This amendment authorizes agencies within the Secretariat of Health and Human Resources to transfer funds to the Department of Medical Assistance Services (DMAS) to be used to pay the state share of Medicaid supplemental payments to qualifying hospitals. These Medicaid supplemental payments reimburse qualifying hospitals for their uncompensated costs for Medicaid services they have already provided. Language requires that 10 percent of the funding transferred shall be unalloted and revert to the general fund at the end of the year. Language directs the participating hospitals to report to DMAS on the services and programs provided and directs the department to report on the program by December 1 annually. It also clarifies that if federal laws, regulations or polices no longer allow such supplemental payments, that the Commonwealth is not obligated to continue such payments. Finally, language requires DMAS to monitor the capacity under the federal Upper Payment Limit for all hospital supplemental payment programs and adjust payments when the cap is reached by reducing or eliminating payments as necessary to stay within the cap with the newest payments impacted first.