Amends GS 14-277.4, concerning obstruction of health care facilities, as follows. Prevents a person from knowingly approaching another person within 8 feet of such person, unless such other person consents, for the purpose of passing a leaflet or handbill to, displaying a sign to, or engaging in oral protest, education, or counseling with such other person in the public way or sidewalk area within a radius of 100 feet from any entrance door to a health care facility. Removes provisions making a second offense a Class 1 misdemeanor under described circumstances. Instead, makes a second or subsequent conviction for a violation of either subsection a or b of GS 14-277.4 (concerning obstructing or blocking access to or from a health care facility or its common areas, and injuring or threatening a person who is obtaining, aiding another in obtaining or providing health care services), within three of the most recent conviction a Class I felony. Applies to offenses committed on or after December 1, 2025.