Allows for the NC State Board of Chiropractic Examiners (Board) to charge the licensee costs for a disciplinary action (defined) against them under GS 90-157.4 only if the disciplinary action results in a disposition other than a complete exoneration of a licensee. Specifies that the costs may include attorneys’ fees (was, reasonable attorneys’ fees), as well as the newly added meeting costs, investigative fees and any other costs, so long as it does not exceed $2,000. Voids any provision in an informal settlement, consent order, final agency decision, or other dispositive document in which the licensee consents to pay costs in an amount greater than $2,000. Requires, in GS 90-144, the Board to keep full and accurate minutes as a public body under State law that covers the specified matters, including summaries of the contents of the treasurer's, director's, and attorney's reports and each committee report and the motion verbiage and the corresponding vote of each member of the Board for any motion before the Board. Directs that a draft version of the minutes be published within 15 business days after each meeting and the final version of the minutes immediately upon approval of the draft version.

Requires the Board to adopt rules to implement the act.

Effective October 1, 2025, and applies to disciplinary actions (defined) on or after that date.