Requires the NC State Board of Chiropractic Examiners (Board) to establish certification standards for the practice of acupuncture by doctors of chiropractic in GS 90-142. Removes requirement that applicants for licensure as a chiropractor in the State have graduated from a four-year chiropractic college and that they have received at least 4,200 hours of accredited chiropractic education in GS 90-143. Now authorizes licensure for an application who is a graduate of accredited chiropractic program recognized by the US Department of Education or its international equivalent. Removes required subject testing areas from the Board’s licensure examination, except for NC jurisprudence. Makes conforming changes to GS 90-139, GS 90-142.1, GS 90-146, GS 90-151. Clarifies, in GS 90-151, that a chiropractor licensed in the State cannot prescribe or administer medicine or drugs requiring a prescription as defined by the FDA (currently, just can’t prescribe or administer any medicine or drugs). Changes the subjects areas where the Board is authorized to engage in rulemaking to include diagnostic imaging (currently, diagnostic radiology).

Effective October 1, 2025.