Senate committee substitute amends the 1st edition as follows. 

Changes the effective date provisions of the proposed changes as follows.

Now conditions the proposed changes to Section 9A of SL 2015-245, as amended by Section 2 of SL 2016-121, concerning the implementation of plans to transform the Medicaid and NC Health Choice Programs, on the legislative appropriation of funds for the implementation of Medicaid coverage described in the proposed changes which allow parents to retain Medicaid eligibility if they are participating in, and making reasonable efforts to comply with, a court-ordered substance use disorder or other mental health disorder treatment program or counselling while their child is being served temporarily by the foster care program.

Concerning the related proposed changes to establish a new category for Medicaid coverage for such parents under GS 108A-54.3A, makes the provisions effective upon the Centers for Medicare and Medicaid Services (CMS) approval of a 1115 waiver, as required to be obtained by the act, and upon the effective date of the coverage allowed by CMS (previously, and upon the date allowed by CMS). Adds a new provisions to sunset the provision if CMS approval is not granted by June 30, 2023.