This amendment adds language related to indirect medical education (IME) payments to Children's Hospital of the King's Daughters (CHKD) to ensure that CHKD continues to receive Medicaid payments up to the uncompensated care cost limit as authorized by the General Assembly. The 2013 General Assembly authorized the use of indirect medical education payments to CHKD in view of expected declines in the state's allocation of disproportionate share hospital (DSH) payments by the federal government. This amendment ensures that in light of recent federal action by the Centers for Medicare and Medicaid related to the calculation of DSH, CHKD will continue to receive total payments consistent with the intent of the General Assembly. Language is added to ensure that the formula used for indirect medical education for inpatient hospital services reimbursed by Medicaid managed care providers is identical to that used for the state's two teaching hospitals.