Authorizing the commissioner of human services to negotiate a blended+ budget neutral medical assistance (MA) reimbursement rate agreement with +certain nursing facilities in a certain county located in northwestern +Minnesota; authorizing the agreement to include joint staffing arrangements, +shared facilities or services or other agreed upon efficiencies; goal of the+ agreement to be to reduce the use of nursing staff pools, increase the +efficiency of operations and encourage efficient use of hospital resources; +authorizing termination of the agreement upon nursing facility request (mk)