This bill aims to reverse specific legislative changes made by Public Law 119-21, an act providing for reconciliation. A primary objective is to repeal changes to Medicaid cost-sharing requirements , effectively restoring the previous rules for beneficiary contributions to healthcare costs under Medicaid. It also rescinds any appropriations made under the repealed section related to Medicaid cost-sharing. Additionally, the bill seeks to repeal changes to the exclusion for orphan drugs within the Medicare Drug Price Negotiation Program. This action would ensure that Title XI of the Social Security Act is applied as if these modifications had never been enacted, thereby reinstating the prior treatment of orphan drugs in the negotiation program.