House committee substitute to the 2nd edition adds the following content.

Amends GS 90-178.2, as amended by SL 2023-14, containing the definitions of terms applicable to Article 10A, Practice of Midwifery, of GS Chapter 90 as follows. Amends the definition of interconceptional to clarify that it includes perimenopause care. Amends the definition of prenatal care to define it as care focused on the promotion of a healthy (was, normal) pregnancy using management strategies and therapeutics as indicated, including the specified activities. Effective October 1, 2023.

Amends GS 90-178.4(a3), as enacted in SL 2023-14, by specifying that the entity responsible for adopting rules governing the safety of home births attended by a Certified Nurse Midwife is the joint subcommittee of the North Carolina Medical Board and the Board of Nursing, including the four additional members required by the act. Also amends the statute by adding that the joint subcommittee has the authority to adopt, amend, and repeal rules necessary to administer Article 10A. Effective October 1, 2023.

Makes conforming changes to the act's titles.