Authorizes under GS 131E-84 (waiver of rules and increase in bed capacity during an emergency under the Hospital Licensure Act), in the event the Secretary of the US Department of Health and Human Services or the Centers for Medicare and Medicaid Services issues a temporary waiver or modification under federal law, then all rules of the NC Medical Care Commission (Commission) pertaining to hospitals are automatically modified or waived to the extent necessary to allow for consistency with the federal waiver or modification and shall continue in place at least until the federal waiver or modification has expired. Clarifies that this does not prevent the Division of Health Service Regulation (Division) from further waiving or modifying any rules of the Commission while a temporary waiver or modification is in effect under this subsection as long as the waiver or modification by the Division reduces regulatory requirements on hospitals in a manner that is consistent with federal law. Makes conforming changes.