The main purpose of this legislation is to reverse certain changes made to provider taxes under the Medicaid program. It aims to restore the previous tax structure that was in place before these changes were enacted. The key provision of this legislation is the repeal of a specific section from Public Law 119-21. This repeal means that the rules and regulations regarding provider taxes that existed prior to the changes will be reinstated. Essentially, it undoes the modifications that affected how taxes were applied to healthcare providers participating in Medicaid.