To replace the previous version of the bill with one which includes the “Michigan Medicaid Quality Assurance Assessment” (MMQAA) program previously included in Senate Bill 1101, but line-item vetoed by the governor after that bill was passed. The program would impose a new "bed tax" on nursing homes, hospitals, and HMOs, which is designed to allow the state to garner a greater amount of federal Medicaid dollars. These would be returned to the health providers, resulting in a net gain for most of them. The provision was vetoed after the Michigan Hospital Association went ahead with a ballot initiative to reallocate spending of Michigan's share of the national tobacco lawsuit settlement money (Proposal 02-4). For more details on the MMQAA see Senate Bills 1101 and 748, and House Bills 5103, 4373, and 4057.