House committee substitute deletes all provisions of the 1st edition and replaces it with the following. 

Amends GS 131E-184 to exempt a Legacy Medical Care Facility from certificate of need review when being acquired or reopened. Requires the operator of the facility to submit written notice to the Department of Health and Human Services concerning its intention to acquire or reopen a Legacy Medical Care Facility and that it will be operational within 36 months of the notice. 

Amends GS 131E-76, the definitions for use in the Hospital Licensure Act, adding and defining Legacy Medical Care Facility to mean an institution that (1) is not presently operating, (2) has not continuously operated for at least the last six months, and (3) within the last 24 months has been operated by a person holding a license pursuant to GS 131E-77 and was primarily engaged in providing inpatients specified services by or under the care and supervision of physicians.

Changes the act's short and long titles.