The proposed bill amends the Development Agreement with UHS Building Solutions, Inc. 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 facilities, enabling the hospital to become operational by April 15, 2025. The bill also updates the project budget to a maximum of $434,400,000, reflecting increased costs due to COVID-19 and the need for a larger facility, with funding sources including District funds, federal grants, and contributions from UHS.

Key changes in the bill include the deletion and replacement of certain definitions and recitals within the original agreement, particularly updating Recital G to reflect a new lease agreement and revising definitions related to the "Certificate of Occupancy" and "Project Budget." The amendment clarifies that any inconsistencies between this amendment and the original agreement will be governed by the terms of the amendment. Additionally, the bill emphasizes compliance with various laws, including the Davis-Bacon Act and the Green Building Act, and establishes a framework for project management, contractor responsibilities, and financial oversight to ensure the successful execution of the hospital project while enhancing healthcare access for District residents.