Amends GS 90-139(a) by requiring no more than three of the eight members of the North Carolina State Board of Chiropractic Examiners (Board) be graduates of the same college, program, or school of chiropractic (was, college or school).

Amends GS 90-142, providing a new power of the Board enabling the Board to establish certification standards for acupuncture practice by doctors of chiropractic.

Amends GS 90-142.1 by replacing the word chiropractic "college" with the word "program" throughout the section.

Amends GS 90-143(b) by limiting license examination to graduates of an accredited chiropractic program (was, a four-year chiropractic college). Eliminates ability for those who will become graduates within 60 days of examination to sit for examination. Makes technical changes replacing “college” with “program.” Allows applicants to prove receipt of a bachelor’s degree from a college or university by a regional accreditation body recognized by the United States Department of Education (Department) or its international equivalent (was, just Department). Amends transcript requirements to one that confirms the applicant has received a doctor of chiropractic degree from an accredited program (was, a transcript confirming 4,200 hours or more of accredited chiropractic education at a properly accredited institution). Removes the specified studies that were to be included in the exam.

Amends GS 90-146 allowing a graduate of an accredited chiropractic program (was, a regular chiropractic school) from another state to be granted a license by the Board.

Amends GS 90-151 to allow for use of the method, thought, and practice of chiropractors, as taught in recognized chiropractic schools, programs, and colleges (was, schools and colleges). Clarifies that a person with a license from the Board cannot prescribe for or administer medicine or drugs requiring a prescription by the United States Food and Drug Administration’s rules or regulations (was, medicine or drugs (without explanation)).

Amends GS 90-154.3(b), by changing “diagnostic radiology” to “diagnostic imaging.”

Permits the Board to adopt rules to implement the act’s provisions.

Effective October 1, 2025.