Replaces “husband and wife” with “spouses” in GS 49A-1. Contains NCGA findings, including that any child born using artificial insemination or assisted reproductive treatment has have the same protections and rights as a naturally conceived legitimate child of the spouses or legal parental guardians in new GS 49A-2. Defines six terms. Instructs, in new GS 49A-4, that if an individual consents (defined) to artificial insemination with the intent to be a parent, then that individual is the parent of the child born from that artificial insemination, vested with all rights and privileges available in this State. Specifies that a failure to satisfy the consent requirements does not preclude a court of competent jurisdiction from finding that consent if evidence presented to the court shows the individual intending to parent resided in the same household as the child and openly held out the child as that individual's child for the first two years of that child's life, including any period of temporary absence.

Prohibits a licensed healthcare provider or institution from knowingly causing the use of the healthcare provider's own human reproductive material for purposes of artificial insemination without the patient's knowledge and consent in new GS 49A-5. Provides for a civil action, with liquidated damages. Specifies that such remedies are in addition to any other remedies provided by law.

Amends GS 1-17 (disabilities) to authorize an action on behalf of a minor for malpractice arising out of the performance of or failure to perform professional services as a direct result of an act covered under GS Chapter 49A, or for any other civil 1action available to a minor arising out of an act covered under GS Chapter 49A, to be commenced within five years of the minor attaining 18 years of age. Effective when this act becomes law, until five years after that date, revives any civil action existing at the time the act becomes law otherwise time-barred under GS 1-52, 1-17, or 1-15 as it existed immediately before the enactment of the act.

Appropriates $100,000 from the General Fund to DHHS for 2026-27 to educate the public about the implementation of the act. Effective July 1, 2026.