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=== North America === In five Canadian provinces, seventeen U.S. states, and the [[District of Columbia]], naturopathic doctors who are trained at an accredited school of naturopathic medicine in North America are entitled to use the designation ND or NMD. Elsewhere, the designations "naturopath", "naturopathic doctor", and "doctor of natural medicine" are generally unprotected or prohibited.<ref name="AMA-SOP-ND">{{Cite report |date=2009 |title=AMA Scope of Practice Data Series: Naturopaths |url=http://www.legis.state.ak.us/BASIS/get_documents.asp?session=26&docid=5692 |work=[[American Medical Association]] |via=The Alaska State Legislature |access-date=30 July 2016 |archive-date=June 29, 2016 |archive-url=https://web.archive.org/web/20160629235905/http://www.legis.state.ak.us/BASIS/get_documents.asp?session=26&docid=5692 |url-status=live }}</ref><ref name="IMB_policy" /> In North America, each jurisdiction that regulates naturopathy defines a local scope of practice for naturopathic doctors that can vary considerably. Some regions permit minor surgery, access to prescription drugs, spinal manipulations, midwifery (natural childbirth), and gynecology; other regions exclude these from the naturopathic scope of practice or prohibit the practice of naturopathy entirely.<ref name="AMA-SOP-ND"/><ref name="Sunrise-2008">{{cite web|url=http://www.dora.state.co.us/OPR/archive/2008NaturopathicPhysiciansSunrise.pdf |archive-date= 2008-10-02 |archive-url= https://web.archive.org/web/20081002001141/http://www.dora.state.co.us/opr/archive/2008NaturopathicPhysiciansSunrise.pdf |date= January 4, 2008 |title=2008 Sunrise Review: Naturopathic Physicians |pages=18–19 |website=Department of Regulatory Agencies |publisher=State of Colorado}}</ref> ==== Canada ==== Five Canadian provinces license naturopathic doctors: [[Ontario]], [[British Columbia]], [[Manitoba]], [[Saskatchewan]], and [[Alberta]].<ref>{{cite web |url= http://www.cand.ca/index.php?40 |title= Questions: Education and Regulation |access-date= 2013-09-06 |work= Canadian Association of Naturopathic Doctors website |publisher= <!-- redundant to website name --> |author= <!-- no byline --> |date= <!-- no date in source --> |archive-date= July 6, 2011 |archive-url= https://web.archive.org/web/20110706170455/http://www.cand.ca/index.php?40 |url-status= live }}</ref><ref>{{Cite web|title = History of Naturopathic Medicine|url = http://www.cand.ca/index.php?51&L=0|website = www.cand.ca|access-date = 2016-02-17|archive-date = January 14, 2021|archive-url = https://web.archive.org/web/20210114003735/https://www.cand.ca/?51&L=0|url-status = live}}</ref> British Columbia has the largest scope of practice in Canada, allowing certified NDs to prescribe pharmaceuticals and perform minor surgeries.<ref>{{cite news |title= B.C. gives naturopaths right to prescribe drugs |url= https://www.cbc.ca/news/canada/british-columbia/b-c-gives-naturopaths-right-to-prescribe-drugs-1.843524 |date= April 10, 2009 |author= <!-- no byline CBC News staff --> |work= [[CBC News]] |access-date= September 6, 2013 |archive-date= August 20, 2012 |archive-url= https://web.archive.org/web/20120820102601/http://www.cbc.ca/news/health/story/2009/04/10/bc-naturopaths.html |url-status= live }}</ref> Ontario also permits prescription from a modified formulary list, following separate examination.<ref name="FNMRAlaws">{{cite web |title=Naturopathic Regulatory Authority General Information Links |url=https://fnmra.org/ras |website=The Federation of Naturopathic Medicine Regulatory Authorities |access-date=15 November 2023}}</ref> ====United States==== * U.S. jurisdictions that currently regulate or license naturopathy include [[Alaska]], [[Arizona]], [[California]], [[Connecticut]], [[Colorado]], [[Delaware]], [[Washington, D.C.|District of Columbia]], [[Hawaii]], [[Idaho]], [[Kansas]], [[Maine]], [[Maryland]], [[Massachusetts]], [[Minnesota]], [[Montana]], [[New Hampshire]], [[New Mexico]], [[North Dakota]], [[Oregon]], [[Pennsylvania]], [[Rhode Island]], [[Wisconsin]], [[Puerto Rico]],<ref>{{cite web |url=http://www.oslpr.org/download/ES/1997/208s0783.pdf |title=Ley para Reglamentar el Ejercicio de la Medicina Naturopática en Puerto Rico [Law to Regulate the Practice of Naturopathic Medicine in Puerto Rico] |language=es |date=December 30, 1997 |url-status= dead |archive-url= https://web.archive.org/web/20081002072926/http://www.oslpr.org/download/ES/1997/208s0783.pdf |archive-date= 2008-10-02}}</ref> [[United States Virgin Islands|US Virgin Islands]], [[Utah]], [[Vermont]], and [[Washington (state)|Washington]].<ref name="FNMRAlaws"/><ref name="LicState"/> Additionally, [[Virginia]] licenses the practice of naturopathy under a [[grandfather clause]]. (This was previously also the case in Florida, though currently no practitioners remain active under the grandfather provisions).<ref name="AMA-SOP-ND"/><ref>{{cite web |title=AN ENDANGERED SPECIES NATUROPATHIC DOCTOR IS CLOSE TO EXTINCTION |url=https://www.orlandosentinel.com/1986/09/18/an-endangered-species-naturopathic-doctor-is-close-to-extinction/ |website=Orlando Sentinel |date=September 18, 1986 |access-date=17 November 2023}}</ref> ** U.S. jurisdictions that permit access to prescription drugs: Arizona, California, District of Columbia, Hawaii, Idaho, Kansas, Maine, Montana, New Hampshire, New Mexico, Oregon, Utah, Vermont, and Washington.<ref name="FNMRAlaws"/> ** U.S. jurisdictions that permit minor surgery: Arizona, District of Columbia, Kansas, Maine, Montana, Oregon, Utah, Vermont, and Washington. * Three U.S. states specifically prohibit the practice of naturopathy: [[Florida]],<ref name="ANCBlaws">{{cite web |title=Review of State Laws Regulating Naturopathy |url=https://ancb.net/legislative-action-and-advocacy/naturopathy-laws-state-by-state/ |website=American Naturopathic Certification Board |access-date=15 November 2023}}</ref><ref>{{cite web |title=Title XXXII REGULATION OF PROFESSIONS AND OCCUPATIONS Chapter 462 NATUROPATHY |url=http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0462/0462.html |website=Online Sunshine |publisher=Florida Legislature |access-date=17 November 2023}}</ref> [[South Carolina]]<ref name= "SC Code">{{cite web |url= http://www.scstatehouse.gov/code/t40c031.htm |work= South Carolina Code of Laws (Unannotated), Current through the end of the 2007 Regular Session |title= Title 40, Chapter 31, Sections 10 & 20 |url-status= dead |archive-url=https://web.archive.org/web/20090112214025/http://www.scstatehouse.gov/code/t40c031.htm |archive-date= January 12, 2009 |publisher= South Carolina Legislative Council}}</ref><ref name="AMA-SOP-ND"/> and [[Tennessee]].<ref name= "TN Code">{{cite web |at=63.6.205 Practice of naturopathy |title=Title 63 Professions of the Healing Arts, Chapter 6 Medicine and Surgery, Part 2 General Provisions |work=Tennessee Code Annotated |author=State of Tennessee |publisher=Justia |url=http://law.justia.com/codes/tennessee/2010/title-63/chapter-6/part-2/63-6-205/ |year=2013 |access-date=September 7, 2013 |archive-date=October 7, 2013 |archive-url=https://web.archive.org/web/20131007015741/http://law.justia.com/codes/tennessee/2010/title-63/chapter-6/part-2/63-6-205 |url-status=live }}</ref><ref name="AMA-SOP-ND"/>
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