This amendment adds $3.0 million from the general fund and $3.1 million from federal Medicaid matching funds the first year and $60.7 million the second year from the general fund and $63.0 million in federal Medicaid matching funds the second year to increase provider rates for personal care, respite care, and companionship services provided in Medicaid waiver programs by 6.4 percent on May 1, 2021 and 12.5 percent effective November 1, 2021. These rate increases will supplement increases provided in Chapter 1289, 2020 Virginia Acts of Assembly, which provided a five percent increase beginning July 1, 2020 and a scheduled two percent increase on July 1, 2021. These rate increases enable providers to cover the direct costs for hourly care and ensure the safety of the patients and compliance with minimum wage increases scheduled to increase to $9.50 per hour on May 1, 2021 and to $11.00 per hour on January 1, 2022. In addition, language directs the Governor to include the appropriate rate increases as a result of changes in the state minimum wage for these services in the introduced budget for the 2022-24 biennium for consideration in the 2022 General Assembly