A BILL TO BE ENTITLED
AN ACT pertainIng to chiropractic treatment reviewers and to authorize a fee for registration of CHIROPRAcTIC treatment REVIEWERS.
The General Assembly of North Carolina enacts:
SECTION 1.  Article 8 of Chapter 90 of the General Statutes is amended by adding the following new section to read:
"§ 90‑157.4 Chiropractic treatment reviewers.
(a)	As used in this section, 'chiropractic treatment review' is an evaluation of the appropriateness or effectiveness of professional services rendered by a patient's treating chiropractor or the chiropractor's staff. A chiropractic treatment review may take the form of a review of clinical records (paper review), an independent medical examination, an approval or denial of proposed treatment, or an opinion as to the medical necessity of treatment.
(b)	Any person who performs a chiropractic tratement review upon chiropractic services rendered in this State shall do all of the following:
(1)	Maintain a current North Carolina chiropractic license.
(2)	Register annually with the North Carolina Board of Chiropractic Examiners as a chiropractic treatment reviewer and pay a registration fee as set by the Board but not to exceed two hundred fifty dollars ($250.00).
(3)	Maintain an active practice in which no more than fifty percent (50%) of the reviewer's income is derived from chiropractic treatment reviews.
(4)	Comply with any continuing education requirements adopted by the Board for chiropractors engaged in the business of rendering chiropractic treatment reviews.
(c)	The Board of Chiropractic Examiners shall adopt such rules as may be necessary to enforce this section."
SECTION 2.  This act becomes effective October 1, 2006.