Amends GS 122C-118.1, concerning the structure of an area board for an LME/MCO, to provide that the optional process by which specified boards of county commissioners can appoint members to an area board requires the adoption of a resolution by at least two-thirds of the constituent counties (previously, required each county to adopt the resolution). Provides that the Secretary of the Department of Health and Human Services can approve an alternate appointment process if it includes constituent counties delegating appointment authority to intermediary bodies created by counties to represent regions of a multicounty area authority. 

Makes technical and organizational changes.