This legislation proposes to amend Title XIX of the Social Security Act to establish a 100 percent Federal Medical Assistance Percentage (FMAP) for urban Indian organizations. This provision would ensure that these organizations receive full federal reimbursement for Medicaid services, mirroring the funding structure already in place for Indian tribes and tribal organizations. Specifically, the bill modifies Section 1905(b) of the Social Security Act to include urban Indian organizations that operate under a grant or contract with the Indian Health Service, as defined by the Indian Health Care Improvement Act. By providing this enhanced FMAP, the legislation aims to improve the financial viability and capacity of urban Indian organizations to deliver essential healthcare services to their communities, promoting parity in federal support.