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

Amends GS 116-350.10, pertaining to the a 24-member Board of Directors (Board) of the UNC Health System (System) as follows. Changes the composition of the Board from eight ex officio members to four ex officio members who are: the UNC President or designee, the CEO of the System, the Chancellor of UNC Chapel Hill, and the President of UNC Hospitals (was, eight ex officio members with same composition as set forth in repealed GS 116-37 by the act: certain administrators of either the UNC System, UNC Chapel Hill, UNC Faculty Physicians, or the UNC School of Medicine). Now provides for eight members at large appointed by the General Assembly with one appointed upon recommendation of the Speaker of the House annually, and one appointed upon recommendation of the President Pro Tempore of the Senate annually (was, sixteen members at large must be from the business and professional public at large who have special competence in business management, hospital administration, health care delivery, or medical practice or who otherwise have demonstrated dedication to the improvement of health care in North Carolina, and who are neither members of the Board of Governors, members of the board of trustees of a constituent institution of The University of North Carolina, nor officers or employees of the State). Specifies that 12 members at-large will be appointed by the UNC Board of Governors after consultation with the President of UNC and that three of those members must be appointed annually. Deletes provisions pertaining to initial terms. Deletes outdated language.

Amends new GS 116-350 (personnel) and GS 135-5.5 (pertaining to Teachers and State Employees Retirement System (TSERS) for employees of the UNC Health Care System) to change the triggering date for those employees who have the right to continued State employment/retirement benefits under certain conditions to November 1, 2023 (was, July 1, 2023). Makes conforming change to GS 135-5.5 to require the UNC Health Care System to continue to report the payroll of employees employed as of October 31, 2023, instead of June 30, 2023, to account for November 1 cutoff date.