Amends GS 14-208.18 to expand premises restrictions for certain persons required to register under Article 27A, Sex Offender and Public Protection Registration Programs. Adds that persons required to register under the Article who have committed any sexual exploitation of a minor offense in violation of GS 14-190.16, GS 14-190.17, or GS 14-190.17A (first, second, and third degree offenses, respectively), or substantially similar federal offenses or substantially similar offense in another state, are prohibited from knowingly being at the following locations: (1) on the premises of any place intended primarily for the use, care, or supervision of minors such as schools, nurseries and playgrounds; (2) any place where minors frequently congregate such as libraries, amusement parks and swimming pools, when minors are present; and (3) on the State Fairgrounds during the period that the State Fair is conducted annually, the Western NC Agricultural Center grounds during the period the NC Mountain State Fair is conducted, and on any other fairgrounds during the period an agricultural fair is being conducted. Applies to offenses committed on or after December 1, 2021.