As the title indicates. Amends GS 135-48.47 to provide that the employees of all local government units and the dependents of those employees are eligible to participate in the State Health Plan (Plan). Provides that participation in the Plan is not guaranteed and is also contingent on local government units choosing to participate in the plan.

Provides that in order to participate, a local government must pass a valid resolution declaring that the local government desires to participate in the Plan and provide at minimum 90 days' notice to the Plan of the intent to enter the Plan and complete the participation requirements at least 60 days before entering the Plan. Requires that a local government unit and its employees meet federal requirements to participate in a governmental plan. Declares that the Plan is to admit any local government unit that meets the administrative and legal requirements of this section, regardless of the claims experience of the local government unit or the financial impact on the Plan.

Sets an enrollment limitation to provide that local governments may choose to participate in the Plan until the number of employees and dependents of employees of local government reaches 10,000, after which no additional local governments may join the Plan.

Also provides that regardless of any previous session law, any action by the Trustees of the State Health Plan for Teachers and State Employees, or any other law, any local government that participates in the current state Health Plan may elect to be subject to the new requirements of GS 135-48.47, as enacted by this act. Provides that nothing in this act, nor electing to participate in the Plan under GS 135-48.47, impacts any existing debt to the Retiree Health Benefit Fund owed by any local government unit.