---
type: "Bill"
title: "Update Chiropractic Laws."
description: "Update Chiropractic Laws."
jurisdiction: "us/states/nc"
legislature: "North Carolina General Assembly"
session: "2021"
identifier: "HB 415"
citation: "North Carolina HB 415 (2021)"
classification: ["bill"]
subjects: ["ALTERNATIVE MEDICINE", "BOARDS", "CHAPTERED", "CHIROPRACTIC EXAMINERS BOARD", "CHIROPRACTORS", "FEES", "FINES & PENALTIES", "HEALTH SERVICES", "LICENSING & CERTIFICATION", "MEMBERSHIP", "OCCUPATIONS", "PHYSICIANS", "PRESENTED", "PUBLIC", "PUBLIC RECORDS", "RATIFIED", "RECORDS"]
status: "enacted"
primary_sponsors: ["Everitt", "Lambeth", "Setzer"]
version_count: 6
action_count: 36
vote_count: 2
first_action: "2021-03-25"
last_action: "2021-08-30"
source: "openstates"
source_identifier: "ocd-bill/6e8d3166-3960-488f-a335-99aa24d7cbaa"
source_url: "https://www.ncleg.gov/BillLookUp/2021/H415"
source_hash: "366ddf45767b2a9ac2bfeac08088a71de4d4c942bea0a263906395dbb8c329bc"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nc"]
---

# North Carolina HB 415 (2021) — Update Chiropractic Laws.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Filed** (filed) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H415v0.pdf)
2. **Edition 1** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H415v1.pdf)
3. **Edition 2** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H415v2.pdf)
4. **Edition 3** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H415v3.pdf)
5. **Ratified** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H415v4.pdf)
6. **SL 2021-120** (committee substitute) — [source](https://www.ncleg.gov/Sessions/2021/Bills/House/PDF/H415v5.pdf)

## Votes

- M11 Concur — **92–0** (pass) · lower
- Second Reading — **46–0** (pass) · upper

## Sponsors

- Everitt — primary (person)
- Lambeth — primary (person)
- Setzer — primary (person)
- Autry — cosponsor (person)
- Belk — cosponsor (person)
- Cunningham — cosponsor (person)
- Dahle — cosponsor (person)
- Fisher — cosponsor (person)
- Gailliard — cosponsor (person)
- Harrison — cosponsor (person)
- Hunter — cosponsor (person)
- Insko — cosponsor (person)
- K. Smith — cosponsor (person)
- Majeed — cosponsor (person)
- Moffitt — cosponsor (person)
- Sasser — cosponsor (person)
- White — cosponsor (person)
- Wray — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-08-30** Ch. SL 2021-120 `became-law`
- **2021-08-30** Signed by Gov. 8/30/2021 `executive-signature`
- **2021-08-24** Pres. To Gov. 8/24/2021 `executive-receipt`
- **2021-08-23** Ratified
- **2021-08-19** Ordered Enrolled
- **2021-08-19** Concurred In S Com Sub `amendment-passage`
- **2021-08-19** Added to Calendar
- **2021-08-19** Cal Pursuant 36(b)
- **2021-08-19** Regular Message Received For Concurrence in S Com Sub
- **2021-08-18** Regular Message Sent To House
- **2021-08-17** Passed 3rd Reading `passage, reading-3`
- **2021-08-17** Passed 2nd Reading `reading-2`
- **2021-08-10** Placed On Cal For 08/16/2021
- **2021-08-10** Reptd Fav `committee-passage-favorable`
- **2021-08-09** Re-ref Com On Rules and Operations of the Senate `referral-committee`
- **2021-08-09** Reptd Fav `committee-passage-favorable`
- **2021-08-04** Re-ref Com On Judiciary `referral-committee`
- **2021-08-04** Com Substitute Adopted
- **2021-08-04** Reptd Fav Com Substitute `committee-passage-favorable`
- **2021-07-21** Re-ref to Health Care. If fav, re-ref to Judiciary. If fav, re-ref to Rules and Operations of the Senate `referral-committee`
- **2021-07-21** Withdrawn From Com
- **2021-05-12** Ref To Com On Rules and Operations of the Senate `referral-committee`
- **2021-05-12** Passed 1st Reading `reading-1`
- **2021-05-12** Regular Message Received From House
- **2021-05-12** Regular Message Sent To Senate
- **2021-05-11** Passed 3rd Reading `passage, reading-3`
- **2021-05-11** Passed 2nd Reading `reading-2`
- **2021-05-11** Added to Calendar
- **2021-05-11** Cal Pursuant Rule 36(b)
- **2021-05-11** Reptd Fav `committee-passage-favorable`
- **2021-05-11** Re-ref Com On Rules, Calendar, and Operations of the House `referral-committee`
- **2021-05-11** Serial Referral To Insurance Stricken
- **2021-05-11** Reptd Fav Com Substitute `committee-passage-favorable`
- **2021-03-29** Ref to the Com on Health, if favorable, Insurance, if favorable, Rules, Calendar, and Operations of the House `referral-committee`
- **2021-03-29** Passed 1st Reading `reading-1`
- **2021-03-25** Filed `introduction`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6e8d3166-3960-488f-a335-99aa24d7cbaa`. Confidence: reported (aggregated from official North Carolina legislature records).