Capacity (Tex. App. 2015). “” See Tex. Occ.Code Ann. § 201.154. Second, the use of a needle.”
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