Enacts new GS 90-143.4 requiring a person employed as a chiropractic clinical assistant (defined in the new act) to obtain a certificate of competency from the State Board of Chiropractic Examiners (Board) within 120 days after beginning employment. Dos not require certification for employees with duties limited to administrative activities of a nonclinical nature. Makes it unlawful to practice unless certified. Requires applicants for certification to be at least 18, a high school graduate or equivalent, of good moral character, and able to demonstrate proficiency in the five listed areas. Provides for certification of applicants already certified or registered in another state. Certificates expire at the end of the calendar year unless renewed in a manner established by the Board. Sets a cap on the certification or renewal fee at $50. Effective July 1, 2014.