Amends GS 14-45.1 to deem advising, procuring, or causing a miscarriage or abortion prior to a determination by a qualified physician licensed in the State that the unborn child has a detectable human heartbeat not unlawful if performed by a qualified physician licensed in the State or clinic certified by the Department of Health and Human Services to be a suitable facility (previously, deemed not unlawful during the first 20 weeks of a woman's pregnancy). Defines detectable human heartbeat as embryonic or fetal cardiac activity or the steady and repetitive rhythmic contraction of the heart within the gestational sac. Makes conforming changes to deem such acts not unlawful after the described determination if there is a medical emergency. Makes further conforming changes regarding required recordkeeping. Makes organizational changes. Applies to miscarriages or abortions caused or procured on or after December 1, 2021.