As title indicates. Amends GS 131E-176 to remove adult care homes from the definition of health service facility and from the definition of health service facility bed. Repeals GS 131E-176(1) (defining adult care home) and GS 131E-184(e)(1)a.2.(removing adult care homes from provision concerning certificate of need review for a capital expenditure). Applies to the construction, development, establishment, and expansion of adult care homes on or after October 1, 2011. Defines adult care homes as facilities with seven or more beds licensed under GS Chapter 131D, Article 1, Part 1 or GS Chapter 131E, that provide residential care for aged or disabled persons whose principal need is a home providing supervision and care appropriate to their age and disability and for whom medical care is only occasional or incidental.