This amendment removes language requiring the Department of Medical Assistance Services (DMAS) to make supplemental payments to certain private hospitals. In order to offset some portion of the added cost of these payments, state agencies not associated with the Medicaid program would be required to transfer funds currently budgeted for safety net and other human services into the Medicaid program. While it may be speculated that private hospitals may voluntarily work with the impacted programs to preserve these services, there is not and cannot be any assurance that this will occur without violating federal rules. Should the federal government determine any arrangements exists between enhanced payments and services being provided by the hospitals on behalf of the state, the associated Medicaid payments would be deemed improper, leading to disallowances and thereby creating a financial liability for the Commonwealth. Further, it is not appropriate to create the expectation among these private hospitals that the Commonwealth will be able to provide these supplemental payments. The budget as enrolled does not provide any funding specifically for these; instead, it relies on the transfer of funds currently appropriated for ongoing services.