NC S321

Caps county reimbursement for medical care provided to inmates outside county jails at the lesser of 70% of the provider's prevailing charge or two times the Medicaid rate for that service.

Requires counties to make reasonable efforts to equitably distribute prisoner healthcare services among hospitals based on licensed acute care bed capacity and post semiannual compliance reports on the county website.

Allows counties to utilize Medicaid coverage for inpatient hospitalization and other eligible services for prisoners, with counties reimbursing the state for the state portion of costs and related administrative expenses.

Changes district court judge vacancy filling from a nomination-based system to direct gubernatorial appointment, with the bar nominating five candidates for the Governor's consideration.

Creates a private right of action allowing parties to transactions requiring notarization and attorneys involved in such transactions to file affidavits with the Secretary of State alleging notary violations.