The purpose and effect of the proposed rule development is to incorporate changes to the Florida Title XIX Long-Term Care Reimbursement Plan payment methodology, effective July 1, 2006, in accordance with the 2006-07 General Appropriations Act, House Bill 5001, Specific Appropriation 243. 1. $25,853,709 is provided to restore nursing home rate reductions imposed in Fiscal Year 2005-2006. 2. $65,486,296 is provided to partially re-base the operating and indirect patient care component targets of the Medicaid nursing home per diem rate, effective July 1, 2006. Within the funding provided, the Title XIX Long-Term Care Reimbursement Plan may be modified to eliminate or adjust provider-specific targets for the operating and indirect patient care components of the Medicaid rate, increase or decrease the target rate class ceilings or other components of the Medicaid per diem rate such that the operating and indirect patient care components of the per diem rate shall be limited only by the lower of the cost-based class ceiling or the target rate class ceiling.