Modifying certain provisions regulating medical assistance (MA) +reimbursements to nursing facilities; modifying the payment rates for bed layaway +and delicensure, expanding the provision to removal of beds from layaway;+ modifying the exclusion of the raw food cost adjustment; providing for the +allocation of long term care facility central, affiliated or corporate office costs+ on a functional basis and modifying the required allocation of remaining +costs; providing for the treatment of related organization costs; providing +for the phase out of alternative payment system contracts; establishing a new+ nursing facility reimbursement system; requiring the commissioner of human +services to establish a value based nursing facility reimbursement system to +provide facility specific prospective rates for facilities participating in +the medical assistance program and providing for determination of the rates; +defining certain terms; providing for facility reporting of statistical and +cost information and for calculation of direct care and support services +per diem costs, the quality score, target prices and operating costs +uninflated payment rates; providing for certain geographic adjustments; requiring the +commissioner to biennially provide information to the legislature specifying +certain adjusters for operating payment rates; requiring and providing for +the commissioner to calculate the payment rates for external fixed and +property related costs and the total payment rate; providing for phase in of +the rate setting methods; authorizing commissioner negotiation of operating +payment rates for specialized care; granting the commissioner certain audit +authority; requiring the commissioner to provide certain remedies for disputes +and to determine interim payment rates for facilities without a cost history (mk)