The main purpose of this legislation is to adjust the federal funding formula for Medicaid in the District of Columbia. It aims to ensure that the federal medical assistance percentage (FMAP) for Medicaid in D.C. is fair and equitable compared to other states. The key provisions of this legislation include a specific adjustment to the FMAP for the District of Columbia. Under the proposed changes, the FMAP will be set at 70 percent for the District of Columbia for fiscal years before 2030.