Senate committee substitute deletes the content of the 2nd edition and replaces it with the following.

Includes whereas clauses. 

Adds to the authorities granted to immunizing pharmacists under GS 90-85.15B as follows. Authorizes the administration of vaccinations approved by the FDA in accordance with the protocols established by the Advisory Committee on Immunization Practices to persons at least six years old pursuant to a specific prescription order initiated by a prescriber following a physical exam of the patient by the prescriber (currently limited to administration of flu vaccines). Enacts new subsection (c2), listing five categories of medications an immunizing pharmacist can order, dispense, deliver, or administer, including FDA-approved nicotine replacement therapy, self-administered or transdermal contraceptives subject to specified requirements and limitations, and post-exposure prophylaxis medications for the prevention of human immunodeficiency virus. Enacts new subsection (c3), allowing an immunizing pharmacist to administer to a patient any described, self-administered injectable medication. Enacts new subsection (d1), establishing requirements for immunizing pharmacists who order, dispense, deliver, or administer a medication listed in new subsection (c2) to a patient, including maintaining a record of medication administered to the patient; notifying any PCP identified by the patient within 72 hours after administration, or if none identified, furnishing information regarding PCPs; furnishing patient records to the patient upon request; furnishing patient records to the PCP identified by the patient upon request by the PCP; and counseling the patient about preventative care if hormonal contraceptives were administered or dispensed. Enacts new subsection (e), conditioning the immunizing pharmacist's authority under new subsection (c2) upon the NC Medical Board and the NC Board of Pharmacy (Boards) having adopted jointly developed rules governing the approval of the individual immunizing pharmacist to order, dispense, deliver, or administer the mediations with limitations determined by the Boards to be in the best interest of patient health and safety; the immunizing pharmacist's current approval from both Boards; and the immunizing pharmacist's provision of contact information of the pharmacy and the pharmacist on any communication with a prescriber. Applies to immunizing pharmacists, pharmacy technicians, and pharmacy interns on or after February 1, 2022. 

Further amends GS 90-85.15B, amending subsection (c1) to allow immunizing pharmacists to administer long-acting injectable medications, specifically including testosterone injections and vitamin B12, to persons 18 or older pursuant to a specific prescription order initiated by a prescriber following an exam of the patient that conforms to the standards of acceptable and prevailing medical practice by the prescriber (was, following a physical exam of the patient by the prescriber). Adds to the requirements of the immunizing pharmacist administering such medications the requirement to notify the prescriber of the medication if the medication was not administered to the patient within 72 hours of receipt of the specific prescription. Effective October 1, 2021.

Further amends GS 90-85.15B, enacting new subsection (b1) to allow immunizing pharmacists, and pharmacy interns and pharmacy technicians under the supervision of an immunizing pharmacist if related continuing pharmacy education requirements are met, to administer the flu vaccine, FDA-approved COVID-19 vaccines, and COVID-19 vaccines authorized under an emergency use authorization by the FDA to persons 10 or older. Also authorizes immunizing pharmacists to administer the flu vaccine, FDA-approved COVID-19 vaccines, and COVID-19 vaccines authorized under an emergency use authorization by the FDA to persons 6 or older pursuant to a specific prescription order initiated by a prescriber following a physical exam of the patient by the prescriber. Effective September 1, 2021.

Directs the Boards' joint subcommittee to develop statewide written protocols and amend existing rules and protocols to encompass the new authorized treatments and practices as authorized by the act and to develop a statement of ethics for immunizing pharmacists. Directs the Boards' joint subcommittee to adopt rules to govern the administration of vaccines by pharmacy technicians as authorized by the act. Effective October 1, 2021.

Directs the State Health Director to issue a standing order authorizing immunizing pharmacists to dispense, deliver, and administer medication described in GS 90-85.15B(c2), as enacted, which remains in effect until the later of the development of the statewide protocols or January 1, 2023.

Changes the act's long title. 

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

Part I.

Deletes part of the proposed changes to GS 115C-302.1(b), which eliminated the deadline for a teacher to request 12 salary installment payments and eliminated the prohibition from teachers employed less than 10 months from receiving their salaries in 12 installments. Maintains the new requirement for local administrative units to fulfill the requirement for installment payments through a payroll deduction plan. 

Adds to the proposed changes to GS 115C-316(a)(2), regarding payment of school employees, to similarly direct local administrative units to fulfill the requirements for installment payments for eligible employees who so request through a payroll deduction plan. Makes further clarifying and technical changes.

Part II.

Amends the proposed changes to Section 2.3 of SL 2020-80 to further extend the due date of the State Board of Education's (SBE) report to the specified NCGA committee on unpaid meal charges in local school administrative units from October 15, 2022, to October 15, 2023. Eliminates the proposed changes that would have allowed, beginning June 30, 2021, the funds transferred from the School Bus Replacement Fund to the State Public School Fund to provide free school lunches to students of all grade levels qualifying for reduced-price meals to be used in 2021-22 in addition to 2020-21. 

Part III.

Revises the proposed changes to GS 115C-450 regarding school food services. Now prohibits public school units that provide school nutrition services from assessing indirect costs to a school nutrition program unless the program has an operating balance of at least two months (was, at least three months).

Part IV.

Eliminates the previous content of Part IV., which made, for the 2020-21 school year, any student in the 12th grade who has not completed instruction in cardiopulmonary resuscitation eligible to graduate if two criteria are met; Part V., which amended GS 115C-105.57 to require that public school units report to the Center for Safer Schools (Center) annually regarding school resource officers as part of the Center's annual census of school resource officers, and required the Center to compile the information submitted by the public school units and report that information at the statewide and local levels to the already specified entities; Part VII., which amended GS 115C-270.20 to require that a professional educator who meets the requirement of the statute for a lifetime license as a professional educator be issued a lifetime license; and Part VIII., which made various amendments to Article 6C (concerning the Education and Workforce Innovation Program) of GS Chapter 115C. Makes conforming organizational changes to renumber the remaining parts and sections of the act.

Part XI.

Changes the deadline by which the Department of Public Instruction must administer the proposed bonus payment to teachers employed as of April 1, 2021, in a school for students with visual and hearing impairments from April 30, 2021, to 30 days after the date the act becomes law. 

Senate committee substitute to the 4th edition amends the bill as follows:
(1) Makes the 5% late fee in G.S. 115C-218.105 applicable to the full amount (as opposed to the undisputed amount) of the per pupil share of the local current expense fund not transferred to charter schools within 15 days;
(2) Adds the provision that local school administrative units are not subject to late fees and interest on the per pupil share of the local current expenditure fund charter schools are not entitled to under GS 115C-218.105(c) or on the per pupil share of the local current expenditure fund for students whose information on the enrollment verification and transfer request documentation is materially incorrect;
(3) Clarifies that the local school administrative unit has an additional 30 days to transfer the per pupil share of the local current expenditure fund in any month in which a charter school fails to provide the required information in the enrollment verification and transfer request documentation;
(4) Adds date of charter enrollment, date of charter withdrawal, and district of residence to the information required in the charter enrollment and transfer request documentation; and
(5) Adds a provision expressly permitting local school administrative units to delay the transfer of disputed amounts of the per pupil share of the local current expenditure fund requested by charter schools.

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

Part I.

Eliminates the proposed changes to subsection (g) of GS 55A-12-02, which excluded dispositions to a charitable or religious corporation authorized under a plan of dissolution from the requirement to give written notice to the Attorney General before it sells, leases, exchanges, or otherwise disposes of its property if the transaction is not in the usual and regular course of its activities. Makes conforming changes to the heading given to Part I. of the act.

Senate committee substitute amends the 2nd edition as follows. Revises proposed GS 131D-10.9C, which explicitly recognizes that foster parents have the 14 identified rights. Revises the statute's stated findings to refer to children removed from their parents or legal guardians rather than children placed in the custody of of a county department of social services. Now characterizes the previously identified rights as those that the State supports and promotes for foster parents in the provision of foster care, rather than explicitly recognizing the enumerated rights of foster parents.

Revises the rights stated as follows. Adds a statutory reference to the first right regarding foster parents honoring children placed in their homes. Regarding the second right to receive information about responsibilities and access to support services, now includes the right to have input in court and be included as a valued member of the child's team, including 15 days' notice of periodic reviews of a child's juvenile case and the provision of input during periodic reviews of any relevant information, as specified; replaces the right to active participation in the decision-making process regarding the child. Adds the right to receive timely information pertinent to the day-to-day care of the child, including educational and health needs; replaces the right to receive information regarding the professionals working with the child, including any physicians, therapists, teachers, and other school personnel. Adds the right to provide input to, advocate for, and seek out support from the supervising agency without fear of reprisal, including the right to request respite as needed or to request a break between placements; replaces the right to provide input to and seek out support from the Division of Social Services. Replaces the twelfth right, now providing for the right to use the reasonable and prudent parent standard, as characterized, in determining whether a foster parent can allow a child in the foster parent's care to participate in educational field trips and extracurricular, enrichment, and social activities (was, the right to provide or withhold permission from, without prior approval of the county department of social services, guardian ad litem, or court, the child in the foster parents' care to participate in normal childhood activities based on a reasonable and prudent parent standard in accordance with the provisions of Title IV-E of the Social Security Act, as the standard was defined and characterized).