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

Amends GS 7B-505.1 to add that when placing a juvenile in nonsecure custody of a county department of social services, the court may allow the director to consent to a Child Medical Evaluation upon written findings that demonstrate the director's compelling interest in having the juvenile evaluated before the require hearing. Makes conforming, clarifying, and technical changes.

Amends GS 7B-903(d) to provide that subject to GS 7B-903.1, if the court finds the juvenile to be in need of medical, surgical, psychiatric, psychological, or other treatment (no longer requires the juvenile to not be in the custody of the department of social services), the court must allow the parent or other responsible persons to arrange for treatment.

Amends GS 7B-906.2 to require that reunification remain a primary or secondary permanent plan unless the court made findings under GS 7B-901(c) or makes written findings that reunification efforts clearly would be futile or would be inconsistent with the juvenile's health or safety.

Amends GS 7B-1001 by no longer deleting the provision concerning the ability to appeal an order entered into under GS 7B-507(c). Instead, allows the appeal of an order entered under GS 7B-906.2(b), concerning concurrent permanent plans (was, entered under GS 7B-507(c)) and requires the Court of Appeals to review the order eliminating reunification as a permanent plan along with an appeal of the termination of parental rights order if all of the specified conditions apply.

Adds a section to the act amending GS 7B-906.1 to make conforming changes.