Senate committee substitute makes the following changes to the 1st edition.

Amends the act's short and long titles. 

Amends GS 50-13.11(a1) concerning orders and agreements regarding medical support and health insurance coverage for minor children, establishing that health insurance for the benefit of a child is considered reasonable in cost if the coverage is available at a cost to the parent that does not exceed 5% of the parent's gross income (previously, was considered reasonable in cost if it is employment-related or some other type of group health insurance and the coverage of the child is available to the parent at a cost that does not exceed 7% of the parent's gross income). Sets out how the actual cost of the coverage for the child should be calculated for purposes of the section.

Makes various changes to the Long-term Care Ombudsman Program found in GS Chapter 143B, Part 14D, adding and defining the following new terms for use in this part (1) programmatic supervision, (2) regional ombudsman, and (3) willful interference. Amends the definition of the term State Ombudsman. Adds four additional duties for the State Ombudsman, including designating certified regional ombudsmen as representatives of the State Ombudsman Office and providing leadership for statewide systems advocacy efforts of the Office of the State Ombudsman. Provides that the State Ombudsman has specified administrative supervision over Area Agencies and also is required to ensure that Area Agencies do not have personnel policies or practices that conflict with the laws and policies of the Ombudsman Program. Amends the duties of regional ombudsmen to require them to conduct systems advocacy activities on behalf of long-term care residents when authorized. Clarifies that the State and Regional Ombudsmen can enter long-term care facilities at any time during regular visiting hours or at any other time necessary for the purposes of investigating certain circumstances. Also allows them to have access to any resident as part of the investigation (previously, only reasonable access to residents was required). Provides that the Regional Ombudsman must notify the Adult Protection Services, with the written informed consent of the resident or authorization of the State Ombudsman, when allegations involve suspected abuse, neglect, or exploitation (previously, the State Ombudsman was required to do the same but there was no requirement that written informed consent of the resident was required). Provides for the State Ombudsman to assess monetary penalties in the amount of $2,500 per incident concerning instances of discrimination or retaliation against a resident due to good faith complaints submitted to the State or Regional Ombudsman. Makes conforming, clarifying, and technical changes. Effective July 1, 2016.