The proposed First Amendment to the Development Agreement with UHS Building Solutions, Inc. seeks to increase the Guaranteed Maximum Price of the contract by $34,558,853, raising the total contract amount from $374,680,980 to $409,239,833. This amendment is essential for the completion of the Cedar Hill Regional Medical Center, which has achieved conditional occupancy. The additional funding will support the final phases of the project, including critical infrastructure and medical equipment, enabling the hospital to become operational by April 15, 2025. The amendment also updates the definitions of "Certificate of Occupancy" and "Project Budget," ensuring clarity on the project's financial framework.

Key changes in the bill include the deletion of the previous definition of "Certificate of Occupancy," which is now defined to encompass both conditional and permanent certificates for the project. Additionally, the previous "Project Budget" definition has been replaced to reflect the new total budget and specific allocations within it. The amendment replaces Exhibit L of the original agreement, outlining the project scope, which includes the construction of a new inpatient hospital with 136 licensed beds and various facilities aimed at improving healthcare access for District residents. Overall, this amendment aims to enhance the hospital's capacity and readiness to meet future healthcare needs while ensuring compliance with budgetary and regulatory requirements.