Amends GS 130A-152 (Immunization required) subsection (a) to prevent the Commission for Public Health from adding a new vaccine to the childhood immunization schedule unless (1) the vaccine has been approved by the FDA for at least three years or (2) the vaccine has been approved by the FDA for less than three years but is recommended by both the North Carolina Medical Society Board of Directors and the North Carolina Pediatric Society Board of Directors. Creates new subsection (a1) from existing language and makes corresponding changes to that subsection. Amends subsection (c) to require rules implementing reasonable fees for health care providers to charge for administering vaccines provided by the state, and limitations on requirements that can be placed on parents for allowing their children to receive vaccines provided by the state, and repeals subsection (c1), which contained substantially similar language. Makes corresponding and clarifying changes to the rest of the statute.

Effective and applicable to new vaccine requirements established on or after the date the act becomes law.