Amends GS 131E-178 by adding that a certificate of need is not needed by a person who provides vascular access for hemodialysis in a physician office-based vascular access center located in a nonlicensed setting in order to license that setting as an ambulatory surgical facility with the existing number of vascular access procedure rooms provided that the four specified conditions are met. 

Amends GS 131E-175 by expanding upon the findings of fact for GS Chapter 131E, Article 9 (Certificate of Need), to include statements on vascular access sites and treating patients with end-stage renal disease in nonhospital settings. Requires all other persons proposing to obtain a license to establish an ambulatory surgical facility for the provision of vascular access site management to obtain a certificate of need. Prohibits the annual State Medical Facilities Plan from including policies or need determinations that limit the number of vascular access procedure rooms that may be approved.

Effective October 1, 2019.