Modifying the implementation date for county based purchasing under the medical assistance (MA) prepayment demonstration project; requiring the commissioner of human services to make certain program information and data available to county boards to effectively administer county based purchasing; requiring the commissioner of health to adopt rules for county based purchasing programs relating to certain requirements of health maintenance organizations (HMO) and community integrated service networks (CISN), requiring state auditor annual audits of the purchasing programs; requiring the commissioner of human services to report to the legislature by a certain date on the current rate setting process for state prepaid health care programs, rate setting and risk adjustment methods in other states and the results of the application of risk adjustment on a trial basis and to present recommendations to the legislature by a certain earlier date relating to implementation of county board authority (rla)