This amendment provides funding and adds language to hold harmless any nursing facility which was negatively impacted by the conversion from a cost-based reimbursement methodology to a price-based reimbursement methodology for Medicaid nursing facility payments because the methodology did not account for recent facility improvements to provide high quality care. The transition rates that would be imposed on such facilities are based on a three-year period, which penalizes facilities which have recently improved care and invested significant funds to improve the facility. Language is added to outline criteria to reimburse facilities in such circumstances at the price-based operating rate instead of the transition operating rate effective July 1, 2015.