This SPA proposes to adjust the reimbursement methodologies for Licensed Practitioners providing services for Chiropractic, Podiatry and Optometry such that rates will equal 97 percent of the rates in effect on July 1, 2013.

Revises the payment methodology for nursing homes.

Establishes benefits and reimbursement for free standing birth centers in accordance with ACA.

Special Payments for County Medical Care Facilities.

Medical Education Payments to Rural Health Centers, Federally Qualified Health Centers ,physicians, chiropractors, clinics, dentists and pharmacies.

Methods and standards for determining payment rates for services pervided by nursing facilities.

Methods and Stardards for determining payment rates for services provided by nursing facilities.

Methods and stardards for determining payment rates for services provided by nursing facilities.

Adds two hospitals to the non-state goverment owned group of hospitals for the purpose of making a supplemental payment.

Revises methods and standards for establishing payment rates for inpaitent hospital services.