Requires governing bodies of a public school unit to adopt procedures to notify a parent of the following, at times specified: each health care service offered at their child's school and the means to provide consent to or decline any service; procedures to exercise parental remedies; any K-6 student well-being questionnaire or health screening form and the means to provide consent to their use for their child; or changes in services or monitoring related to their child's mental, emotional, or physical health or well-being and the school's ability to provide a safe and supportive learning environment for their child. Requires school personnel to encourage a child to discuss issues related to the child's well being with their parent and facilitate such discussions. Provides limitations to disclosure of a child's education and health records. Sets limitations on procedures and forms that prohibit school employees from notifying a parent about their child's health or well-being or a change related to services or monitoring, or that encourage or have the effect of encouraging a child to withhold such information from their parent. 

Requires student support services training developed or provided by a public school unit to school personnel to adhere to student services guidelines, standards, and frameworks established by the Department of Public Instruction (DPI).

Prohibits instruction on sexual orientation or gender identity from inclusion in the K-6th grade curriculum, as specified.

Directs governing boards of public school units to adopt procedures for a parent to notify the principal at their child's school regarding concerns about the unit's procedure or practice under the act and a process for resolving those concerns within seven days of notice. Requires the unit to provide a statement for not resolving the concern within 30 days, and allows a parent to notify the State Board or bring an action against the school unit for injunctive relief if the concern is not resolved within 30 days. Directs the State Board to establish rules for parental concern hearings with five minimum requirements that must be met. 

Directs DPI to review and update school counseling frameworks and standards, educator practices and professional conduct principles, and other student services and school personnel guidelines, standards, or frameworks by June 30, 2023.

Appropriates $250,000 from the General Fund to DPI for 2022-23 to inform the public of the act's provisions, including updating websites.

Applies beginning with the 2022-23 school year. 

Part III.

Enacts Part 3, Article 1A, GS Chapter 90, to prohibit health care practitioners, as defined, from providing, soliciting, or arranging treatment for a minor child without written consent from their parent, and prohibit health care facilities, as defined, from allowing treatment to be performed on a minor child without written consent from their parent, subject to state law and court order. Defines treatment. Excludes services provided by a clinical lab unless delivered through direct encounter with the minor child at the clinical laboratory facility. Subjects health care practitioners or other persons who violate the Part to disciplinary action by their respective authorizing board, including a fine of up to $5,000. Applies to violations committed on or after December 1, 2022.

Part IV.

Effective July 1, 2022, unless otherwise provided.