Sets out the following provisions applicable to annexations under GS Chapter 160A, Article 4A, Parts 1 (extension by petition), 4 (annexation of noncontiguous areas) and 7 (annexations initiated by municipalities), only applicable to Davidson County and the municipalities wholly or in part in the County. 

Requires the governing body of a municipality, before adopting an annexation ordinance or a resolution of intent, to get approval of the annexation from the board or boards of county commissioners (board) with jurisdiction over the area. Requires the Board to set a date for a public hearing on the annexation ordinance or resolution of intent; sets out requirements for notice of the hearing and allows any person residing in or owning property in the area proposed for annexation and any resident of the municipality seeking the annexation to be heard. Requires when the board finds that the public health, safety, and welfare of the counties will be best served by the annexation, that the board adopt a resolution approving the annexation, allowing the municipal governing body to proceed. If, however, the board finds that the public health, safety, and welfare of the inhabitants of the county will not be best served by the annexation, the board must adopt a resolution disapproving the annexation, and the municipal governing body may not proceed with the adoption of the annexation ordinance or resolution of intent or begin a separate annexation process with respect to that proposed annexation area for at least 36 months.

Applies to annexations initiated on or after July 1, 2022.