Reduces the reimbursement rate paid to inpatient non-rural, non-state hospitals in order to avoid a budget deficit.

To provide for supplemental Medicaid payments to state owned acute care hospitals.

Revises the reimbursement methodology for small rural hospitals to reimburse inpatient hospital services up to the Medicare Inpatient upper payment limit.

Reduce the reimbursement rates paid to inpatient non-rural, non-state hospitals and amend the criteria for qualifying loss.

Implements a mandatory provision of the Medicare Improvements for Patients and Providers Act of 2008 Section 115.

To establish the program criteria and covered services for the Pediatric Day Health Care Program.

Establishes a transitional Medicaid reimbursement rate for a public ICF/DD community home that is transitioning to a private facility.

Restores the per diem rate for non-state intermediate care facilities for persons with developmental disabilities that downsize large facilities to less than 35 beds and incur unusually high costs.

Reduces the per diem rate by 2% for non-state intermediate care facilities for persons with developmental disabilities due to a continuing budget shortfall.

Reduces the nursing facilities rate by 10.52 percent.