Conference report adds the following to the 4th edition.

Amends GS 20-37.6, allowing the registered owner of a vehicle who is the guardian or parent of a handicapped person to apply for and display a distinguishing license plate (currently, limited to handicapped persons who are registered vehicle owners). Specifies that a vehicle with a distinguishing license plate can be lawfully used when a handicapped person is not a driver or passenger so long as the vehicle is not using handicapped privileges. Requires a registered owner who is the guardian or parent of a handicapped person and displays a distinguishing license plate to submit certification of the required medical determination every five years, though annual renewal of the distinguishing license plate is required. Makes conforming changes. Amends GS 20-37.5 to add guardian to the defined terms.

Further enacts new subdivisions to GS 20-79.4(b) to also produce special registration plates for ALS Research and the Town of Wrightsville Beach. Establishes a special plate fee of $30 for the ALS Research plate and requires that $20 of that amount be transferred quarterly to the ALS Association of North Carolina Chapter to support ALS research. Establishes a special plate fee of $20 for the Town of Wrightsville Beach plate and requires that $10 of that amount be transferred quarterly to the Town of Wrightsville Beach to help fund the continuing efforts to maintain and improve recreational opportunities for residents and visitors. 

Makes the entire act effective March 1, 2020. Makes conforming changes to the act's titles.