Enacts GS 131D-2.11(d) requiring any State or local department, agency, board, or commission to accept the passing results of an inspection of a licensed adult care home related to the home's facility, real property, workplace, or workplace safety in the preceding three months conducted by the Adult Care Licensure Section of the Division of Health Service Regulation of the Department of Health and Human Services for a substantially similar inspection. Requires the inspecting entity to deem the substantially similar inspection as having been passed. Effective October 1, 2026.

Appropriates $100,000 from the General Fund to the Division for 2026-27 to be used for streamlining adult care home inspections. Effective July 1, 2026.