GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2023
SESSION LAW 2023-65
HOUSE BILL 190
AN ACT making technical, conforming, and other modifications to laws pertaining to the department of health and human services and to make technical AND conforming changes to session law 2023‑14.
The General Assembly of North Carolina enacts:
part I. laws pertaining to the division of aging and adult services
AUTHORIZATION FOR SECRETARY OF HEALTH AND HUMAN SERVICES TO ADOPT AND ENFORCE RULES TO IMPLEMENT EMERGENCY SOLUTIONS GRANT PROGRAM
SECTION 1.1. Article 3 of Chapter 143B of the General Statutes is amended by adding a new section to read:
"§ 143B‑139.1A. Secretary of Health and Human Services; rules to implement the Emergency Solutions Grant Program.
The Secretary of Health and Human Services may adopt rules to implement the Emergency Solutions Grant Program. The Department of Health and Human Services shall enforce any rules adopted under this section."
ALIGNMENT OF STATE‑COUNTY SPECIAL ASSISTANCE PROGRAM WITH FEDERAL REGULATIONS/REMOVAL OF PROPERTY TAX THRESHOLD WHEN DETERMINING ELIGIBILITY
SECTION 1.2. G.S. 108A‑41 reads as rewritten:
"§ 108A‑41. Eligibility.
(c) When determining whether
a person has insufficient resources to provide a reasonable subsistence
compatible with decency and health, there shall be excluded from consideration
the person's primary place of residence and the land on which it is situated,
and in addition there shall be excluded real property contiguous with the
person's primary place of residence in which the property tax value is less
than twelve thousand dollars ($12,000).residence.
."
EQUALIZATION OF STATE‑COUNTY SPECIAL ASSISTANCE PAYMENTS FOR RECIPIENTS RESIDING IN LICENSED FACILITIES APPROVED TO ACCEPT STATE‑COUNTY SPECIAL ASSISTANCE AND RECIPIENTS RESIDING IN IN‑HOME LIVING ARRANGEMENTS
SECTION 1.3. G.S. 108A‑47.1(a) reads as rewritten:
"(a) The Department of
Health and Human Services may shall use funds from the existing
State‑County Special Assistance budget to provide Special Assistance
payments to eligible individuals 18 years of age or older in in‑home
living arrangements. The standard monthly payment to individuals enrolled in
the Special Assistance in‑home program shall be one hundred percent
(100%) of the monthly payment the individual would receive if the individual
resided in an adult care home and qualified for Special Assistance, except
if a lesser payment amount is appropriate for the individual as determined by
the local case manager. Assistance. The Department shall implement
Special Assistance in‑home eligibility policies and procedures to assure
that in‑home program participants are those individuals who need and, but
for the in‑home program, would seek placement in an adult care home
facility. The Department's policies and procedures shall include the use of a
functional an assessment."
part II. laws pertaining to the division of central management and support
CONTRACTING REFORM
SECTION 2.1. Section 2 of S.L. 2022‑52 reads as rewritten:
"SECTION 2.(a)
Contract Time and Continuity. In efforts to support the continuity of
services provided by nonprofit grantees receiving state and federal funds, a
nonprofit grantee receiving State or federal funds or any combination of State
and federal funds through a financial assistance contract, the Department
of Health and Human Services (Department) shall enter into a contract
agreement for a minimum of a two‑year contract agreement two
years with such nonprofit grantees/recipients grantee if
all of the following requirements are met:
(1) The nonprofit grantee/recipient
grantee is receiving nonrecurring funding funds for
each year of a fiscal biennium.
(2) The nonprofit grantee/recipient
grantee is receiving recurring funding.funds for each year
of a fiscal biennium.
(3) The nonprofit grantee is receiving any combination of recurring and nonrecurring funds for each year of a fiscal biennium.
(3)(4) Multiyear
contracts are not otherwise prohibited by the funding source.
"SECTION 2.(a1)
Nonprofit grantees/recipients Option for Contract Extension. A nonprofit grantee receiving recurring federal grant funding shall have funds
through a financial assistance contract has the option to extend the
contract for up to one additional year at the end of the contract's initial
term of the contract if all of the following requirements are met:
(1) The extension is mutually
agreed upon by the Department and the nonprofit grantee, through a written
amendment as provided for in the General Terms and Conditions.terms
and conditions of the contract.
(2) Funding for the contract remains available.
"SECTION 2.(a2)
Automatic Contract Extension. The
Department shall allow any nonprofit grantee/recipient grantee receiving
recurring or nonrecurring state and/or State or federal funding
funds, or any combination of State and federal funds, through a
financial assistance contract for each year of a fiscal biennium to
automatically activate a limited‑time extensions contract
extension for a period of up to three months for to preserve continuity
of services when a formal contract extension or renewal process has not
been completed within 10 business days of after the subsequent
contract start date if all of expiration of the original contract;
provided, however, that all of the following requirements are met:
(1) The nonprofit grantee/recipient
grantee is receiving recurring funding funds, or
nonrecurring state and/or federal funding State or federal funds, or
any combination of nonrecurring State and federal funds, for each year of a
fiscal biennium.
(2) The nonprofit grantee/recipient
grantee has received an unqualified audit report on its most recent
financial audit when an audit is required by G.S. 159‑34 or 09 NCAC
03M.
(3) The nonprofit grantee/recipient
grantee has a track record of timely performance and financial
reporting to the Department as required by the contract.
(4) The nonprofit grantee/recipient
grantee has not been identified by the Department as having a record
of noncompliance with requirements of any funding source used to support the
contract and has not received an undisputed notice of such noncompliance from
the Department. For purposes of this requirement, noncompliance does not
include issues stemming from late execution of a contract or mutually agreed
upon changes to scope of work or deliverables, and undisputed notice of
noncompliance does not include notice of noncompliance where the nonprofit grantee
has provided written evidence of actual compliance to the Department within 30
days of after receipt of a notice of noncompliance.
(5) The nonprofit grantee/recipient
grantee has been in operation for at least five years.
In the event of an automatic contract extension pursuant to this subsection, the terms of the expired contract shall govern the relationship and obligations of the party until the end of the three‑month contract extension period or until the execution of a formal contract extension or renewal, whichever occurs first.
"SECTION 2.(c)
Negotiated Overhead Rates. The negotiation, determination, or settlement of
the reimbursable amount of overhead under cost‑reimbursement type
contracts is accomplished on an individual contract basis and is based upon the
federally approved indirect cost rate. For vendors who grantees,
including nonprofit grantees, that (i) are receiving financial assistance and do
not have a federally approved indirect cost rate, rate from a federal
agency or (ii) have a previously negotiated but expired rate, the Department
may allow the grantee, in accordance with 2 C.F.R. § 200.332(a)(4) or 2
C.F.R. § 200.414(f), the de minimis rate of ten percent (10%) of modified
total direct costs shall apply.to use the de minimis rate or ten percent
(10%) of modified total direct costs. Alternatively, the grantee may negotiate
or waive an indirect cost rate with the Department. If State or federal law or
regulations establish a limitation on the amount of funds the grantee may use
for administrative purposes, then that limitation controls, in accordance with
2 C.F.R. § 200.414(c)(3)."
part III. laws pertaining to the division of child and family well‑being
CONFORMING CHANGES RELATED TO ESTABLISHMENT OF NEW DIVISION
SECTION 3.1. G.S. 7B‑1402 reads as rewritten:
"§ 7B‑1402. Task Force creation; membership; vacancies.
(a) There is created the North Carolina Child Fatality Task Force within the Department of Health and Human Services for budgetary purposes only.
(b) The Task Force shall be composed of 36 members, 12 of whom shall be ex officio members, four of whom shall be appointed by the Governor, 10 of whom shall be appointed by the Speaker of the House of Representatives, and 10 of whom shall be appointed by the President Pro Tempore of the Senate. The ex officio members other than the Chief Medical Examiner may designate representatives from their particular departments, divisions, or offices to represent them on the Task Force. In making appointments or designating representatives, appointing authorities and ex officio members shall use best efforts to select members or representatives with sufficient knowledge and experience to effectively contribute to the issues examined by the Task Force and, to the extent possible, to reflect the geographical, political, gender, and racial diversity of this State. The members shall be as follows:
(1) The Chief Medical Examiner.
(2) The Attorney General.
(3) The Director of the
Division of Social Services.Services, Department of Health and Human
Services.
(4) The Director of the State Bureau of Investigation.
(5) The Director of the Maternal
and Child Health Section of the Division of Public Health, Department
of Health and Human Services.
(6) The chair of the Council for Women and Youth Involvement.
(7) The Superintendent of Public Instruction.
(8) The Chairman of the State Board of Education.
(9) The Director of the Division
of Mental Health, Developmental Disabilities, and Substance Abuse Services.Division
of Child and Family Well‑Being, Department of Health and Human Services.
."
SECTION 3.2. G.S. 7B‑1404(b) reads as rewritten:
"(b) The State Team shall be composed of the following 11 members of whom nine members are ex officio and two are appointed:
(1) The Chief Medical
Examiner, who shall chair the State Team;Team.
(2) The Attorney General;General.
(3) The Director of the
Division of Social Services, Department of Health and Human Services;Services.
(4) The Director of the State
Bureau of Investigation;Investigation.
(5) The Director of the
Division of Maternal and Child Health of the Public Health, Department
of Health and Human Services;Services.
(6) The Superintendent of
Public Instruction;Instruction.
(7) The Director of the
Division of Mental Health, Developmental Disabilities, and Substance Abuse
Services, of Child and Family Well‑Being, Department of Health
and Human Services;Services.
(8) The Director of the
Administrative Office of the Courts;Courts.
(9) The pediatrician
appointed pursuant to G.S. 7B‑1402(b) to the Task Force;Force.
(10) A public member, appointed
by the Governor; andGovernor.
(11) The Team Coordinator.
The ex officio members other than the Chief Medical Examiner may designate a representative from their departments, divisions, or offices to represent them on the State Team."
SECTION 3.3. G.S. 122C‑113(b1) reads as rewritten:
"(b1) The Secretary shall
cooperate with the State Board of Education and the Division of Juvenile
Justice of the Department of Public Safety in coordinating the responsibilities
of the Department of Health and Human Services, the State Board of Education,
the Division of Juvenile Justice of the Department of Public Safety, and the
Department of Public Instruction for adolescent substance abuse programs. The
Department of Health and Human Services, through its Division of Mental Health,
Developmental Disabilities, and Substance Abuse Services, Services
and its Division of Child and Family
Well‑Being, in cooperation with the
Division of Juvenile Justice of the Department of Public Safety, shall be
responsible for intervention and treatment in non‑school based programs.
The State Board of Education and the Department of Public Instruction, in
consultation with the Division of Juvenile Justice of the Department of Public
Safety, shall have primary responsibility for in‑school education,
identification, and intervention services, including student assistance
programs."
SECTION 3.4. G.S. 122C‑142.2(g) reads as rewritten:
"(g) The Rapid Response Team shall be comprised of representatives of the Department of Health and Human Services from the Division of Social Services; the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services; the Division of Child and Family Well‑Being; and the Division of Health Benefits. Upon receipt of a notification from a director, the Rapid Response Team shall evaluate the information provided and coordinate a response to address the immediate needs of the juvenile, which may include any of the following:
(1) Identifying an appropriate level of care for the juvenile.
(2) Identifying appropriate providers or other placement for the juvenile.
(3) Making a referral to qualified services providers.
(4) Developing an action plan to ensure the needs of the juvenile are met.
(5) Developing a plan to ensure that relevant parties carry out any responsibilities to the juvenile."
part iv. laws pertaining to the division of health service regulation
MEDICAL CARE COMMISSION CLARIFICATION OF POWERS AND DUTIES
SECTION 4.1. G.S. 143B‑165 reads as rewritten:
"§ 143B‑165. North Carolina Medical Care Commission creation, powers and duties.
There is hereby created the North
Carolina Medical Care Commission of the Department of Health and Human Services
with the power and duty to promulgate adopt rules and
regulations to be followed in the construction and maintenance of public
and private hospitals, medical centers, and related facilities with
the power and duty regulated under Chapters 131D and 131E of the General
Statutes; to adopt, amend and rescind rules and regulations under
and not inconsistent with the laws of the State as necessary to carry
out the provisions and purposes of this Article.Article; and to
protect the health, safety, and welfare of the individuals served by these
facilities.
(1) The North Carolina
Medical Care Commission has the duty to shall adopt statewide
plans for the construction and maintenance of hospitals, medical centers, and related
facilities, facilities regulated under Chapters 131D and 131E of the
General Statutes, or such other plans as may be found desirable and
necessary in order to meet the requirements and receive the benefits of
any applicable federal legislation with regard thereto.legislation.
(2) The Commission is authorized
to may adopt such rules and regulations as may be necessary
to carry out the intent and purposes of Article 13 4 of Chapter 131
131E of the General Statutes of North Carolina.Statutes.
(3) The Commission may adopt such reasonable and
necessary standards with reference thereto as may be proper to cooperate fully
with the Surgeon General or other agencies or departments of the United States
and the use of funds provided by the federal government as contained and
referenced in Article 13 of Chapter 131 of the General Statutes of North
Carolina.
(4) The Commission shall
have has the power and duty to approve projects in the amounts of
grants‑in‑aid from funds supplied by the federal and State
governments for the planning and construction of hospitals and other related
medical facilities according to the provisions of Article 13 in
accordance with Articles 4 and 5 of Chapter 131 131E of the
General Statutes of North Carolina.Statutes.
(5) Repealed by Session Laws 1981 (Regular Session, 1982), c. 1388, s. 3.
(6) The Commission has the
duty to shall adopt rules and regulations and standards with
respect to establishing standards for the licensure, inspection, and
operation of, and the provision of care and services by, the different
types of hospitals to be licensed under the provisions of Article 13A Articles
2 and 5 of Chapter 131 131E of the General Statutes of
North Carolina.Statutes.
(7) The Commission is
authorized and empowered to may adopt such rules and regulations,
rules, not inconsistent with the laws of this State, as may be
required by the federal government for to secure federal grants‑in‑aid
for medical facility services and licensure which may be made available to
the State by the federal government. licensure. This section is
to shall be liberally construed in order that the State and its
citizens may benefit from such grants‑in‑aid.
(8) The Commission shall
adopt such rules and regulations, rules, consistent with the
provisions of this Chapter. All rules and regulations not inconsistent with
the provisions of this Chapter heretofore adopted by the North Carolina
Medical Care Commission since the enactment of Chapter 131E of the
General Statutes that are not inconsistent with the provisions of this Chapter shall
remain in full force and effect unless and until repealed or superseded
by action of the North Carolina Medical Care Commission. All rules and
regulations adopted by the Commission shall be enforced by the Department
of Health and Human Services.
(9) The Commission shall
have the power and duty to may adopt rules and regulations with
regard to concerning emergency medical services in accordance with
the provisions of Article 26 7 of Chapter 130 131E and
Article 56 of Chapter 143 of the General Statutes of North Carolina.Statutes.
(10) The Commission shall
have the power and duty to shall adopt rules for the operation of nursing
homes, as defined by Article 6 of Chapter 131E of the General Statutes.
(11) The Commission is
authorized to may adopt such rules as may be necessary
to carry out the provisions of Part C of Article 6, and Article 10, establish
standards for the licensure, inspection, and operation of, and the provision of
care and services by, facilities licensed under Articles 6 and 10 of
Chapter 131E of the General Statutes of North Carolina.Statutes.
(12) The Commission shall adopt
rules, including temporary rules pursuant to G.S. 150B‑13, rules
providing for the accreditation of facilities that perform mammography
procedures and for laboratories evaluating screening pap smears. Mammography
accreditation standards shall address, but are not limited to, the quality of
mammography equipment used and the skill levels and other qualifications of
personnel who administer mammographies and personnel who interpret mammogram
results. The Commission's standards shall be no less stringent than those
established by the United States Department of Health and Human Services for
Medicare/Medicaid coverage of screening mammography. These rules shall also
specify procedures for waiver of these accreditation standards on an individual
basis for any facility providing screening mammography to a significant number
of patients, but only if there is no accredited facility located nearby. The
Commission may grant a waiver subject to any conditions it deems necessary to
protect the health and safety of patients, including requiring the facility to
submit a plan to meet accreditation standards.
(13) The Commission shall
have the power and duty to shall adopt rules establishing
standards for the inspection and licensure of licensure,
inspection, and operation of, and the provision of care and services by, adult
care homes and operation of adult care homes, as defined by Article 1 of
Chapter 131D of the General Statutes, and for personnel requirements of staff
employed in adult care homes, except where when rule‑making
authority is assigned by law to the Secretary.
(14) The Commission shall adopt rules establishing standards for the following with respect to facilities used as multiunit assisted housing with services, as defined by Article 1 of Chapter 131D of the General Statutes:
a. Registration and deregistration.
b. Disclosure statements.
c. Agreements for services.
d. Personnel requirements.
e. Resident admissions and discharges."
part v. LAWS PERTAINING TO THE DIVISION OF mental health, developmental disabilities, AND SUBSTANCE ABUSE SERVICES
TECHNICAL CHANGES/POPULATIONS COVERED BY LME/MCOS
SECTION 5.1.(a) G.S. 122C‑115 reads as rewritten:
"§ 122C‑115. Duties of counties; appropriation and allocation of funds by counties and cities.
(e) Beginning on the date
that capitated contracts under Article 4 of Chapter 108D of the General
Statutes begin, July 1, 2021, LME/MCOs shall cease managing Medicaid
services for all Medicaid recipients other than recipients described in
G.S. 108D‑40(a)(1), (4), (5), (6), (7), (10), (11), (12), and (13). who
are enrolled in a standard benefit plan.
(e1) Until BH IDD tailored plans become operational, all of the following shall occur:
(1) LME/MCOs shall continue
to manage the Medicaid services that are covered by the LME/MCOs under the
combined 1915(b) and (c) waivers for Medicaid recipients described in
G.S. 108D‑40(a)(1), (4), (5), (6), (7), (10), (11), (12), and (13).who
are covered by the those waivers and who are not enrolled in a standard benefit
plan.
(2) The Division of Health Benefits shall negotiate actuarially sound capitation rates directly with the LME/MCOs based on the change in composition of the population being served by the LME/MCOs.
(3) Capitation payments under contracts between the Division of Health Benefits and the LME/MCOs shall be made directly to the LME/MCO by the Division of Health Benefits.
(f) Entities LME/MCOs
operating the BH IDD tailored plans under G.S. 108D‑60 may
continue to manage the behavioral health, intellectual and developmental
disability, and traumatic brain injury services for any Medicaid recipients described
in G.S. 108D‑40(a)(4), (5), (7), (10), (11), (12), and (13) under
any contract with the Department in accordance with G.S. 108D‑60(b).who
are not enrolled in a BH IDD tailored plan."
SECTION 5.1.(b) G.S. 108D‑60(b) reads as rewritten:
"(b) The Department may
contract with entities operating BH IDD tailored plans under a capitated or
other arrangement for the management of behavioral health, intellectual and
developmental disability, and traumatic brain injury services for any
recipients excluded from PHP coverage under G.S. 108D‑40(a)(4),
(5), (7), (10), (11), (12), and (13).who are not enrolled in a BH IDD
tailored plan."
SECTION 5.1.(c) G.S. 122C‑3 reads as rewritten:
"§ 122C‑3. Definitions.
The following definitions apply in this Chapter:
(2b) "Behavioral Behavioral
health and intellectual/developmental disabilities tailored plan" plan
or "BH BH IDD tailored plan" has the same
meaning as plan. As defined in G.S. 108D‑1.
(29b) "Prepaid Prepaid
health plan" has the same meaning as plan. As defined in
G.S. 108D‑1.
(35b) Specialty services. Services that are provided to consumers from low‑incidence populations.
(35c) State or Local Consumer Advocate. The individual
carrying out the duties of the State or Local Consumer Advocacy Program Office
in accordance with Article 1A of this Chapter.
(35d) Standard benefit plan. As defined in G.S. 108D‑1.
(35e) State Plan. The State Plan for Mental Health, Developmental Disabilities, and Substance Abuse Services.
(35e)(35f) State
resources. State and federal funds and other receipts administered by the
Division.
."
CHANGES TO EFFECTUATE RENAMING OF DIVISION
SECTION 5.2.(a) G.S. 143B‑138.1(a)(4) reads as rewritten:
"(4) Division of Mental
Health, Developmental Disabilities, and Substance Abuse Use Services."
SECTION 5.2.(b) Throughout the General Statutes, the Revisor of Statutes shall replace the phrase "Division of Mental Health, Developmental Disabilities, and Substance Abuse Services" with the phrase "Division of Mental Health, Developmental Disabilities, and Substance Use Services."
SECTION 5.2.(c) Throughout the General Statutes, the Revisor of Statutes shall replace the phrase "MH/DD/SAS" with the phrase "MH/DD/SUS."
part vi. LAWS PERTAINING TO THE DIVISION OF public health
EXPANSION OF PERMISSIBLE USES FOR NEWBORN SCREENING EQUIPMENT REPLACEMENT AND ACQUISITION FUND
SECTION 6.1. G.S. 130A‑125(d) reads as rewritten:
"(d) The Newborn
Screening Equipment Replacement and Acquisition Fund (Fund) is established as a
nonreverting fund within the Department. Thirty‑one dollars ($31.00) of
each fee collected pursuant to subsection (c) of this section shall be credited
to this Fund and applied to the Newborn Screening Program to be used as
directed in this subsection. The Department shall not use monies in this Fund for
any purpose other than to purchase or replace purchase, replace,
maintain, or support laboratory instruments, equipment, and information
technology systems used in the Newborn Screening Program. The Department shall
notify and consult with the Joint Legislative Commission on Governmental
Operations whenever the balance in the Fund exceeds the following threshold:
the sum of (i) the actual cost of new equipment necessary to incorporate
conditions listed on the RUSP into the Newborn Screening Program and (ii) one
hundred percent (100%) of the replacement value of existing equipment used in
the Newborn Screening Program. Any monies in the Fund in excess of this
threshold shall be available for expenditure only upon an act of appropriation
by the General Assembly."
EXPANSION OF QUALIFIED PROFESSIONALS ELIGIBLE TO SERVE AS COUNTY MEDICAL EXAMINERS
SECTION 6.2. G.S. 130A‑382 reads as rewritten:
"§ 130A‑382. County medical examiners; appointment; term of office; vacancies; training requirements; revocation for cause.
(a) The Chief Medical
Examiner shall appoint two or more county medical examiners for each county for
a three‑year term. In appointing medical examiners for each county, the
Chief Medical Examiner shall give preference to physicians licensed to practice
medicine in this State but may also appoint licensed the following
professionals:
(1) Dentists, physician assistants, nurse
practitioners, nurses, or emergency physical therapists as long as
the appointee is licensed to practice in this State.
(2) Emergency medical technician technicians
or paramedics credentialed under G.S. 131E‑159.
(3) Pathologists' assistants certified by the American Society for Clinical Pathology.
(4) Pathologists' assistants or medicolegal death investigators certified by a nationally recognized certifying body determined by the Chief Medical Examiner to have an appropriate certification process for pathologists' assistants or medicolegal death investigators to demonstrate readiness to serve as a county medical examiner.
A medical examiner may serve more than one county. The Chief Medical Examiner may take jurisdiction in any case or appoint another medical examiner to do so.
(a1) During a state of emergency declared by the Governor or by a resolution of the General Assembly pursuant to G.S. 166A‑19.20, or by the governing body of a municipality or county pursuant to G.S. 166A‑19.22, the Chief Medical Examiner may appoint temporary county medical examiners to serve until the expiration of the declared state of emergency. In appointing temporary county medical examiners pursuant to this subsection, the Chief Medical Examiner may appoint any individual determined by the Chief Medical Examiner to have the appropriate training, education, and experience to serve as a county medical examiner during a declared state of emergency.
."
part vii. LAWS PERTAINING TO THE DIVISION OF social services
ALIGNMENT OF TIME LINE FOR COUNTY TANF PLAN SUBMISSIONS
SECTION 7.1.(a) G.S. 108A‑24(1e) reads as rewritten:
"(1e) "County
Plan" is the biennial triennial Work First Program plan
prepared by each Electing County pursuant to this Article and submitted to the
Department for incorporation into the State Plan that also includes the
Standard Work First Program."
SECTION 7.1.(b) G.S. 108A‑27.3(a)(12) reads as rewritten:
"(12) Develop, adopt, and
submit to the Department a biennial triennial County Plan;"
SECTION 7.1.(c) G.S. 108A‑27.4(a) reads as rewritten:
"(a) Each Electing County
shall submit to the Department, according to the schedule established by the
Department and in compliance with all federal and State laws, rules, and
regulations, a biennial triennial County Plan."
AMENDMENT OF CHILD ABUSE AND NEGLECT SCHOOL POSTERS
SECTION 7.2.(a) G.S. 115C‑12(47) reads as rewritten:
"(47) Duty Regarding Child Abuse and Neglect. The State Board of Education, in consultation with the Superintendent of Public Instruction, shall adopt a rule requiring information on child abuse and neglect, including age‑appropriate information on sexual abuse, to be provided by public school units to students in grades six through 12. This rule shall also apply to high schools under the control of The University of North Carolina. Information shall be provided in the form of (i) a document provided to all students at the beginning of each school year and (ii) a display posted in visible, high‑traffic areas throughout each public secondary school. The document and display shall include, at a minimum, the following information:
a. Likely warning signs indicating that a child may be a victim of abuse or neglect, including age‑appropriate information on sexual abuse.
b. The telephone number used for reporting abuse and neglect to the department of social services in the county in which the school is located, in accordance with G.S. 7B‑301.
c. A statement that information reported pursuant to sub‑subdivision b. of this subdivision shall be held in the strictest confidence, to the extent permitted by law, pursuant to G.S. 7B‑302(a1).
d. Available resources developed pursuant to
G.S. 115C‑105.51, including the anonymous safety tip line
application."
SECTION 7.2.(b) This section is effective when it becomes law and applies beginning with the 2023‑2024 school year.
AUTHORIZATION FOR APPLICATION OF FEDERALLY MANDATED TOOLS TO ENFORCE CHILD SUPPORT PAYMENTS
SECTION 7.3.(a) G.S. 110‑129 reads as rewritten:
"§ 110‑129. Definitions.
As used in this Article:
(6a) "Financial Management Services" (FMS) means the unit of the U.S. Department of the Treasury, which, under federal law, offsets certain federal payments to satisfy support arrears.
(9a) "Internal Revenue Service" (IRS) means the unit of the U.S. Department of the Treasury, which, under federal law, offsets income tax refunds against certain support arrears.
(12a) "Offset" means withholding by the IRS or FMS of all or part of an income tax refund or certain federal payments due an obligor and remitting payments to the federal Office of Child Support Enforcement for transmittal to the State.
."
SECTION 7.3.(b) G.S. 110‑129.1(a) reads as rewritten:
"(a) In addition to other powers and duties conferred upon the Department of Health and Human Services, Child Support Enforcement Program, by this Chapter or other State law, the Department shall have the following powers and duties:
(10) Certify obligors to the federal Office of Child Support Enforcement for the Passport Denial Program under G.S. 110‑143.
(11) Certify to the federal Office of Child Support Enforcement determinations that an obligor in a IV‑D case owes support arrears in an amount equal to or greater than the federally mandated thresholds for offset of federal income tax refunds under 42 U.S.C. § 664(b)(2) if the arrears are assigned to the State and 45 C.F.R. § 303.72(a)(2) if the arrears are not assigned to the State.
(12) Certify obligors to the federal Office of Child Support Enforcement for the Administrative Offset Program under G.S. 110‑144."
SECTION 7.3.(c) Article 9 of Chapter 110 of the General Statutes is amended by adding the following new sections to read:
"§ 110‑143. Passport Denial Program.
(a) Participation. The Department of Health and Human Services shall participate in the federal Passport Denial Program for the denial, revocation, or limitation of an obligor's passports under 42 U.S.C. § 654(31) and 42 U.S.C. § 652(k).
(b) Certification. The Department shall annually certify to the federal Office of Child Support Enforcement (OCSE) an obligor in a IV‑D case whose support arrears exceed the federally mandated threshold in 42 U.S.C. § 654(31). The OCSE shall transmit the certification to the U.S. Department of State pursuant to the federal Passport Denial Program.
(c) Notice. The Department shall send written notice of the certification to the obligor at the obligor's last known address. The notice shall advise the obligor of all of the following:
(1) The amount of the arrears as of the date of the notice.
(2) The possibility that the obligor's passport may be denied, revoked, or restricted by the U.S. Department of State.
(3) The procedure to contest the certification.
(d) Appeal. Within 60 days of the date the notice is placed in the mail to the obligor, the obligor may file a contested case petition with the North Carolina Office of Administrative Hearings to contest the certification. The contested case shall be conducted in accordance with Article 3 of Chapter 150B of the General Statutes. The obligor may contest the certification only if one of the following applies:
(1) An arrearage does not exist.
(2) An arrearage does exist, but never exceeded the federally mandated threshold.
(3) There is a claim of mistaken identity.
(e) Withdrawal of Certification. The Department shall notify the OCSE if the obligor's support arrears are paid in full.
"§ 110‑144. Administrative Offset Program.
(a) Participation. The Department of Health and Human Services shall participate in the federal Administrative Offset Program for the offset of certain federal payments under 31 C.F.R. § 285.1.
(b) Certification. The Department shall annually certify to the federal Office of Child Support Enforcement (OCSE) an obligor in a IV‑D case whose support arrears are (i) equal to or greater than one hundred fifty dollars ($150.00) if the arrears are assigned to the State and (ii) equal to or greater than five hundred dollars ($500.00) if the arrears are not assigned to the State.
(c) Notice. At least 30 days before certification, the Department shall send written notice of the certification to the obligor at the obligor's last known address. The notice shall advise the obligor of all of the following:
(1) The amount of the arrears as of the date of the notice.
(2) The possibility that the obligor may have certain federal payments offset by FMS.
(3) The procedures to contest the certification.
Without further notice to the obligor, the Department shall provide OCSE with updates to adjust the amount of arrears to reflect any payments or additional arrears that accrue after the date of certification.
(d) Appeal. Within 60 days of the date the notice is placed in the mail to the obligor, the obligor may file a contested case petition with the North Carolina Office of Administrative Hearings to contest the certification. The contested case shall be conducted in accordance with Article 3 of Chapter 150B of the General Statutes. The obligor may contest the certification only if either of the following applies:
(1) The amount of arrears stated in the notice is incorrect.
(2) There is a claim of mistaken identity."
AUTHORIZATION FOR DSS TO GRANT EXCEPTIONS FOR EQUIVALENT CHILD WELFARE TRAINING COMPLETED IN ANOTHER STATE
SECTION 7.4. G.S. 131D‑10.6A reads as rewritten:
"§ 131D‑10.6A. Training by the Division of Social Services required.
(b) The Division of Social Services shall establish minimum training requirements for child welfare services staff. The minimum training requirements established by the Division are as follows:
(1) Child welfare services workers shall complete a minimum of 72 hours of preservice training before assuming direct client contact responsibilities. In completing this requirement, the Division of Social Services shall ensure that each child welfare worker receives training on family centered practices and State and federal law regarding the basic rights of individuals relevant to the provision of child welfare services, including the right to privacy, freedom from duress and coercion to induce cooperation, and the right to parent.
(2) Child protective services workers shall complete a minimum of 18 hours of additional training that the Division of Social Services determines is necessary to adequately meet training needs.
(3) Foster care and adoption workers shall complete a minimum of 39 hours of additional training that the Division of Social Services determines is necessary to adequately meet training needs.
(4) Child welfare services supervisors shall complete a minimum of 72 hours of preservice training before assuming supervisory responsibilities and a minimum of 54 hours of additional training that the Division of Social Services determines is necessary to adequately meet training needs.
(5) Child welfare services staff shall complete 24 hours of continuing education annually. In completing this requirement, the Division of Social Services shall provide each child welfare services staff member with annual update information on family centered practices and State and federal law regarding the basic rights of individuals relevant to the provision of child welfare services, including the right to privacy, freedom from duress and coercion to induce cooperation, and the right to parent.
(1) Satisfactorily complete or are enrolled in a masters or bachelors program after July 1, 1999, from a North Carolina social work program accredited pursuant to the Council on Social Work Education. The program's curricula must cover the specific preservice training requirements as established by the Division of Social Services.
(2) Have child welfare work experience in another state and have completed child welfare training equivalent to training in this State.
(d) The Division of Social Services shall ensure that
training opportunities are available for county departments of social services
and consolidated human service agencies to meet the training requirements of this
subsection.subsection (b) of this section."
CLARIFICATION OF WHO SETS MAXIMUM DAILY RATE FOR ADULT DAY CARE SERVICES
SECTION 7.5. G.S. 143B‑153(2a)b.3. reads as rewritten:
"3. Maximum rates of
payment for the provision of social services, except there shall be no maximum
statewide reimbursement rate for adult day care services, adult day health
services, and the associated transportation services, as these reimbursement
rates shall be determined at the local level by the county department
of social services or a designee of the board of county commissioners to
allow flexibility in responding to local variables."
PART viii. LAWS PERTAINING TO THE DIVISION OF VOCATIONAL REHABILITATION SERVICES
CHANGES TO EFFECTUATE RENAMING OF DIVISION
SECTION 8.1. G.S. 108A‑26 reads as rewritten:
"§ 108A‑26. Certain financial assistance and in‑kind goods not considered in determining assistance paid under Chapters 108A and 111.
Financial assistance and in‑kind
goods or services received from a governmental agency, or from a civic or
charitable organization, shall not be considered in determining the amount of
assistance to be paid any person under Chapters 108A and 111 of the General
Statutes provided that such financial assistance and in‑kind goods and
services are incorporated in the rehabilitation plan of such person being
assisted by the Division of Vocational Rehabilitation Services Employment
and Independence for People with Disabilities or the Division of Services
for the Blind of the Department of Health and Human Services, except where such
goods and services are required to be considered by federal law or
regulations."
SECTION 8.2. G.S. 111‑11.1 reads as rewritten:
"§ 111‑11.1. Jurisdiction of certain Divisions within the Department of Health and Human Services.
For the purpose of providing
rehabilitative services to people who are visually impaired, the Division of
Services for the Blind and the Division of Vocational Rehabilitation
Services Employment and Independence for People with Disabilities shall
develop and enter into an agreement specifying which agency can most
appropriately meet the specific needs of this client population. If the
Divisions cannot reach an agreement, the Secretary of Health and Human Services
shall determine which Division can most appropriately meet the specific needs of
this client population."
SECTION 8.3. G.S. 122C‑22(a)(7) reads as rewritten:
"(7) Persons subject to
rules and regulations of the Division of Vocational Rehabilitation Services.Employment and Independence for People with Disabilities."
SECTION 8.4. G.S. 131D‑2.3 reads as rewritten:
"§ 131D‑2.3. Exemptions from licensure.
The following are excluded from this Article and are not required to be registered or obtain licensure under this Article:
(1) Facilities licensed under
Chapter 122C or Chapter 131E of the General Statutes;Statutes.
(2) Persons subject to rules
of the Division of Vocational Rehabilitation Services;Employment and
Independence for People with Disabilities.
(3) Facilities that care for
no more than four persons, all of whom are under the supervision of the United
States Veterans Administration;Administration.
(4) Facilities that make no
charges for housing, amenities, or personal care service, either directly or indirectly;
andindirectly.
(5) Institutions that are maintained or operated by a unit of government and that were established, maintained, or operated by a unit of government and exempt from licensure by the Department on September 30, 1995."
SECTION 8.5. G.S. 143‑545.1(a) reads as rewritten:
"(a) Policy.
Recognizing that disability is a natural part of human experience, the State
establishes as its policy that individuals with physical and mental
disabilities should be able to participate to the maximum extent of their
abilities in the economic, educational, cultural, social, and political
activities available to all citizens of the State. To implement this policy,
the Department of Health and Human Services shall establish and operate
comprehensive and accountable programs of vocational rehabilitation and
independent living for persons with disabilities. These programs are to be
administered by the Division of Vocational Rehabilitation Services Employment
and Independence for People with Disabilities in collaboration with the
Division of Services for the Blind, which conducts vocational rehabilitation
and independent living programs for individuals who are blind or visually
impaired, pursuant to Chapter 111 of the General Statutes and the rules of the
Commission for the Blind adopted pursuant to G.S. 143B‑157. The
programs so provided shall be administered according to the following
principles:
."
SECTION 8.6. G.S. 143‑547 reads as rewritten:
"§ 143‑547. Subrogation rights; withholding of information a misdemeanor.
(b) In furnishing a person
rehabilitation services, including medical case services under this Chapter,
the Division of Vocational Rehabilitation Services Employment and
Independence for People with Disabilities is subrogated to the person's
right of recovery from:
(1) Personal insurance;
(2) Worker's Compensation;
(3) Any other person or personal injury caused by the other person's negligence or wrongdoing; or
(4) Any other source.
(c) The Division of Vocational
Rehabilitation Services' Employment and Independence for People with
Disabilities' right to subrogation is limited to the cost of the
rehabilitation services provided by or through the Division for which a
financial needs test is a condition of the service provisions. Those services
that are provided without a financial needs test are excluded from these
subrogation rights.
(d) The Division of Vocational
Rehabilitation Services Employment and Independence for People with
Disabilities may totally or partially waive subrogation rights when the
Division finds that enforcement would tend to defeat the client's process of
rehabilitation or when client assets can be used to offset additional Division
costs.
(e) The Division of Vocational
Rehabilitation Services Employment and Independence for People with
Disabilities may adopt rules for the enforcement of its rights of
subrogation.
(f) It is a Class 1
misdemeanor for a person seeking or having obtained assistance under this Part
for himself or another to willfully fail to disclose to the Division of Vocational
Rehabilitation Services Employment and Independence for People with
Disabilities or its attorney the identity of any person or organization
against whom the recipient of assistance has a right of recovery, contractual
or otherwise."
SECTION 8.7. G.S. 143‑548 reads as rewritten:
"§ 143‑548. Vocational State Rehabilitation Council.
(a) There is established the
Vocational State Rehabilitation Council (Council) in support of the activities
of the Division of Vocational Rehabilitation Services Employment and
Independence for People with Disabilities to be composed of not more than
18 appointed members. Appointed members shall be voting members except where
prohibited by federal law or regulations. The Director of the Division of Vocational
Rehabilitation Services Employment and Independence for People with
Disabilities and one vocational rehabilitation counselor who is an employee
of the Division shall serve ex officio as nonvoting members. The President Pro
Tempore of the Senate shall appoint six members, the Speaker of the House of
Representatives shall appoint six members, and the Governor shall appoint five
or six members. The appointing authorities shall appoint members of the Council
after soliciting recommendations from representatives of organizations
representing a broad range of individuals with disabilities. Terms of
appointment shall be as specified in subsection (d1) of this section.
Appointments shall be made as follows:
(b1) Additional
Qualifications. In addition to ensuring the qualifications for membership
prescribed in subsection (a) of this section, the appointing authorities shall
ensure that a majority of Council members are individuals with disabilities and
are not employed by the Division of Vocational Rehabilitation Services.Employment
and Independence for People with Disabilities.
."
part ix. miscellaneous
MODIFICATION OF EDUCATIONAL REQUIREMENTS FOR REGISTERED ENVIRONMENTAL HEALTH SPECIALISTS
SECTION 9.1.(a) G.S. 90A‑53 reads as rewritten:
"§ 90A‑53. Qualifications and examination for registration as an environmental health specialist or environmental health specialist intern.
(a) The Board shall issue a
certificate to a qualified person as a registered environmental health
specialist or a registered environmental health specialist intern. A
certificate as a registered environmental health specialist or a registered
environmental health specialist intern shall be issued to any person upon the
Board's determination that the person:person satisfies all of the
following criteria:
(1) Has made application to
the Board on a form prescribed by the Board and paid a fee not to exceed one
hundred dollars ($100.00);($100.00).
(2) Is of good moral and
ethical character and has signed an agreement to adhere to the Code of Ethics
adopted by the Board;Board.
(3) Meets any of the following combinations of education and practice experience standards:
a. Graduated from a
baccalaureate with a bachelor's degree or postgraduate degree from
a program that is accredited by the National Environmental Health Science
and Protection Accreditation Council (EHAC) and has one or more years of
experience in the field of environmental health practice; or(EHAC).
b. Graduated from a baccalaureate
or postgraduate degree program that is accredited by an accrediting
organization recognized by the United States Department of Education, Council
for Higher Education Accreditation (CHEA) with a bachelor's degree or
postgraduate degree and meets both of the following:
1. Earned earned a minimum of 30
semester hours or its equivalent 45 quarter hours in the physical
or biological sciences; andphysical, biological, natural, life, or health
sciences and has one
2. Has two or more years of experience in the
field of environmental health practice.
c. Graduated from a
baccalaureate program rated as acceptable by the Board and meets both of the
following:with a bachelor's degree or postgraduate degree in public
health and has one or more years of experience in the field of environmental
health practice.
1. Earned a minimum of 30 semester hours or its
equivalent in the physical or biological sciences; and
2. Has two or more years of experience in the
field of environmental health practice.
(4) Has satisfactorily
completed a course in specialized instruction and training approved by the
Board in the practice of environmental health;health.
(5) Repealed by Session Laws 2009‑443, s. 4, effective August 7, 2009.
(6) Has passed an examination
administered by the Board designed to test for competence in the subject
matters of environmental health sanitation. The examination shall be in a form
prescribed by the Board and may be oral, written, or both. The examination for
applicants shall be held annually or more frequently as the Board may by rule
prescribe, at a time and place to be determined by the Board. A person shall
not be registered if such person fails to meet the minimum grade requirements
for examination specified by the Board. Failure to pass an examination shall
not prohibit such person from being examined at subsequent times and places as
specified by the Board; andBoard.
(7) Has paid a fee set by the Board not to exceed the cost of purchasing the examination and an administrative fee not to exceed one hundred fifty dollars ($150.00).
(b) The Board may issue a
certificate to a person serving as a registered environmental health specialist
intern without the person meeting the full requirements for experience of a
registered environmental health specialist for a period not to exceed three two
years from the date of initial registration as a registered environmental
health specialist intern, provided, the person meets the educational
requirements in G.S. 90A‑53 and is in the field of environmental
health practice."
SECTION 9.1.(b) This section becomes effective October 1, 2023.
EXTEND AUTHORIZATION TO ALIGN WITH FEDERAL LAW TO FACILITATE THE ADMINISTRATION OF COVID-19 VACCINATIONS, DIAGNOSTIC TESTS, OR OTHER TREATMENTS
SECTION 9.2.(a) Section 9G.7(e) of S.L. 2022‑74 reads as rewritten:
"SECTION 9G.7.(e) This section is effective when
it becomes law and expires on December 31, 2023.2024."
SECTION 9.2.(b) This section is effective when it becomes law.
CORRECT STATUTORY REFERENCE
SECTION 9.3.(a) G.S. 90‑85.15B(a), as amended by Section 3(a) of S.L. 2023‑15, reads as rewritten:
"§ 90‑85.15B. Immunizing pharmacists.
(a) Except as provided in
subsections (b), (a1), (b1), and (c) of this section, an
immunizing pharmacist may only administer vaccinations or immunizations to
persons at least 18 years of age pursuant to a specific prescription
order."
SECTION 9.3.(b) This section is effective when it becomes law.
PART X. ALLOW OPIOID TREATMENT PROGRAM MEDICATION UNITS AND MOBILE UNITS
SECTION 10.1. G.S. 122C‑3 reads as rewritten:
"§ 122C‑3. Definitions.
The following definitions apply in this Chapter:
(14) Facility. Any person at
one location location, or in the case of an opioid treatment program facility
licensed to operate an opioid treatment program medication unit, an opioid
treatment program mobile unit, or both, any person at one or more locations, whose
primary purpose is to provide services for the care, treatment, habilitation,
or rehabilitation of individuals with mental illnesses or intellectual or other
developmental disabilities or substance abusers, and includes all of the
following:
i. An opioid treatment program facility licensed to operate an opioid treatment program medication unit, an opioid treatment program mobile unit, or both.
(23b) Mobile unit. A motor vehicle that operates with more than three wheels in contact with the ground that may lawfully be used on the public streets, roads, or highways and from which opioid treatment program mobile unit services are provided at one or more locations.
(25a) Opioid treatment program. A facility with a current and valid registration under 21 U.S.C. § 823(g)(1) that meets all of the following criteria:
a. Is engaged in dispensing and administering treatment medication approved by the Food and Drug Administration for the treatment of individuals with opioid use disorders.
b. Has been licensed as an opioid treatment program facility by the Division of Health Service Regulation.
(25b) Opioid treatment program medication unit. A unit established as part of an opioid treatment program facility that meets all of the following criteria:
a. Operates at a geographically separate location from the opioid treatment program facility.
b. Is a site at which treatment medication approved by the Food and Drug Administration for the treatment of opioid use disorder is dispensed or administered and samples are collected for drug testing or analysis.
c. Is a site where intake or initial psychosocial and appropriate medical assessments may be conducted with a full physical examination to be completed or provided within 14 days of admission and the site provides appropriate privacy and adequate space for quality patient care, where treatment with medication approved by the Food and Drug Administration may be initiated after an appropriate medical assessment has been performed, and where other opioid treatment program services, such as counseling, may be provided directly, or when permissible, through the use of telehealth services and the site provides appropriate privacy and adequate space for quality patient care.
(25c) Opioid treatment program mobile unit. A mobile unit established as a mobile component of an opioid treatment program facility that meets all of the following criteria:
a. Operates at one or more geographically separate, predetermined locations from the opioid treatment program facility.
b. Is a site at which treatment medication approved by the Food and Drug Administration for treatment of opioid use disorder is dispensed or administered and samples are collected for drug testing or analysis.
c. Is a site where intake or initial psychosocial and appropriate medical assessments may be conducted with a full physical examination to be completed or provided within 14 days of admission and the site provides appropriate privacy and adequate space for quality patient care, where treatment with medication approved by the Food and Drug Administration may be initiated after an appropriate medical assessment has been performed, and where other opioid treatment program services, such as counseling, may be provided directly or, when permissible, through the use of telehealth services and the site provides appropriate privacy and adequate space for quality patient care.
."
SECTION 10.2. Article 2 of Chapter 122C of the General Statutes is amended by adding a new section to read:
"§ 122C‑35. Licensure of opioid treatment program medication units and opioid treatment program mobile units.
(a) Any licensed opioid treatment program facility that intends to establish, maintain, or operate an opioid treatment program medication unit or opioid treatment program mobile unit shall apply to the Division of Health Service Regulation on forms prescribed by the Department for certified services provided from an opioid treatment program medication unit or opioid treatment program mobile unit to be added to its license. The Commission shall adopt rules establishing the requirements for obtaining such licensure, which shall include a requirement that each opioid treatment program medication unit and each opioid treatment program mobile unit seeking to operate in this State must demonstrate satisfactory proof to the Secretary that it has (i) obtained approval from the State Opioid Treatment Authority and (ii) registered with the Department's Drug Control Unit and the federal Drug Enforcement Agency.
(b) An opioid treatment program facility shall not submit a license application to the Division of Health Service Regulation to provide certified services at an opioid treatment program facility medication unit or opioid treatment program mobile unit prior to receiving approval from the State Opioid Treatment Authority or prior to receiving confirmation of registration with the Department's Drug Control Unit and the federal Drug Enforcement Agency.
(c) The Department may issue a license to an opioid treatment program facility to provide certified services at an opioid treatment program medication unit or an opioid treatment program mobile unit if the Secretary finds that the program is in compliance with all rules adopted by the Commission regarding opioid treatment programs. The Secretary may approve or deny an application for a license to provide certified services based upon consideration of all of the following criteria:
(1) The applicant's capacity, qualifications, and experience with regard to providing treatment and operating an opioid treatment program medication unit in compliance with applicable federal and State laws, regulations, and accepted clinical standards of practice.
(2) Any history of adverse regulatory actions involving the applicant in North Carolina or another state.
(3) Any history of suspension or revocation of, or other adverse regulatory action against, any professional licenses or narcotic licenses of persons proposed to be employed in the opioid treatment program medication unit or opioid treatment program mobile unit, in North Carolina or in another state, or any adverse regulatory action against the license of the opioid treatment program facility within the 12‑month period preceding the application for licensure.
(4) Any additional criteria or standards established in rules adopted by the Commission regarding opioid treatment programs.
(d) An opioid treatment program facility shall not establish, maintain, or operate an opioid treatment program medication unit or opioid treatment program mobile unit without a current license from the Secretary that includes and covers that specific medication unit or mobile unit and without first obtaining certification from the Substance Abuse and Mental Health Services Administration.
(e) An opioid treatment program mobile unit or opioid treatment program medication unit added to an opioid treatment program facility license shall be deemed part of the opioid treatment program facility license and may be subject to inspections the Department deems necessary to validate compliance with the requirements set forth in this section, applicable rules adopted by the Commission, and all applicable federal laws and regulations, including, without limitation, Substance Abuse and Mental Health Services Administration regulations in Parts 8 and 21 of Title 42 of the Code of Federal Regulations governing opioid treatment programs, and federal Drug Enforcement Agency regulations in Parts 1300, 1301, and 1304 of Title 21 of the Code of Federal Regulations, including 21 C.F.R. § 1301.13(e), governing controlled substances, dispensers of controlled substances, mobile narcotic treatment programs, and federal Drug Enforcement Agency restraints. Substantial failure to comply with the requirements of this section, applicable rules adopted by the Commission, and applicable federal laws and regulations may result in an adverse action on a license under G.S. 122C‑24 and administrative penalties under G.S. 122C‑24.1. Any required services not provided in an opioid treatment program mobile unit or opioid treatment program medication unit must be conducted at the opioid treatment program facility, including medical, counseling, vocational, educational, and other assessment and treatment services.
(f) Each license issued under this section to an opioid treatment program facility to provide certified services at an opioid treatment program mobile unit or an opioid treatment program medication unit shall expire on December 31 of the year for which it was issued and shall be renewed annually by filing with the Division of Health Service Regulation on or after December 1 an application for license renewal on forms prescribed by the Department, accompanied by the required fee. License renewal shall be contingent upon (i) the applicant providing all information required by the Secretary for renewal and (ii) continued compliance with this Article and any applicable rules adopted by the Commission regarding opioid treatment programs. The Department shall charge an opioid treatment program facility a nonrefundable annual license fee plus a nonrefundable annual per‑unit fee of two hundred sixty‑five dollars ($265.00) for each opioid treatment program medication unit or opioid treatment program mobile unit.
(g) The opioid treatment program facility is responsible for ensuring that opioid treatment program medication units and opioid treatment program mobile medication units adhere to all State and federal requirements for opioid treatment programs.
(h) Notwithstanding G.S. 122C‑25(a), an opioid treatment program facility with no previous violations of State or federal requirements for opioid treatment programs may be subject to inspection once every other year, excluding any complaint investigation. An opioid treatment program facility with either an opioid treatment program medication unit or an opioid treatment program mobile unit may be subject to annual inspections.
(i) The Commission shall adopt emergency, temporary, or permanent rules for the licensure, inspection, and operation of opioid treatment program medication units and opioid treatment program mobile units, including rules concerning any of the following:
(1) Compliance with all applicable Substance Abuse and Mental Health Services Administration and federal Drug Enforcement Agency regulations governing opioid treatment program mobile units and opioid treatment program medication units.
(2) Identification of the location of opioid treatment program medication units and opioid treatment program mobile units.
(3) Schedules for the days and hours of operation to meet client needs.
(4) Maintenance and location of records.
(5) Requisite clinical staff and staffing ratios to meet immediate client needs at each opioid treatment program medication unit or opioid treatment program mobile unit, including client needs for nursing, counseling, and medical care.
(6) Emergency staffing requirements to ensure service delivery.
(7) Criteria for policies and procedures for a clinical and individualized assessment of individuals to receive services at an opioid treatment medication unit or opioid treatment mobile unit that consider medical and clinical appropriateness and accessibility to individuals served.
(8) Number of clients allowed per opioid treatment program medication unit and opioid treatment program mobile unit, based on staffing ratios.
(9) Criteria to ensure the opioid treatment program facility is providing the required counseling to individuals receiving services at an opioid treatment program medication unit or opioid treatment program mobile unit.
(10) Criteria for the opioid treatment program facility to ensure that individuals receiving services at an opioid treatment program medication unit or opioid treatment program mobile unit receive medical interventions when necessary."
SECTION 10.3. The Commission for Mental Health, Developmental Disabilities, and Substance Use Services shall adopt, pursuant to G.S. 150B‑21.1A, emergency rules for the implementation of G.S. 122C‑35, enacted by Section 10.2 of this act, without prior notice or hearing or upon any abbreviated notice or hearing that the agency finds practical because adherence to the notice and hearing requirements would be contrary to the public interest and that the immediate adoption of the rule is required by a serious and unforeseen threat to the public health or safety. The Commission for Mental Health, Developmental Disabilities, and Substance Use Services is further authorized to adopt temporary or permanent rules as described in G.S. 122C‑35(i), enacted by Section 10.2 of this act.
SECTION 10.4. Section 10.3 of this act is effective when it becomes law. Section 10.1 and Section 10.2 of this act become effective on the effective date of the emergency rules adopted by the Commission for Mental Health, Developmental Disabilities, and Substance Use Services in accordance with Section 10.3 of this act. The Secretary of the Department of Health and Human Services shall notify the Revisor of Statutes of the effective date of the emergency rules adopted by the Commission for Mental Health, Developmental Disabilities, and Substance Use Services.
PART XI. ADD GABAPENTIN TO CONTROLLED SUBSTANCE REPORTING SYSTEM
SECTION 11.1. G.S. 90‑113.73(b) reads as rewritten:
"(b) The Commission shall adopt rules requiring dispensers to report the following information. The Commission may modify these requirements as necessary to carry out the purposes of this Article. The dispenser shall report:
(1) The dispenser's DEA number.number
for prescriptions of controlled substances, and for prescriptions of
gabapentin, whether the dispenser has a DEA number.
(2) The name of the patient for whom the controlled substance is being dispensed, and the patient's:
a. Full address, including city, state, and zip code.
b. Telephone number.
c. Date of birth.
(3) The date the prescription was written.
(4) The date the prescription was filled.
(5) The prescription number.
(6) Whether the prescription is new or a refill.
(7) Metric The
metric quantity of the dispensed drug.
(8) Estimated The
estimated days of supply of dispensed drug, if provided to the dispenser.
(9) The National Drug Code of dispensed drug.
(10) Prescriber's DEA number.The
prescriber's DEA number for prescriptions of controlled substances, and for
prescriptions of gabapentin, if the prescriber has a DEA number and the number
is known by the dispenser.
(10a) Prescriber's The
presciber's national provider identification number, for any prescriber
that has a national provider identification number. A pharmacy shall not be
subject to a civil penalty under subsection (e) of this section for failure to
report the prescriber's national provider identification number when it is not
received by the pharmacy.
(11) Method The method
of payment for the prescription."
SECTION 11.2. G.S. 90‑113.73(c) reads as rewritten:
"(c) A dispenser shall
not be required to report instances in which a controlled substance substance,
or gabapentin, is provided directly to the ultimate user and the quantity
provided does not exceed a 48‑hour supply."
SECTION 11.2A. G.S. 90‑113.73 is amended by adding a new subsection to read:
"(c1) A dispenser shall not be required to report gabapentin to the controlled substances reporting system when gabapentin is a component of a compounded prescription that is dispensed in dosages of 100 milligrams or less."
SECTION 11.3. G.S. 90‑113.73(f) reads as rewritten:
"(f) For purposes of
this section, a "dispenser" includes a person licensed to practice
veterinary medicine pursuant to Article 11 of Chapter 90 of the General
Statutes when that person dispenses any Schedule II through V controlled substances.
substance or gabapentin. Notwithstanding subsection (b) of this
section, the Commission shall adopt rules requiring the information to be
reported by a person licensed to practice veterinary medicine pursuant to
Article 11 of Chapter 90 of the General Statutes."
SECTION 11.4. Section 11.1, Section 11.2, and Section 11.2A of this act become effective March 1, 2024. Section 11.3 of this act becomes effective March 1, 2025.
PART XII. REQUIRE ELECTRONIC PRESCRIBING OF CODEINE COUGH SYRUP
SECTION 12.1. G.S. 90‑106 reads as rewritten:
"§ 90‑106. Prescriptions and labeling.
(a1) Electronic Prescription
Required; Exceptions. Unless otherwise exempted by this subsection, a
practitioner shall electronically prescribe all targeted controlled substances.
substances and all controlled substances included in G.S. 90‑93(a)(1)a.
This subsection does not apply to any product that is sold at
retail without a prescription by a pharmacist under G.S. 90‑93(b)
through (d). This subsection does not apply to prescriptions for targeted
controlled substances or any controlled substances included in G.S. 90‑93(a)(1)a. issued by any of the following:
(1) A practitioner, other than a pharmacist, who dispenses directly to an ultimate user.
(2) A practitioner who orders a controlled substance to be administered in a hospital, nursing home, hospice facility, outpatient dialysis facility, or residential care facility, as defined in G.S. 14‑32.2(i).
(3) A practitioner who experiences temporary technological or electrical failure or other extenuating circumstance that prevents the prescription from being transmitted electronically. The practitioner, however, shall document the reason for this exception in the patient's medical record.
(4) A practitioner who writes a prescription to be dispensed by a pharmacy located on federal property. The practitioner, however, shall document the reason for this exception in the patient's medical record.
(5) A person licensed to practice veterinary medicine pursuant to Article 11 of this Chapter. A person licensed to practice veterinary medicine pursuant to Article 11 of this Chapter may continue to prescribe targeted controlled substances from valid written, oral, or facsimile prescriptions that are otherwise consistent with applicable laws.
(a2) Verification by Dispenser
Not Required. A dispenser is not required to verify that a practitioner properly
falls under one of the exceptions specified in subsection (a1) of this section
prior to dispensing a targeted controlled substance. substance or a
controlled substance included in G.S. 90‑93(a)(1)a. A dispenser
may continue to dispense targeted controlled substances and controlled
substances included in G.S. 90‑93(a)(1)a. from valid written,
oral, or facsimile prescriptions that are otherwise consistent with applicable
laws.
."
SECTION 12.2. This section becomes effective January 1, 2024.
PART XIII. OVER‑THE‑COUNTER OPIOID ANTAGONIST TREATMENT
SECTION 13.1. G.S. 90‑12.7 reads as rewritten:
"§ 90‑12.7. Treatment of overdose with opioid antagonist; immunity.
(a) As used in this section, "opioid antagonist" means naloxone hydrochloride that is approved by the federal Food and Drug Administration for the treatment of a drug overdose.
(b) The following individuals may prescribe an opioid antagonist in the manner prescribed by this subsection:
(1) A practitioner acting in good faith and exercising reasonable care may directly or by standing order prescribe an opioid antagonist to (i) a person at risk of experiencing an opiate‑related overdose or (ii) a family member, friend, or other person in a position to assist a person at risk of experiencing an opiate‑related overdose. As an indicator of good faith, the practitioner, prior to prescribing an opioid under this subsection, may require receipt of a written communication that provides a factual basis for a reasonable conclusion as to either of the following:
a. The person seeking the opioid antagonist is at risk of experiencing an opiate‑related overdose.
b. The person other than the person who is at risk of experiencing an opiate‑related overdose, and who is seeking the opioid antagonist, is in relation to the person at risk of experiencing an opiate‑related overdose:
1. A family member, friend, or other person.
2. In the position to assist a person at risk of experiencing an opiate‑related overdose.
(2) The State Health Director or a designee may prescribe an opioid antagonist pursuant to subdivision (1) of this subsection by means of a statewide standing order.
(3) A practitioner acting in good faith and exercising reasonable care may directly or by standing order prescribe an opioid antagonist to any governmental or nongovernmental organization, including a local health department, a law enforcement agency, or an organization that promotes scientifically proven ways of mitigating health risks associated with substance use disorders and other high‑risk behaviors, for the purpose of distributing, through its agents, the opioid antagonist to (i) a person at risk of experiencing an opiate‑related overdose or (ii) a family member, friend, or other person in a position to assist a person at risk of experiencing an opiate‑related overdose.
(c) A pharmacist may dispense an opioid antagonist to a person or organization pursuant to a prescription issued in accordance with subsection (b) of this section. For purposes of this section, the term "pharmacist" is as defined in G.S. 90‑85.3.
(c1) A governmental or nongovernmental organization, including a local health department, a law enforcement agency, or an organization that promotes scientifically proven ways of mitigating health risks associated with substance use disorders and other high‑risk behaviors may, through its agents, distribute an opioid antagonist obtained pursuant to a prescription issued in accordance with subdivision (3) of subsection (b) of this section or obtained over‑the‑counter to (i) a person at risk of experiencing an opiate‑related overdose or (ii) a family member, friend, or other person in a position to assist a person at risk of experiencing an opiate‑related overdose. An organization, through its agents, shall include with any distribution of an opioid antagonist pursuant to this subsection basic instruction and information on how to administer the opioid antagonist.
(d) A person who receives an opioid antagonist that was prescribed pursuant to subsection (b) of this section or distributed pursuant to subsection (c1) of this section or obtained over‑the‑counter may administer an opioid antagonist to another person if (i) the person has a good faith belief that the other person is experiencing a drug‑related overdose and (ii) the person exercises reasonable care in administering the drug to the other person. Evidence of the use of reasonable care in administering the drug shall include the receipt of basic instruction and information on how to administer the opioid antagonist.
(e) All of the following individuals are immune from any civil or criminal liability for actions authorized by this section:
(1) Any practitioner who prescribes an opioid antagonist pursuant to subsection (b) of this section.
(2) Any pharmacist who dispenses an opioid antagonist pursuant to subsection (c) of this section.
(3) Any person who administers an opioid antagonist pursuant to subsection (d) of this section.
(4) The State Health Director acting pursuant to subsection (b) of this section.
(5) Any organization, or agent of the organization, that distributes an opioid antagonist pursuant to subsection (c1) of this section."
SECTION 13.2. This section is effective when it becomes law.
PART XIII-A. Parental leave technical corrections
SECTION 13A.1.(a) G.S. 126‑8.6, as enacted by S.L. 2023‑14, reads as rewritten:
"§ 126‑8.6. Paid parental leave.
(b) Paid Parental Leave. The State Human Resources Commission shall adopt rules and policies to provide that a permanent, probationary, or time‑limited full‑time State employee may take the following paid parental leave:
(1) Up to eight weeks of paid leave after giving birth to a child; or
(2) Up to four weeks of paid leave after any other qualifying event.
(c) Part‑Time
Employees. The State Human Resources Commission shall adopt rules and
policies to provide that a permanent, probationary, or time‑limited part‑time
State employee may take a prorated amount of paid leave after giving birth, not
to exceed four eight weeks, or paid leave after any other
qualifying event, not to exceed two four weeks, in addition to
any other leave available to the employee.
(c1) The State Human Resources Commission shall adopt rules and policies providing for a period of minimum service before an employee becomes eligible for parental leave, the maximum number of uses of paid parental leave within a 12‑month period, and how much leave is to be provided in the event of miscarriage or the death of a child during birth.
."
SECTION 13A.1.(b) G.S. 126‑5(c19), as enacted by S.L. 2023‑14, reads as rewritten:
"(c19) The provisions of
G.S. 126‑8.6 shall apply to all exempt and nonexempt State employees
in the executive branch; to public school employees; and to community college
employees. Notwithstanding any other provision of this Chapter, G.S. 126‑8.6
applies to all State employees, public school employees, and community college
employees. G.S. 126‑8.6 does not apply to employees described in
subdivisions (2) and (3) of subsection (c1) of G.S. 126‑5. The
legislative and judicial branches shall adopt parental leave policies."
SECTION 13A.1.(c) G.S. 115C‑336.1, as amended by S.L. 2023‑14, reads as rewritten:
"§ 115C‑336.1. Parental leave.
(a) In addition to paid parental leave authorized by G.S. 126‑8.6, a school employee may use annual leave or leave without pay to care for a newborn child or for a child placed with the employee for adoption or foster care. A school employee may also use up to 30 days of sick leave to care for a child placed with the employee for adoption. The leave may be for consecutive workdays during the first 12 months after the date of birth or placement of the child, unless the school employee and the local board of education agree otherwise.
(b) To the extent funds are made available for this purpose, the Department of Public Instruction shall administer funds to public school units for the payment of substitute teachers for any public school unit teacher using paid parental leave as provided in G.S. 126‑8.6."
SECTION 13A.1.(d) G.S. 115C‑218.90(a) is amended by adding a new subdivision to read:
"(6) A board of directors may provide paid parental leave consistent with the requirements of G.S. 126-8.6. If the board provides paid parental leave, it shall be eligible to receive funds as provided in G.S. 115C-336.1(b)."
SECTION 13A.1.(e) G.S. 115C‑238.68 is amended by adding a new subdivision to read:
"(8) Paid parental leave. Teachers employed by the board of directors shall be eligible for paid parental leave as provided in G.S. 126‑8.6. The board of directors shall be eligible to receive funds as provided in G.S. 115C‑336.1(b)."
SECTION 13A.1.(f) G.S. 116‑239.10 is amended by adding a new subdivision to read:
"(9) Paid parental leave. Teachers employed by the board of the constituent institution shall be eligible for paid parental leave as provided in G.S. 126‑8.6. The constituent institution shall be eligible to receive funds as provided in G.S. 115C‑336.1(b)."
SECTION 13A.1.(g) Section 5.1(e) of S.L. 2023‑14 reads as rewritten:
"SECTION 5.1.(e) There is appropriated from the
General Fund to the Department of Public Instruction the sum of ten million
dollars ($10,000,000) in recurring funds for the 2023‑2024 fiscal year
and the sum of ten million dollars ($10,000,000) in recurring funds for the
2024‑2025 fiscal year to fund paid parental leave authorized by this section.provide
substitute teachers in accordance with G.S. 115C‑336.1(b)."
SECTION 13A.1.(h) This section becomes effective July 1, 2023, and applies to requests for paid parental leave related to births occurring on or after that date.
Part XIII-b. In-Person consultation
SECTION 13B.1.(a) G.S. 90‑21.83A, as enacted by S.L. 2023‑14, reads as rewritten:
"§ 90‑21.83A. Informed consent to medical abortion.
(b) Except in the case of a medical emergency, consent to a medical abortion is voluntary and informed only if all of the following conditions are satisfied:
(2) The consent form shall include, at a minimum, all of the following:
k. The location of the hospital that offers obstetrical or gynecological care located within 30 miles of the location where the medical abortion is performed or induced and at which the physician performing or inducing the medical abortion has clinical privileges. If the physician who will perform the medical abortion has no local hospital admitting privileges, that information shall be communicated.
If the
physician or qualified professional does not know the information required in
sub‑subdivision a., j., or k. of this subdivision, the woman shall be
advised that this information will be directly available from the physician who
is to perform the medical abortion. However, the fact that the physician or
qualified professional does not know the information required in sub‑subdivision
a., j., or k. shall not restart the 72‑hour period. The information
required by this subdivision shall be provided in English and in each language
that is the primary language of at least two percent (2%) of the State's
population. The information shall be provided orally in person, by the
physician or qualified professional, in which case the required information may
be based on facts supplied by the woman to the physician and whatever other
relevant information is reasonably available. The information required by this
subdivision shall not be provided by a tape recording but shall be provided
during a consultation in which the physician is able to ask questions of the
patient and the patient is able to ask questions of the physician. an in‑person
consultation conducted by a qualified professional or a qualified physician. A
physician must be available to ask and answer questions within the statutory
time frame upon request of the patient or the qualified professional. If,
in the medical judgment of the physician, a physical examination, tests, or the
availability of other information to the physician subsequently indicates a
revision of the information previously supplied to the patient, then that
revised information may be communicated to the patient at any time before the
performance of the medical abortion. Nothing in this section may be construed
to preclude provision of required information in a language understood by the
patient through a translator.
."
SECTION 13B.1.(b) This section becomes effective July 1, 2023.
Part XIV. Technical and Conforming CHanges to S.L. 2023‑14
SECTION 14.1.(a) G.S. 14‑23.7 reads as rewritten:
"§ 14‑23.7. Exceptions.
Nothing in this Article shall be construed to permit the prosecution under this Article of any of the following:
(1) Acts which cause the death of an unborn child if
those acts were lawful, pursuant to the provisions of G.S. 14‑45.1.Article
1I of Chapter 90 of the General Statutes.
(2) Acts which are committed pursuant to usual and customary standards of medical practice during diagnostic testing or therapeutic treatment.
(3) Acts committed by a pregnant woman with respect to her own unborn child, including, but not limited to, acts which result in miscarriage or stillbirth by the woman. The following definitions shall apply in this section:
a. Miscarriage. The interruption of the normal
development of an unborn child, other than by a live birth, and which is not an
induced abortion permitted under G.S. 14‑45.1, Article 1I of
Chapter 90 of the General Statutes, resulting in the complete expulsion or
extraction from a pregnant woman of the unborn child.
b. Stillbirth. The death of an unborn child prior to
the complete expulsion or extraction from a woman, irrespective of the duration
of pregnancy and which is not an induced abortion permitted under G.S. 14‑45.1.Article
1I of Chapter 90 of the General Statutes."
SECTION 14.1.(b) G.S. 90‑21.81A, as enacted by S.L. 2023‑14, reads as rewritten:
"§ 90‑21.81A. Abortion.
(a) Abortion. It shall be
unlawful after the twelfth week of a woman's pregnancy to advise, procure,
or cause procure or cause a miscarriage or abortion.abortion
in the State of North Carolina.
."
SECTION 14.1.(c) G.S. 90‑21.81B, as enacted by S.L. 2023‑14, reads as rewritten:
"§ 90‑21.81B. When abortion is lawful.
Notwithstanding any of the
provisions of G.S. 14‑44 and G.S. 14‑45, and subject to
the provisions of this Article, it shall not be unlawful to advise, procure,
or cause procure or cause a miscarriage or an abortion in the
State of North Carolina in the following circumstances:
. "
SECTION 14.1.(d) G.S. 90‑21.82(b), as amended by S.L. 2023‑14, reads as rewritten:
"(b) Except in the case of a medical emergency, consent to a surgical abortion is voluntary and informed only if all of the following conditions are satisfied:
(1a) The consent form shall include, at a minimum, all of the following:
a. The name of the physician
who will perform the surgical abortion to ensure the safety of the procedure
and prompt medical attention to any complications that may arise. arise,
specific information for the physician's hospital admitting privileges, and
whether the physician accepts the pregnant woman's insurance. The physician
performing a surgical abortion shall be physically present during the
performance of the entire abortion procedure.
. "
SECTION 14.1.(e) G.S. 90‑21.83A(b), as enacted by S.L. 2023‑14, reads as rewritten:
"(b) Except in the case of a medical emergency, consent to a medical abortion is voluntary and informed only if all of the following conditions are satisfied:
(2) The consent form shall include, at a minimum, all of the following:
a. The name of the physician
who will prescribe, dispense, or otherwise provide the abortion‑inducing
drugs to ensure the safety of the procedure and prompt medical attention to any
complications that may arise. arise, specific information for the
physician's hospital admitting privileges, and whether the physician accepts the
pregnant woman's insurance. The physician prescribing, dispensing, or
otherwise providing any drug or chemical for the purpose of inducing an
abortion shall be physically present in the same room as the woman when the
first drug or chemical is administered to the woman.
. "
SECTION 14.1.(f) G.S. 90‑21.83B, as enacted by S.L. 2023‑14, reads as rewritten:
"§ 90‑21.83B. Distribution of abortion‑inducing drugs and duties of physician.
(a) A physician prescribing, administering, or dispensing an abortion‑inducing drug must examine the woman in person and, prior to providing an abortion‑inducing drug, shall do all of the following:
(6) Verify that the
probable gestational age of the unborn child is no more than 70 days.child.
(7) Document in the woman's
medical chart the probable gestation gestational age and existence
of an intrauterine location of the pregnancy, and whether the woman
received treatment for an Rh negative condition or any other diagnostic tests.
."
SECTION 14.1.(g) G.S. 90‑21.83C, as enacted by S.L. 2023‑14, is repealed.
SECTION 14.1.(h) G.S. 90‑21.85(a) reads as rewritten:
"(a) Notwithstanding G.S. 14‑45.1, G.S. 90‑21.81B,
except in the case of a medical emergency, in order for the woman to make
an informed decision, at least four hours before a woman having any part of an
abortion performed or induced, and before the administration of any anesthesia
or medication in preparation for the abortion on the woman, the physician who
is to perform the abortion, or qualified technician working in conjunction with
the physician, shall do each of the following:
."
SECTION 14.1.(i) G.S. 131E‑269 reads as rewritten:
"§ 131E‑269. Authorization to charge fee for certification of facilities suitable to perform abortions.
The Department of Health and Human Services shall charge each
hospital or clinic certified by the Department as a facility suitable for the
performance of abortions, as authorized under G.S. 14‑45.1, G.S. 90‑21.81C,
a nonrefundable annual certification fee in the amount of seven hundred
dollars ($700.00)."
SECTION 14.1.(j) G.S. 90‑21.93, as enacted by S.L. 2023‑14, reads as rewritten:
"§ 90‑21.93. Reporting requirements.
(a) Report. After a
surgical or medical abortion is performed, the physician or health care
provider that conducted the surgical or medical abortion shall complete and
transmit a report to the Department in compliance with the requirements of this
section. The report shall be completed by either the hospital, clinic, or
health care provider in which the surgical or medical abortion was completed
and signed by the physician who dispensed, administered, prescribed, or
otherwise provided the abortion‑inducing drug or performed the procedure
or treatment to the woman. Any physician or health care provider shall make
reasonable efforts to include all of the required information in this section
in the report without violating the privacy of the woman. The report shall be
transmitted to the Department within 15 days after either the (i) date of the
follow‑up appointment following a medical abortion, (ii) date of the last
patient encounter for treatment directly related to a surgical abortion, or
(iii) end of the month in which the last scheduled appointment occurred,
whichever is later. A report completed under this section for a minor shall be
sent to the Department and the Division of Social Services within three 30
days of the surgical or medical abortion.
."
SECTION 14.1.(k) This section becomes effective July 1, 2023.
PART XV. EFFECTIVE DATE
SECTION 15.1. Except as otherwise provided, this act is effective when it becomes law.
In the General Assembly read three times and ratified this the 27th day of June, 2023.
s/ Phil Berger
President Pro Tempore of the Senate
s/ Sarah Stevens
Presiding Officer of the House of Representatives
s/ Roy Cooper
Governor
Approved 2:51 p.m. this 29th day of June, 2023