Appropriates $2.25 million from the General Fund to the Office of State Budget and Management (OSBM) for each year of the 2025-27 biennium to be awarded to the specified programs at Duke University, UNC Chapel Hill, and the Atrium Health Levine Cancer Center. Requires the grants be awarded in equal amounts and used for the Fertility Preservation Pilot Program (program) established by the act. Sets the duration of the program from July 1, 2025, through June 30, 2032. Presents the program's purpose as assisting individuals diagnosed with or treating cancer with obtaining identified fertility services if their future fertility is compromised as a result of their diagnosis or treatment. Directs grantees to establish an application process, eligibility criteria, and operating guidelines for their program locations which meet the eligibility and financial assistance limitations set forth in the act. Allows grantees to use up to 3% of their grant funds for administration of the program. Permits grantees to reserve up to $26,000 per applicant for future IVF or IUI services so long as reserved services are not scheduled more than five years after retrieval. Specifies that the funds do not revert and remain available until expended or the end date of the program. Directs each grantee to annually report to the specified NCGA committees and division. Details required content of the reports, subject to HIPPA and other state and federal privacy laws. Effective July 1, 2025.