Directs the Commission for Mental Health, Developmental Disabilities, and Substance Abuse Services to amend the rules adopted pursuant to GS 143B-147(a)(1) to designate an additional region in south central North Carolina for the admission, treatment, and professional care of individuals in that area with mental illness, intellectual or developmental disabilities, or substance abuse disorders. Specifies counties to be included in the region.

$23,996,906 is appropriated from the General Fund to the Department of Health and Human Services (DHHS) for the 2013-14 fiscal year for the purpose of planning, site development, and construction of a new State psychiatric hospital. Requires a report to specified legislative entities once a site is identified.

$95,987,625 is appropriated from the General Fund to DHHS for the 2014-15 fiscal year for the purpose of construction of the new state psychiatric hospital.

Appropriations are effective July 1, 2013.