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Chiropractic Licensing

Texas Chiropractic License by Endorsement: The Three-Year Rule and the Jurisprudence Exam

Texas licenses chiropractors from other states under Tex. Occ. Code § 201.309 when the applicant comes from a substantially equivalent state, has practiced for the three years immediately before applying, has no discipline or pending investigation, and passes the Texas jurisprudence exam. The board rule adds NBCE Parts I–IV and Physiotherapy, or SPEC, at 375 or better.

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7 min read · by White Glove Chiropractic
A chiropractor reviewing a printed license application at a desk in a Texas clinic office, with an adjusting table visible through an open door.

Texas licenses out-of-state chiropractors under Tex. Occ. Code § 201.309 if they hold a license in good standing in a substantially equivalent state, have no discipline or pending investigation, practiced for the three years immediately before applying, passed NBCE Parts I–IV and Physiotherapy or SPEC at 375, and pass the Texas jurisprudence exam at 75%.

Yes, Texas has a route for chiropractors who already hold a license in another state, and it does not make you retake the national boards. Under Texas Occupations Code § 201.309, the Texas Board of Chiropractic Examiners (TBCE) issues a license to an out-of-state applicant who is in good standing in a state with substantially equivalent requirements, has no discipline and no pending investigation anywhere, graduated from a CCE-accredited program, passed a national exam the board recognizes, passed the Texas jurisprudence exam, and practiced chiropractic for at least the three years immediately before applying. The details that trip people up sit in the board's rules rather than the statute.

What does the statute require?

Section 201.309 lists eight conditions. The applicant must:

  • file the board's application with the application fee;
  • be licensed in good standing in another state or foreign country "that has licensing requirements substantially equivalent" to Chapter 201;
  • not have been the subject of a disciplinary action, and not be the subject of a pending investigation, in any jurisdiction where the applicant is or has been licensed;
  • have graduated from a doctor of chiropractic program accredited by the Council on Chiropractic Education and approved by board rule;
  • have passed a national or other examination the board recognizes;
  • have passed the board's jurisprudence examination;
  • have practiced chiropractic, or taught in a CCE-accredited DC program, for at least the three years immediately preceding the application; and
  • meet any other requirement the board adopts by rule.

Two of those are stricter than they look. "Has not been the subject of a disciplinary action" is written in the past tense with no look-back period, so an old consent order in another state is a real issue, not a formality. And "immediately preceding" means the three years run backward from the date you apply. Three years of practice that ended in 2022 do not satisfy it.

What does the board rule add?

The TBCE's rule for applicants licensed in another jurisdiction, 22 Tex. Admin. Code § 72.20, restates the statute and pins down the exam requirement. An applicant must have passed NBCE Parts I, II, III, IV and Physiotherapy, or the NBCE Special Purposes Examination for Chiropractic (SPEC), with a grade of 375 or better. The rule also says an applicant who is under investigation in any jurisdiction may not apply at all, and that the Texas jurisprudence exam must be passed at 75% or better.

The SPEC alternative matters for older licensees. A chiropractor licensed before Part IV existed, or who never took Physiotherapy, can qualify through SPEC instead of going back for the missing parts. Whether SPEC is the better path for you depends on which parts you have and how old the scores are; our SPEC Exam Pathway Support ($299 one-time) maps that out.

How does the Texas jurisprudence exam work?

22 Tex. Admin. Code § 72.7 governs it. The passing score is 75%. It tests the law and board rules governing chiropractic in Texas, it is given in English, and you may not sit for it until you have completed all required parts of the national boards and met the other licensing requirements. If you fail, you can retake it after reapplying and paying the fee, and the rule sets no cap on attempts.

Under § 72.2(f), the board notifies you that you are qualified to take the jurisprudence exam within 30 days of receiving a complete application, supporting materials and fee. The word that carries the weight there is "complete." A missing verification or score report stops the clock before it starts.

What does it cost in board fees?

The TBCE fee schedule in 22 Tex. Admin. Code § 72.1, as published by Cornell's Legal Information Institute, lists:

  • License application: $200, which includes the online jurisprudence education course
  • Online jurisprudence exam: $150
  • Repeat jurisprudence exam: $250
  • Initially issued license: $10 to $120, prorated
  • Biennial renewal: $300

Fingerprinting and NBCE score transcripts are separate. Fees change by rule, so check the current schedule before you pay.

Which states count as "substantially equivalent"?

The statute leaves that to the board, and neither § 201.309 nor § 72.20 publishes a list of approved states. In practice the board compares your original state's requirements with Chapter 201. That is one reason the national exam requirement in § 72.20 matters so much: if you hold Parts I–IV and Physiotherapy, or SPEC, at 375 or better, the exam side of the comparison is settled. The comparison is the board's call, and nothing in the statute makes it automatic.

Can I practice in Texas while I wait?

Not under the endorsement application itself. Texas does have a narrow temporary license in 22 Tex. Admin. Code § 72.15, but it is built for short engagements, not for bridging a move:

  • It allows no more than 30 days of practice in a calendar year.
  • You must hold an active, unrestricted license elsewhere with no pending discipline.
  • You apply at least 14 days before the work starts and describe where, when and for whom you will provide services, plus the business, person or event you are working with.
  • You may not treat the general public.
  • It does not apply to anyone residing in Texas, establishing residence there, or seeking a regular license.

That last line closes the door on using it as a stopgap while relocating. It fits a team chiropractor at a tournament or a seminar demonstration. More on that category in travel-to-treat and temporary chiropractic permits.

What about military members, veterans and spouses?

The TBCE has separate rules for military spouses (22 Tex. Admin. Code § 72.21) and for military members and veterans (§ 72.22), and § 72.2(k) waives the application and exam fees, where the law allows, for a military member or veteran whose service, training or education substantially meets the license requirements. If that applies to you, it changes both the paperwork and the cost, so raise it before you file.

What does a Texas file look like in practice?

For a chiropractor licensed and practicing in another state, the work usually runs in this order:

  • Confirm the three years. Line up the dates of your practice against the date you plan to file. Gaps for leave or a move can matter.
  • Order the NBCE score report so it goes directly to the TBCE, and check that it shows every part § 72.20 requires, or SPEC.
  • Request license verifications from every state where you have held a license, active or not. The disciplinary history question covers all of them.
  • Answer the history questions carefully. Any yes answer needs documents. Texas also offers a criminal history evaluation letter ($150) under § 72.12 if you want an answer on a conviction before applying.
  • Submit the complete application and fee, then schedule the jurisprudence exam once the board clears you.

How do I keep the license once I have it?

Texas licenses renew every two years, on or before the first day of your birth month (22 Tex. Admin. Code § 72.14). Renewing late costs $450 within 90 days and $600 from 90 days to a year. A license expired a year or longer cannot be renewed; you start over as a new applicant, though the board may waive that for good cause if the license has been expired less than three years. If you also hold a license in your original state, put both renewal dates on one calendar. Our Annual Renewal & CE Compliance service ($299 per license, per year) does that for every state you hold.

Where does White Glove fit?

We prepare the Texas endorsement file, request the verifications and score reports, track each document until the board confirms receipt, and help you prepare for the jurisprudence exam. License by Endorsement is $499 per state, and Jurisprudence & State Law Exam Support is $249 per state; board, NBCE and fingerprint fees are paid separately. If you are not sure you meet the three-year or exam rules, start with the $149 Chiropractic Licensure Readiness Review. The Texas board decides every application. We make sure it gets a complete one. State-by-state comparisons are on our Texas licensing page and the full state index.

Common questions

Does Texas have chiropractic reciprocity?
Texas uses an out-of-state applicant route under Tex. Occ. Code § 201.309 rather than a reciprocity agreement. You need a license in good standing in a substantially equivalent state, three years of practice immediately before applying, a clean disciplinary record, the national exams required by 22 Tex. Admin. Code § 72.20, and a passing score on the Texas jurisprudence exam.
Can I use the SPEC exam instead of NBCE Part IV in Texas?
Yes. 22 Tex. Admin. Code § 72.20 accepts either NBCE Parts I, II, III, IV and Physiotherapy or the NBCE SPEC examination, each with a grade of 375 or better, for applicants licensed in another jurisdiction.
What score do I need on the Texas chiropractic jurisprudence exam?
75%. Under 22 Tex. Admin. Code § 72.7 you cannot sit for it until you have completed the required national board parts, and you may retake it as many times as needed after reapplying and paying the fee.
Can I practice in Texas on a temporary license while my application is pending?
Generally no. The Texas temporary license in 22 Tex. Admin. Code § 72.15 allows no more than 30 days a year, bars treating the general public, and does not apply to anyone establishing residence in Texas or seeking a regular license.

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