The main purpose of this legislation is to ensure that states receive a minimum amount of funding for Medicaid disproportionate share hospitals (DSH). These hospitals typically serve a large number of low-income patients and are crucial for providing healthcare in underserved areas. The bill aims to provide more stable financial support to these hospitals, particularly in rural regions. Key provisions of the legislation include the establishment of a minimum DSH allotment for each state. Starting in fiscal year 2025, no state will receive less than $20 million for DSH funding.