Amends Section 9H.11 of SL 2023-134, allocating funds to the Carolina Pregnancy Care Fellowship (CPCF) for pregnancy care centers (PCC’s), as follows. Requires that the CPCF award funds by a competitive grant process (currently just an application process) and sets forth four required elements as part of required plan to administer the CPCF’s competitive grant process. Provides for announcement of award recipients starting on July 1, 2025, and continuing each July 1 of each year. Requires the CPCF to submit a report to the Department of Health and Human Services (DHHS) and the specified NCGA Committee on the grant awards that contains five listed components. Increases the percentage of CPCF funds that may be used for administrative costs from 10% to 15% for the 2024-2025 fiscal year and subsequent fiscal years. Requires annual reports to DHHS and the specified NCGA committee (currently biennial reports submitted by July 1 of each odd-numbered year) describing monitoring activities to ensure compliance, detailing technical compliance provided, and a breakdown of the funds expended by CPCF for administrative purposes (currently, only requires information pertaining to identity of CPCF grantees, and number of persons served). Provides for annual reports to DHHS and the specified NCGA Committees by award recipients starting on July 1, 2025, and continuing each July 1 of each year on its use of grant funds, with seven required components. 

Adds new GS 131E-269.5, concerning performance standards and recovery of State funds for crisis pregnancy centers, as follows. Defines crisis pregnancy center. Requires DHHS to adopt rules establishing performance standards for crisis pregnancy centers, including monitoring mechanisms and reporting requirements. Requires crisis pregnancy centers to annually report six required pieces of information to DHHS pertaining to the proceeding five-year period.  Requires DHHS to take administrative action to recover any amount of grant funds or State appropriations disbursed to a crisis pregnancy center for any fiscal year in which the DHHS determines that the crisis pregnancy center is out of compliance with the performance standards adopted by DHHS. Provides a crisis pregnancy a right of appeal under the hearings provision of the APA. 

Effective July 1, 2024.