Senate committee substitute makes the following changes to 3rd edition. Amends proposed GS 131D-4.5B(b) to provide that existing staff in an adult care home are prohibited from performing any unsupervised medication aide duties unless the individual has previously worked as a medication aide during the previous 24 months in an adult care home or has successfully completed a 5-hour training program that includes training and instruction in safe injection practices and procedures for monitoring or testing in which bleeding occurs or the potential for bleeding exists (was, training and instruction in glucose monitoring). Also requires that an individual complete, within 60 days of being hired, an additional 10-hour training program that includes training and instruction in safe injection practices and procedures for monitoring or testing in which bleeding occurs or the potential for bleeding exists and completes other requirements included in the previous edition. Makes a technical correction.