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 cover final costs associated with various construction elements, enabling the hospital to achieve operational status by April 15, 2025. The amendment also updates the project budget to a maximum of $434,400,000, reflecting additional funding due to COVID-19 impacts and the need for a larger facility, with specified allocations for construction, furniture, fixtures, and equipment.

Key changes in the amendment include the deletion and replacement of certain definitions, such as "Certificate of Occupancy" and "Project Budget," to align with updated financial commitments. The amendment clarifies the lease agreement between the District and UHS East End Sub, LLC, and emphasizes the project's goal of enhancing healthcare access for District residents, particularly in Wards 7 and 8. The new hospital will feature a 136-bed community hospital with the potential to expand to 196 beds, providing essential services such as maternal health and a Level II neonatal intensive care unit, ultimately contributing to improved health outcomes and addressing health disparities in the region.