Mandates that the Department of Health and Human Services, Division of Health Service Regulation (DSHR) adopt rules to allow direct support professionals providing a client services in a facility licensed under 10A NCAC 27G .5601(c)(3) to permanently reside in that facility. Requires DSHR to report the Joint Legislative Oversight Committee on Health and Human Services by September 30, 2025, on progress toward implementation of changes under this act, including requested legislative changes.