Directs the Department of Health and Human Services (DHHS) to implement the continued Medicaid eligibility of pregnant women for 12 months postpartum to begin on April 1, 2022, as allowed under the specified section of the federal American Rescue Plan Act of 2021. 

Revises the Medicaid eligibility category for pregnant women set forth in GS 108A-54.3A(10), which specifies that coverage for pregnant women eligible under the subdivision only includes services related to pregnancy and to other conditions determined by DHHS as conditions that may complicate pregnancy. Adds that the limitation on services does not apply as long as the Centers for Medicare and Medicaid Services (CMS) allows coverage of pregnant women for 12 months postpartum. Effective April 1, 2022. 

Appropriates $12,344,000 in recurring funds for 2021-22 and $50,816,000 in recurring funds for 2022-23 from the General Fund to DHHS, Division of Health Benefits (DHB) to implement the act and provide a State match for $25,813,000 in recurring federal funds for 2021-22 and $106,264,000 in recurring funds for 2022-23. Appropriates the described federal funds to DHB to implement the act. Effective July 1, 2021.

States legislative intent for provide individuals eligible for Medicaid under GS 108A-54.3(10) with a waiver of tuition and registration fees for community college courses under a future program.