The amendment will update the Plan to reflect changes to the payment methodology for nursing home services as authorized in House Bill 5001, 2014-15 General Appropriations Act, Specific Appropriation 241, as follows: 1. $1,115,714,105 is provided to buy back nursing facility rate reductions effective on or after January 1, 2008 2. A transition to a single rate-setting period effective September 1 of each year. Rates shall be established on July 1, 2014 for a six-month rate period, January 1, 2015 for an eight-month rate period, and annually on September 1 thereafter 3. Editorial and technical changes to remove obsolete language and reorganize existing language