Sets out legislative findings. Defines military sexual trauma as sexual assault or repeated threatening sexual harassment during military service and reserve components per specified federal regulation.

Establishes the 14-member North Carolina Military Sexual Trauma Study Commission (Commission) and sets out Commission duties and membership requirements. Requires the Commission to submit a final report and any legislative recommendations to the General Assembly by April 1, 2027. Provides that the Commission terminates upon submission of final report.

Directs the Department of Military and Veterans Affairs (DMVA) to partner with the Department of Health and Human Services (DHHS) to develop and implement the two-year Military Sexual Trauma Support Pilot Program (Pilot Program). Requires the Pilot Program to consist of nine enumerated initiatives and apply to active duty service members in North Carolina, reserve component members, veterans, and military spouses and dependents. Directs DMVA to develop a volunteer peer support network as part of the Pilot Program and to designate a Military Sexual Trauma Coordinator to oversee the Pilot Program. Provides that DMVA will be the central coordinating entity for military sexual assault data and will publish annual reports of its findings on the DMVA website. Requires DMVA, in coordination with DHHS, to submit an interim report on the Pilot Program to the General Assembly by March 1, 2027, and a final report by March 1, 2028. Sets out information to be included in the final report. Provides that the Pilot Program will terminate on June 30, 2028, unless unanimously extended by DMVA and DHHS.

Directs the North Carolina National Guard to establish confidential reporting channels for military sexual trauma. Provides that the reports will be anonymized and reported annually to DMVA.

Appropriates $1 million in recurring funds for 2026-27 from the General Fund to DMVA and $2 million in recurring funds for 2026-27 from the General Fund to DHHS to implement the Commission and the Pilot Program.

Effective July 1, 2026.