The bill is a supplementary appropriation act that allocates federal funds to the Department of Human Services for the fiscal year ending June 30, 2026. It specifies the appropriation of federal moneys remaining unappropriated in the Treasury, which the Governor has confirmed are available for expenditure. The bill increases existing appropriations for medical services and administrative costs within the Department of Human Services, specifically under fund 8722 for fiscal year 2026 and organization 0511.

The appropriations include $1,373,097,966 for medical services and $37,000,000 for medical services administrative costs. This act is effective immediately upon passage and has been certified by the clerks of both the Senate and the House of Delegates, indicating its formal approval by the legislative body.