Amends GS 90-96.01 (drug education schools) by adding descriptive headings to each subdivision of subsection (a).  Divides text in subdivision (a)(1) into (1) regarding enrollment fees and newly created subdivision (1a) regarding fee collection.  Increases the drug education school enrollment fee from $150 to $275.  Requires the Commission for Mental Health, Developmental Disabilities, and Substance Abuse Services, beginning July 1, 2024, and every five years after that, to increase the amount of the enrollment fee in relation to a specified federal consumer price index.  Requires that in a county where the clerk of court has agreed to collect the enrollment fee, the clerk must pay the fees to the appropriate drug education schools, which in turn must comply with fee usage provisions. Clarifies that the defendant must pay the enrollment fee.  Mandates that budgets and contracts subcontracted out remain subject to the approval of the Department of Health and Human Services (DHHS), instead of initial approval only.

Clarifies how fees may be used by dividing text in subdivision (a)(3) into (3) regarding permissible use of fees retained by drug education schools and newly created subdivision (3a) regarding permissible use of fees remitted to DHHS.  Increases percent of fees remitted by drug education schools to the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services from 5% to 10%.  Requires DHHS to supply a manual and other required curriculum to the drug education school for each fee collected and remitted to it by the drug education school.  Mandates that DHHS may not use remitted fees for anything other than supplying manuals and other required curriculum and supporting drug education schools.    

Reorders content in subdivision (a)(4) by adding new subsubdivisions a. and b. regarding prohibited use of fees.  

Makes other modifications throughout including making the statute gender-inclusive or gender-neutral.

Effective July 1, 2019.