The bill amends Sections 34-24-140 and 34-24-160 of the Code of Alabama 1975, which govern the State Board of Chiropractic Examiners. It introduces significant changes to the board's composition and election process, increasing the number of members to nine, with eight being active licensed chiropractors elected from congressional districts and one member elected at-large, specifically required to be African-American. The qualifications for board members have been updated, including a revision of language from "Be" to "Is" and a requirement for candidates to have at least five years of clinical practice. The election process will now be managed by an independent agency, which will also certify the results unless there is only one candidate. The bill emphasizes diversity within the board and mandates that any member who fails to meet qualifications during their term must resign.

Additionally, the bill SB210 modifies the licensing process for chiropractic practitioners by requiring applicants to submit fingerprints for a criminal history background check, with costs covered by the applicant. It ensures confidentiality of the information obtained, except when necessary for license denial. Applicants must demonstrate good moral character, legal presence in the U.S., and updated educational qualifications, including a bachelor's degree or equivalent for those graduating after January 1, 2010. The application process is further refined to require handwritten signatures and proof of educational and clinical experience, with a license application fee set between $50 and $150, determined by the board's rules. The act is scheduled to take effect on October 1, 2026.