House committee substitute to the 1st edition makes the following changes.

Amends proposed GS 1-15(d), requiring a cause of action arising out of the performance of or failure to perform services while facilitating or perpetuating gender transition to be commenced within 10 years from the day the claimant reaches 18 years of age (was, within 25 years from the day the claimant reaches 18 years of age or four years from discovery of both the injury and the causal relationship between the treatment and the injury, whichever is later). Makes additional technical changes. Makes clarifying and technical changes in new (e) and (f).

Amends GS 143C-6-5.6 to prohibit using State funds for surgical gender transition procedures, or for puberty-blocking drugs or cross-sex hormones to prisoners in the State prison system or the Statewide Misdemeanor Confinement program or in the custody of the Department of Adult Correction, or to support the administration of any governmental health plan or government-offered insurance policy offering those procedures or drugs to any prisoner. Makes conforming changes. Effective July 1, 2025. Makes conforming changes to the act's long title.

Amends the act’s effective date by adding that the section revives any cause of action arising out of the performance of or failure to perform services while in the course of facilitating or perpetuating gender transition otherwise time-barred under GS 1-15 as it existed immediately before the enactment of this act, whether or not such cause of action has been asserted in a pending civil action or appeal.