Enacts new GS 90-153.1 to require that when a payor seeks peer review of chiropractic treatment in order to determine whether the services were clinically necessary and supported by adequate documentation, the person conducting the review must hold a current North Carolina license to practice chiropractic and satisfy certain other criteria. Defines chiropractic peer review and establishes that the term does not include automated screening programs or reviews performed by individuals hired for the purpose of providing expert testimony in or preparing litigation of personal injury claims.

Clarifies that these provisions apply only to motor vehicle liability claims for personal injury and to motor vehicle medical payments claims. States that these provisions do not apply to workers' compensation claims, general accident and health insurance claims, or claims submitted by, or on behalf of, enrollees to health benefit plans. Requires that the standard of care applied by the reviewer be state-specific. A chiropractor licensed by the state may be subject to disciplinary action for failing to comply. An unlicensed person who performs such a review may be subject to criminal and civil enforcement actions.

Effective October 1, 2017, and applies to reviews conducted on or after that date.