Enacts new Part 10 (Insurance Premium Assistance in Pregnancy) in Article 2 of GS Chapter 108A. Establishes the Insurance Premium Assistance in Pregnancy Program (Program) to be administered by the Department of Health and Human Services (DHHS). In order to participate, requires that an individual be a state resident who is lawfully present in the United States and not on active punishment, who has a medically verified pregnancy and does not have minimum essential coverage, and has a household income of no more than 185% of the federal poverty level. Qualifying individuals are eligible for premium assistance from the state to help purchase coverage under a health plan during pregnancy through the end of the second calendar month following pregnancy. Requires that the assistance amount be the amount necessary to purchase coverage up to the amount provided in specified federal regulations. Requires DHHS to remit the assistance amount to the individual's insurer. Effective January 1, 2014, and applies to pregnancies medically verified on or after that date.

Provides that pregnant women with a household income equal to or less than 133% of the federal poverty level are eligible for services related only to pregnancy and other conditions determined by DHHS as conditions that may complicate pregnancy. Effective January 1, 2014, and applies to pregnancies medically verified on or after that date.

Requires DHHS to timely submit any state plan amendments necessary or take other appropriate actions so that the changes above may take effect on January 1, 2014.