Enacts new GS 153A-248.1 allowing a county to adopt an ordinance to provide for the compensation of qualified recipients asexualized or sterilized under the county's authority. Requires that such an ordinance include provisions to give a qualified recipient due process of law and prescribe how claims will be handled; allows such an ordinance to include provisions allowing the estate of a deceased qualified recipient to be compensated if the claim was made while the qualified recipient was living, but the claim was verified and compensation was awarded after death. Allows a county to appropriate funds for compensation if the funds are not otherwise limited as to use. Makes records of inquiries of eligibility, claims, and payments confidential and not public records. Payments are not considered income or assets for purposes of determining eligibility for, or the amount of, public assistance benefits.

Limits the county's liability to compensation authorized by the act and specifies that nothing in the act revives or extends any statute of limitations. Specifies that an agreement for the acceptance of attorneys' fees from a compensation award from the county is null and void unless counsel has received an opinion from the State Bar that the fee arrangement is reasonable.

Applies only to counties with a population greater than 500,000.