Amends GS 7B-507 to require that an order placing or continuing placement of a juvenile in the custody or placement responsibility of a county department of social services contain, among other items, specific findings as to whether a county department of social services has either made reasonable efforts to prevent the need for placement or eliminated the need for placement of the juvenile, unless the court as previously determined under (b) of the statute that such efforts are not required or shall cease. Further amends the statute to provide that in any order placing a juvenile in custody or the placement responsibility of a county department of social services, the court may direct that reasonable efforts to eliminate the need for placement of the juvenile are not required or will cease if the court finds (among other things) that the parent has committed sexual abuse against the child or another child of the parent, or has been required to register as a sex offender on any government-administered registry.

Amends GS 7B-909 to require the review of the department's or agency's plan for placement be held within six months of accepting a relinquishment of a juvenile for adoption under Part 7 of Article 3 of GS Chapter 48, unless the juvenile has become the subject of an adoption decree. Makes conforming changes.

Amends GS 130A-22(b3) to cap the penalties at $5,000 (was, $1,000) for each day the violation continues for Article 19A (lead-based paint hazard management program) and at $5,000 (was, $750) for each day the violation continues for Article 19B (certification and accreditation of lead based paint renovation activities).

Amends GS 130A-101 to require a birth certificate to be filed with the local registrar of the county where the birth occurs within five (was, 10) days of the birth.

Amends GS 130A-209 to require that all health care facilities and provides that detect, diagnose, or treat cancer or benign brain or central nervous system tumors submit electronically, by October 1, 1014, a report to the central cancer registry of each diagnosis. Requires the electronic transmission be in a format prescribed by the US Department of Health and Human Services, Centers for Disease Control and Prevention, National Program of Cancer Registries.

Effective October 1, 2013.