House committee substitute deletes all contents of the 3rd edition and replaces it with the following.

Contains whereas clauses.  Requires the Department of Health and Human Services (DHHS)’s Division of Health Service Regulation (DHSR) and Division of Aging and Adult Services (DAAS) to jointly study the array of services available to older adults who live independently but need services to support and maintain their independence. Requires the study to examine the provision of the following paid services by a provider: (1) in-home companion, sitter, and respite care services; (2) meal preparation, cleaning, organizing, pet care, and other home management services; (3) shopping and pick-up/drop-off of items such as library materials, mail, and donations; and (4) transportation to and from medical appointments, social events, and community activities. Directs DHSR and DAAS to seek input from listed stakeholders in conducting the study. 

Requires DHHS to make recommendations consistent with the General Assembly’s findings in GS 143B-181.3 and GS 143B-181.1A pertaining to the needs of older adults. Requires DHHS to examine current statutes and rules pertaining to existing and new emerging support services to independent older adults and determine: (1) whether any changes are necessary to current statutes and rules to safely allow the provision of services described above; (2) whether those service providers should be licensed or regulated by the State; and (3) whether any limitations, background checks, or safeguards are necessary for the provision of those services.  Requires DHSR and DAAS to submit a report on the study’s findings, including any necessary legislative action to the specified NCGA committee no later than September 1, 2024. Prevents DHHS from pursuing changes to the statutes and rules examined under the act until after the General Assembly has received the report required by the act.

Makes conforming changes to the act’s long and short titles.