Amends GS 122C-171 to increase membership of the State Consumer and Family Advisory Committee (State CFAC) from 21 to 27 members to include adult consumers and family members of consumers of mental health, developmental disabilities, substance abuse, and traumatic brain injury services (previously did not include traumatic brain injury services). Adds a new prohibition to limit membership to no more than 20% of members employed by or who have immediate family members employed by an agency that provides  these services.

Increases from one to two members appointed by the President Pro Tempore from each of the three state regions for institutional services (Eastern, Central, and Western) and now requires at least two of the institutional services region appointees to be adult consumers or family members of adult consumers of traumatic brain injury services. Makes identical changes to the appointees of the Speaker and the NC Association of County Commissioners. No longer provides for three appointees by the Council of Community Programs from each of the regions.

Requires current members appointed by the Council of Community Programs to serve the remainder of their terms. Provides for staggered appointment of new members as those current terms expire.

Appropriates $70,000 in recurring funds each for the 2019-20 and 2020-21 fiscal years from the General Fund to the Department of Health and Human Services, Division of Mental Health, Developmental Disabilities, and Substance Abuse Services to support the State CFAC.

Effective July 1, 2019.