Amends GS 131E-175 (findings of fact related to certificate of need law) by adding findings related to vascular access sites and end-stage renal disease. Amends GS 131E-178 (pertaining to activities requiring a certificate of need) to expand limited exemption to certificate of need requirements to include vascular access for hemodialysis, subject to certain conditions. (Currently, exemption just applies to gastrointestinal endoscopies.)