This amendment clarifies the Commonwealth s policy on Type One (state teaching hospitals) status designation for Medicaid reimbursement of acquired hospitals. A Type Two hospital is a private hospital. Historically, private hospitals purchased by VCU Health or UVA Health (the only Type One hospitals) have been conveyed Type One status. Due to the Commonwealth's enhanced reimbursement polices for Type One hospitals, the extension of that designation to purchased private hospitals results in a general fund impact on the Medicaid program. Such budgetary decisions are the responsibility of the General Assembly. In addition, those private hospitals are removed from the pool of acute care hospitals that contribute to the coverage assessment that pays the state share of the costs of Medicaid Expansion. Recent acquisitions by UVA Health include Culpeper Medical Center, Haymarket Medical Center, and Prince William Medical Center. VCU Health recently purchased Riverside Tappahannock Hospital.