Enacts new GS 131D-4.3A and GS 131E-114.3A requiring all nursing homes, combination homes, and adult care homes that are licensed and operating in the state to have emergency electrical service to be used in the event of a failure of the normal electrical service. The emergency service must be sufficient to provide heat, lighting, and other essential electrical services required by rules of the Medical Care Commission. Effective on the date the rules adopted by the Medical Care Commission become effective.

Amends the Medical Care Commission's duties in GS 143B-165 to include adopting rules specifying the essential electrical services nursing homes, combination homes, and adult care homes must provide through the use of emergency electrical services.