House committee substitute makes the following changes to the 4th edition.

Deletes all the provisions of the 4th edition.

Provides that if House Bill 834, 2013 Regular Session becomes law, then this act amends GS 131E-273 as enacted by House Bill 834 to provide that where informed consent is required for a procedure, the charge for any part of the procedure performed prior to the patient giving consent cannot exceed the actual cost to the provider if the patient chooses not to consent. Effective December 1, 2013, and applies to health care procedures and services rendered on or after that date.

Provides that if House Bill 834, 2013 Regular Session becomes law,then this act alsoamends GS 131E-91(d)(5), as enacted by House Bill 834, to prohibit a lien arising out of a debt owed to a hospital or ambulatory surgical facility, when the land where the principal residence is located is greater than five acres, from attaching to the judgment debtor's principal residence and the surrounding five acres. Effective October 1, 2013, and applies to hospital and ambulatory surgical facility billings and collections practices occurring on or after that date.

Enacts a new GS 1-72.2 to provide that the Speaker of the House of Representatives and the President Pro Tempore of the Senate jointly have standing to intervene on behalf of the General Assembly as a party in any judicial proceeding challenging a North Carolina statute or provision of the North Carolina Constitution.

Rewrites the long and short titles of the bill to reflect the changes in bill content.