This bill provides needed system reforms to assure that providers are adequately funded and that care staff jobs are not in jeopardy. Failure to pass will result in more than a 10% cut to current payments. It also advances funding for a quality enhancement program pushed by Representative Cody. The best part is that the provider fee initiative uses federal dollars, gives the state an additional $30 million for other services and costs the tax payer noting. Basically a win for patients, providers and the state. While almost every nursing home in the state will benefit from this fee, the association representing many not-for-profit nursing homes continues to oppose the initiative on a purely phylisophical issue, even though their membership benefits.