How the Federal Government Shutdown May Affect NYS Chiropractic Practices
As of October 1, 2025, the federal government has entered a shutdown due to a lapse in appropriations. While Medicare benefits are considered mandatory spending and payments to providers are expected to continue, there are other ways the shutdown could impact healthcare provider operations, including chiropractic practices in New York State.
Delayed or Reduced Administrative Support
Federal agencies such as the Centers for Medicare & Medicaid Services (CMS) may operate with reduced staff during the shutdown. This can lead to slower processing of claims, delays in communications, and potential administrative backlogs. Chiropractors who bill Medicare may experience delays in claim approvals or responses to inquiries.
Important: This is a federal-level shutdown, not a state-level shutdown. New York State agencies continue to function on a daily basis and may be available for certain assistance to healthcare providers.
- New York State Department of Health: https://www.health.ny.gov/contact/
- New York State Board for Chiropractic: https://www.op.nysed.gov/professions/chiropractic/contact-information
Uncertainty in Regulatory and Policy Updates
Reduced staffing at federal agencies can also delay the issuance of new regulations or policy updates. This uncertainty may affect chiropractic practices in areas such as billing codes, compliance requirements, and other regulatory matters.
Staying informed is key to avoiding disruptions in day-to-day operations:
- Visit the NYSCA website regularly for breaking news updates.
- Attend the NYSCA Fall Convention in Syracuse scheduled for October 17-19, 2025.
- Participate in local district meetings to stay connected and hear the latest insights.
Financial Strain on Patients
A prolonged shutdown can create economic uncertainty for patients, which may affect their ability to pay for services. Chiropractic practices may see increases in missed appointments or delayed payments. Patients who rely on federal assistance programs may also face challenges, potentially impacting scheduling and revenue.
Recommendations for NYS Chiropractors
- Maintain Clear Communication: Inform patients about potential delays in services or billing processes during the shutdown.
- Monitor Legislative Developments: Stay updated on federal actions that could affect Medicare reimbursement policies.
- Review Financial Practices: Assess cash flow and consider flexible payment options to support patients facing financial challenges.
- Engage with Professional Associations: Organizations like the New York State Chiropractic Association (NYSCA) can provide timely updates and advocate for chiropractic providers during the shutdown.
By planning proactively and staying informed, NYS chiropractors can minimize disruptions and continue to provide care effectively during the federal government shutdown.
