Amends GS 14-318.4, making it a crime if, during the course of a parent or other person providing care to or supervision of a child under 10 years of age, the child tests positive for a controlled substance. Provides that violations are punishable as: (1) a Class C felony if the child suffers serious bodily injury or permanent or protracted loss or impairment of any mental or emotional function; (2) a Class E felony if the child suffers serious physical injury; or (3) a Class G felony for all other offenders. Defines controlled substance as one classified in Schedule I or II of the NC Controlled Substances Act, Article 5, GS Chapter 90. Excludes prescribed medical treatment or administration of a controlled substance by a licensed health care professional. Applies to offenses committed on or after December 1, 2022.

Appropriates $25,000 from the General Fund to the Department of Public Safety for 2022-23 for public education on the provisions enacted. Effective July 1, 2022.