This amendment removes funding and language authorizing supplemental physician payments to Children's Hospital of the King's Daughters that was included in the introduced budget. The amendment also provides DMAS with the authority to make supplemental payments to certain hospitals, physicians and nursing homes in order to generate additional federal Medicaid funding for these providers. The amendment provides DMAS with the authority to make supplemental payments to Culpeper Hospital with state funds currently appropriated to University of Virginia Medical Center. Also, the amendment provides DMAS with the authority to make supplemental payments to physicians of Eastern Virginia Medical School (EVMS) with state funds provided by EVMS. Further, the amendment adds language authorizing DMAS to make Medicaid supplemental payments for qualifying local government-owned nursing homes. The state's share of the supplemental payments will be provided by the local government-owned nursing homes.