Increasing the membership of the region 10 quality assurance commission under the medical assistance (MA) quality assurance licensing system pilot project in Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha and Winona counties to include the comissioner of human services or a designee and transferring certain duties from the commissioner to the commission; requiring the commissioner of human services or health to request a federal waiver for implementation of the exemption for residents of intermediate care facilities for persons with mental retardation (ICF MR) participating in the project from certain rules requirements; appropriating money to the commission for project costs, for grants to participating counties, for a licensing system financial review contract and for establishment with the commissioner of human services of an ongoing review process for the system (mk)