This amendment adds language defining public entities that are able to transfer funds to the Department of Medical Assistance Services to cover the non-federal share to match federal Medicaid funding for physician supplemental payments to private acute care hospitals with which they have affiliation agreements. Language also clarifies the purposes for which hospitals may receive supplemental payments such as increasing and enhancing access to outpatient care for Medicaid patients, supporting critical healthcare workforce needs and advancing Medicaid's health and quality improvement goals. The amendment directs the department to periodically assess the quality measures that are submitted to the Centers for Medicare and Medicaid Services for supplemental payments to ensure that appropriate quality measures are being used for each supplemental payment. Language requires reporting and makes payments contingent on progress towards goal attainment. It also provides five positions at the agency for administration of the supplemental payment program.