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State Regulation

State Regulation

Currently, 49 states and the District of Columbia regulate the practice of athletic training. Individuals must be legally recognized by the appropriate state regulatory agency prior to practicing athletic training. The BOC exam is recognized by all Athletic Trainer state regulatory agencies to meet their exam requirement. Compliance with state regulatory requirements is mandatory and the only avenue to legal athletic training practice.


Go to Interactive State Regulation Map

CARE Conference 2024

Compliance and Regulatory Education:
Best Practices for Athletic Training

July 9-10, 2024
Omaha, NE

Join us as we explore regulatory best practices and trends. Program topics will empower regulators and state leaders in developing strategic initiatives and resolutions that protect the public.

Conference Objectives
Participants will be able to:
  • Recognize innovative approaches to professional regulation from legislative and regulatory perspectives
  • Identify recent trends and issues addressed by the judicial branch related to professional regulation
  • Describe next steps for the development of the Athletic Trainer Compact
  • Define the Cross-Profession Minimum Data Set and the role of state regulators in workforce data collection
  • Describe the evolution of AT education and the transition to the master’s degree
  • Identify best practices in investigating reports of sexual misconduct
  • Describe BOC strategic initiatives that impact Athletic Trainer regulation
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Final Program

CARE Conference Archives

In this tab you will find the CARE conference archives that date back to the 2009 conference. Click the links provided to view the powerpoint presentation for that speaker.

Disciplinary Action Exchange

The Disciplinary Action Exchange (DAE)

was developed to help the BOC, states and consumers locate disciplinary actions in an efficient manner. The BOC encourages all states to participate in the DAE. The DAE contains final BOC disciplinary actions that have been deemed public, as well as disciplinary actions taken by state regulatory agencies.

If you would like more information in regards to a disciplinary action taken by a state, please contact the State Regulatory Agency.
If you would like more information in regards to a disciplinary action taken by the BOC, please send an email to Professional Practice Manager.

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State Regulatory Network

The purpose of the BOC State Regulatory Network is to:

  • Provide a platform for AT regulators to share best practices
  • Assist board staff and regulators develop working relationships
  • Obtain guidance and direction from AT regulators in the development of model language
  • Facilitate the sharing of disciplinary actions taken by state AT boards and the BOC
Log In to State Regulatory Network

Governmental Affairs


Regulatory Affairs includes overseeing all regulatory and legislative activity within the state or federal government relating to athletic training – with the overall goal of protecting the public. This may incorporate:

  • Reviewing rules and regulations and providing feedback
  • Monitoring legislative bills
  • Providing support to state regulatory boards/agencies
  • Collaborating with state regulatory boards/agencies, state associations, and strategic partners


The following program and PowerPoint presentations were included in the 2022 conference, which was July 15-16 in Omaha, Nebraska.

CARE Conference 2022 Program
Disciplinary Best Practice – Part I & II:Dale Atkinson, Mark Brengelman, Hollie Kozak, Bruce Bronoske
Regulators Role in Well-being:Part of the Problem or Part of the Solution: Tim Kolb
Top Regulatory Cases:Dale Atkinson
BOC Update: BOC Orthopedic Specialty Certification Update: Michael Hudson
BOC Update:The International Arrangement for the Athletic Training and Therapy Profession: Rusty McKune
BOC Update:René Revis Shingles
BOC Update: Model Language: Jim Winkler
BOC Lightning Rounds: BOC Discipline Process: Stacy Arrington
BOC Lightning Rounds: BOC Certification Exam: Nathan Burns
Remaining Relevant : The Future Role of Licensure Boards: Veronica Meadows
Moving the Needle: Promoting Equity and Inclusion within Michigan’s Regulatory Community: Marion Brown
License Mobility: Ohio Experience: Missy Anthony
License Mobility: An Interstate Compact for Athletic Trainers: Dan Logsdon, Shaun Conway, Missy Anthony
Telehealth: State Telehealth Policy Landscape: Sydne Enlund
Telehealth: Athletic Training Opportunities in Connected Care and Telehealth: David Gallegos
The New Normal for Regulatory Operations


The following are resources for the BOC CARE Conference Educational Series Webinars published in spring 2021.

Professional Certification Coalition Update Webinar:  BOC CARE Educational Series
Pivoting in an Emergency: The Pandemic’s Impact on Regulation and the Athletic Trainer Role
Occupational Licensing Portability Webinar: BOC CARE Educational Series
State Telehealth Policy Landscape Post-Pandemic Webinar: BOC CARE Educational Series


The following program and PowerPoint presentations were included in the 2019 conference, which was July 12-13 in Omaha, Nebraska.

CARE Conference 2019 Program
Insights – BOC: Rusty McKune
Insights – CAATE: Eric Sauers
Insights – NATAGAC: Anna Sedorye
Insights – FARB: Dale Atkinson
Promoting Competition in Regulated Occupations – FTC Perspectives: Karen Goldman
Portability Implementation – NABP: Electronic License Portability – The NABP E-LTP Program Today and Tomorrow: Bill Cover
Portability Implementation – BOC: Athletic Trainer Model Language: What You Need to Know: Scott Lawrance
Lightning Talks: BOC Discipline: Stacy Arrington
Lightning Talks: BOC Exam: Kelli Wilkins
Lightning Talks: Sports Medicine Licensure Clarity Act: Amy Callender
Lightning Talks: Telehealth: Tim Sensor
Operational War Stories – Transition to Online Licensure: Karen Whiteford
Operational War Stories – Board/Staff Conduct: Robin Jenkins
Surviving a Regulatory Review – Arizona: Karen Whiteford
Surviving a Regulatory Review – Indiana: Scott Lawrence
Stakeholder Engagement – Colorado: Nathan Batchelder
Stakeholder Engagement – Ohio: Missy Anthony
Top Disciplinary Cases You Need to Know About: Amigo Wade

Regulatory Support

The BOC has the same mission as state regulatory boards/agencies, to protect the public.

We are here to support your efforts to regulate Athletic Trainers as effectively and efficiently as possible. BOC support includes, but is not limited to:

  • Review of proposed rules and regulations and provides feedback for states looking to update or revise regulations
  • Assistance with certification verifications
  • Advocacy efforts
  • Administrative
  • Platform to communicate with other regulators
  • Biannual newsletter to keep you current on BOC news

Contact the BOC for more information

Log In to State Regulatory Network

AT Advocacy Partners

American Medical Society for Sports Medicine

The American Medical Society for Sports Medicine (AMSSM) is a multi-disciplinary organization of sports medicine physicians whose members are dedicated to education, research, advocacy and the care of athletes of all ages. Founded in 1991, the AMSSM is now comprised of more than 2,100 sports medicine physicians whose goal is to provide a link between the rapidly expanding core of knowledge related to sports medicine and its application to patients in a clinical setting.

Council on Licensure, Enforcement and Regulation (CLEAR)

The American Medical Society for Council on Licensure, Enforcement Regulation (CLEAR) promotes regulatory excellence through conferences, educational programs, webinars, seminars and symposia. The organization provides networking opportunities, publications and research services for those involved with, or affected by, professional and occupational regulation. As a neutral forum to encourage and provide for the sharing of best practices, CLEAR serves and supports the international regulatory community and its vital contribution to public protection. CLEAR has defined its own educator role as proactively identifying critical issues; providing a dynamic, interactive forum for exploration of these issues and collecting and disseminating relevant information on them.

Federation of Associations of Regulatory Boards (FARB)

The American Medical Society for The Federation of Associations of Regulatory Boards (FARB) is a not-for-profit corporation formed in 1974 to promote public protection and provide a forum for information exchange for associations of regulatory boards and their affiliate stakeholders with interests in professional regulation. It is a membership association which, based upon its public protection mission, is recognized as exempt from federal taxation under Section 501(c)(3) of the Internal Revenue Code. FARB’s mission is to advance excellence in regulation of the professions in the interest of public protection.

Healthforce Center at University of California, San Francisco (UCSF)

Healthforce Center at University of California, San Francisco (UCSF), formerly Center for the Health Professions, was founded in 1992. For over 2 decades, their research and publications have helped healthcare leaders and policymakers better understand the health workforce and develop successful strategies and policies. Their leadership training programs have touched thousands of people across the entire healthcare ecosystem who continue to make significant and meaningful change in healthcare.

Korey Stringer Institute

The Korey Stringer Institute works to provide information, resources, assistance and advocacy for the prevention of sudden death in sport, especially as it relates to exertional heat stroke in the physically active community.

National Conference of State Legislatures (NCSL)

National Conference of State Legislatures (NCSL) is committed to the success of all legislators and staff. Their mission is to improve the quality and effectiveness of state legislatures. NCSL is also committed to promoting policy innovation and communication among state legislatures. Their goal is to ensure state legislatures a strong, cohesive voice in the federal system.

STOP Sports Injuries

The development of the STOP (Sports Trauma and Overuse Prevention) Sports Injuries campaign was initiated by the American Orthopaedic Society for Sports Medicine (AOSSM) and now includes numerous partnering organizations. STOP’s public outreach program addresses overuse, trauma and professional expertise.

Youth Sports Safety Alliance

The BOC is a member of the Youth Sports Safety Alliance (YSSA), which aims to raise awareness, advance legislation and improve medical care for young athletes across the country. The YSSA was established by the National Athletic Trainers’ Association and includes more than 70 member organizations.



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