The proposed bill establishes a contract between the District of Columbia's Department of Health Care Finance and Bert W. Smith Jr. and Co., Chartered, for audit services related to the Medicaid Program, valued at $1,146,142.50 for a one-year term with options for four additional one-year extensions. The contractor is tasked with ensuring compliance of payments to healthcare service providers with federal and district laws, and the selection process was competitive, with Bert W. Smith & Co. scoring 109 points. The bill also certifies that the contract is within the appropriated budget authority and aligns with the financial plan, emphasizing the contractor's status as a Certified Business Enterprise with no outstanding liabilities.

Additionally, the bill outlines specific audit requirements for various healthcare providers and programs, including detailed costs for different types of audits, such as full, limited, and desk reviews. It mandates that the contractor maintain organized working papers, conduct annual financial audits, and adhere to strict guidelines for compliance with federal regulations. The legislation aims to enhance oversight and accountability in the Medicaid Program, ensuring that healthcare providers meet necessary legal and regulatory standards while also incorporating provisions for equitable adjustments, non-discrimination, and compliance with the Health Insurance Portability and Accountability Act (HIPAA) regarding the handling of Protected Health Information (PHI).