House committee substitute #2 makes the following changes to the 2nd edition.

Part I

Section 1.5

Modifies the authorized uses of the federal Child Care and Development Block Grant funds received for the fiscal year ending June 30, 2021, pursuant to the Consolidated Appropriations Act, 2021, appropriated to the Department of Health and Human Services (DHHS), Division of Child Development and Early Education (Division). Now requires the funds be used, for the remainder of 2020-21, by the Division to pay for all copayment assistance for families eligible for subsidized child care, and thereafter authorizes the Division to use the remainder of these funds on cleaning and sanitation needs, operational grants for child care providers, and early childhood education learning loss and summer enrichment activities (previously required the funds be used for cleaning and sanitation and copayment assistance for families receiving subsidized childcare, with legislative encouragement to use the some of the funds to address early childhood education learning loss, with authorization to use funds remaining upon maximizing the use for previously specified initiatives, for operational grants to childcare providers). No longer explicitly bars using the funds for staff bonuses. 

Part II

Section 2.9

Modifies the proposed changes to GS 90-85.15B to specify that the authority granted to an immunizing pharmacist to administer a long-acting injectable medication to persons 18 or older must be pursuant to a specific prescription order initiated by a prescriber following a physical examination of the patient by the prescriber (previously only specified that the administration be pursuant to a specific prescription order by a prescriber). Amends the related proposed requirements to require the immunizing pharmacist to notify the prescriber regarding which medication and dosage was administered to the patient (previously simply required notification of the patient's primary care provider) within 72 hours of administration. 

Section 2.12

Eliminates all provisions of Section 2.12, which extended the expiration date of Section 3E.3 of SL 2020-3, which (1) suspended all annual and biennial inspections and regular monitoring requirements for specified licensed facilities except as necessary to avoid serious injury, harm, impairment, or death to employees, residents, or patients of these facilities or as directed by the Centers for Medicare and Medicaid Services and (2) required training on infection control and the proper use of personal protective equipment for employees of facilities that were determined to be in violation, assessed penalties, or placed on probation within the six-month period preceding the beginning of the COVID-19 emergency, for noncompliance with rules, statutes, or guidelines on infection control or the proper use of personal protective equipment.

Section 2.15

Eliminates all provisions of Section 2.15, which amended GS 131D-2.4 concerning provisional licenses and suspension of admissions at adult care homes and requiring the Medical Care Commission to amend and update the specified related rule and any other impacted rule to reflect the changes made in the section.

Section 2.19

Changes the repeal dates for proposed Article 21 in GS Chapter 153A (applicable to counties) and Article 31 in GS Chapter 160A (applicable to cities), which allow a tourism development authority to enter into a PPP loan. Now provides for the Articles' repeal on January 1, 2022, rather than January 1, 2028.

Part III

Section 3.1

Modifies the new $3 million allocation of Coronavirus Relief Funds to the Department of Commerce by the Office of State Budget and Management added to Section 3.3 of SL 2020-4, as amended. Now requires the Department of Commerce to use the funds to contract with a North Carolina nonprofit as a stimulus investment in North Carolina's marketing budget to be used to market North Carolina (was more specifically to be used to contract with a NC nonprofit as a stimulus investment in Visit North Carolina’s marketing budget to be used to market the state as a business and tourism destination).

Section 3.2

Eliminates the allocation amounts specified for appropriated funds as a grant to Conover. Maintains the three previously authorized uses of the funds.