This amendment adds funding and language directing the Department of Medical Assistance Services to adjust the formula used to calculate indirect medical education (IME) reimbursement for managed care discharges at Children's Hospital of the King's Daughters (CHKD). This change would restore CHKD's case mix index factor to the fiscal year 2019 level, which had been reduced in fiscal year 2020. The change is intended to stabilize CHKD s IME funding levels so the hospital is not subject to fluctuations in future Medicaid payments that occur with rebasing and changes in federal policy. Using fiscal year 2019 as a more typical year for CHKD (pre-COVID), the general fund impact would be an estimated $8.1 million, with a nongeneral fund impact of $8.3 million over the biennium.