This bill seeks to expand eligibility for the Rural Health Transformation Program by including the District of Columbia. It amends title XXI of the Social Security Act , specifically Section 2105(h)(2)(D), to ensure the District of Columbia can receive allotments from this program. By inserting "and the District of Columbia" after "the 50 States," the legislation grants the District the same eligibility as states for these crucial health funds. This change aims to provide equal treatment for the District of Columbia under the program. The amendment will apply retroactively, effective from the enactment date of Public Law 119-21.