Directs the Secretary of Health and Human Services and the Medical Care Commission to repeal the Hospital Facilities Rules within 120 days after this act becomes law. Defines Medical Care Commission (Commission) as the Medical Care Commission created by Part 10 of Article 3 of GS Chapter 143B. Defines Hospital Facilities Rules as 29 specified administrative rules related to physical plants and construction requirements. Requires the Commission to adopt temporary rules to replace the Hospital Facilities Rules and incorporate by reference all applicable rules, standards, and requirements of the most current edition of the Guidelines prior to the effective date of the repeal of the rules pursuant to this act's directive. Defines Guidelines to mean the American Society for Healthcare Engineering's Facility Guidelines Institute "Guidelines for Design and Construction of Hospitals and Outpatient Facilities." Provides that, if temporary rules are not adopted before the effective date of the repeal, the Commission must use the 2014 Edition of the Guidelines until temporary rules are adopted. Directs the Commission to adopt permanent rules pursuant to the act.

Directs the Commission to adopt rules to replace the Hospital Facilities Rules conforming to the provisions of this act. Provides that rules adopted pursuant to this act are not subject to Part 3 of Article 2A of GS Chapter 150B, become effective as provided in GS 150B-21.3(b1) as though 10 or more written objections have been received as provided in GS 150B-21.3(b2). Further, exempts rules adopted pursuant to this act from the provisions of GS Chapter 150B that require the preparation of fiscal notes for any rule proposed to incorporate the Guidelines by reference. Exempts the Hospital Facilities Rules from the periodic review process required by GS 150B-21.3A until they are repealed pursuant to this act.