The bill amends the Code of Alabama 1975 concerning the Board of Chiropractic Examiners, introducing several key changes aimed at improving operational efficiency and ensuring diverse representation. Notably, it allows for the election notices and ballots for board members to be sent through various methods, including electronically, rather than solely by mail. The bill also removes the board's authority to issue limited licenses and prohibits students practicing under supervision from using titles that imply full licensure. Additionally, it establishes a residency requirement for board members and clarifies that one member must be an African-American elected from the state at-large. The language of the existing code is updated for clarity, and the board is granted the authority to set continuing education requirements through rule-making.

Further amendments include the introduction of a preceptorship and extern program for chiropractic students and recent graduates, allowing them to practice under direct supervision while prohibiting the use of titles that suggest full licensure. The renewal process for chiropractic licenses is revised to include a grace period and a late renewal penalty structure, with evidence of completed continuing education hours required for renewal. The bill also mandates fingerprint submissions for national criminal history checks for those seeking reinstatement or renewal of licenses, with costs borne by the applicants. Overall, the bill aims to streamline the licensing process, enhance training and regulation, and ensure that practitioners maintain professional standards.