Amends GS 115C-47 to require local boards of education to ensure that each school within the unit has a school nurse available to students at all times during the instructional day. Boards may hire full- or part-time nurses directly or contract with a third party to provide nursing services. Effective beginning with the 2023-24 school year.

Appropriates $77 million in recurring funds from the General Fund to the Department of Public Instruction for 2023-24 to increase the Instructional Support Allotment to be used to increase positions for school nurses to meet the act's requirements. Specifies that the funds are supplemental to funds provided for school nurses. 

Effective July 1, 2023.