Enacts new GS 108A-26.1 as the title indicates. Requires the substance abuse screening to be administered by the county department of social services in the county in which the applicant resides, or by the entity designated by the board of county commissioners in the case of residents of electing counties. Requires an applicant who fails the screening to undergo substance abuse treatment. Requires the Social Services Commission to adopt rules establishing requirements and policies for (1) substance abuse screening of applicants, (2) substance abuse treatment, (3) subsequent screening of recipients after becoming eligible for public assistance, and (4) any other relevant requirements or policies.