The Congress of Chiropractic State Associations has a new president: Dr. Kate Rufolo, the first female president of COCSA and only the second woman to head a national chiropractic association. Dr. Rufolo was elected at COCSA's annual business meeting in November.
"It is exciting to break glass ceilings and to open up avenues as our profession continues to grow," said Rufolo.
So, who was the first woman to preside over a national chiropractic association? That would be Dr. Sylva Ashworth,who assumed the presidency of the Universal Chiropractors' Association in 1926. The UCA was formed by B.J. Palmer at Palmer School of Chiropractic in 1906; members ultimately helped form both the ICA and ACA.
Recent laws in New Jersey and California represent a disturbing trend that will negatively impact a practice’s ability to collect monies from patients, as well as expose them to significant penalties if the practice does not follow the mandatory guidelines to a T. Please be aware that a similar law may be coming to your state. The time to act is before the law is passed.
With estimates showing over 30 million Americans affected by peripheral neuropathy – and a significant portion underdiagnosed – it’s increasingly likely that chiropractors are already treating these patients. What’s missing is structured recognition, comprehensive management and targeted tools to slow progression, improve function and support systemic health.
Each year, ICD-10-CM is updated on Oct. 1. For 2026, there are 74,179 total codes, with 487 additions, 28 deletions and 38 revisions. Code changes are based on date of service, not the claim submission date. Services performed on/after Oct. 1 must use the new codes. While no changes affect the common spinal or extraspinal codes most frequently used by DCs, several updates may still affect your claims – particularly for comorbidities, referred pain, or trauma cases.
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