The Fund shall be used for the following purposes: (1) Ensuring adequate resources are available to support District-wide Medicaid costs and revenue shortfalls; (1A) Ensuring adequate resources are available to support District-wide Medicare costs and revenue shortfalls; (1B) Ensuring adequate resources are available to support District-wide Foster Care and Adoption Assistance costs and revenue shortfalls; (2) Ensuring adequate resources are available to support District-wide Special Education costs and revenue shortfalls; (3) Supporting Medicaid, Medicare, and Foster Care and Adoption Assistance reform activities designed to establish cost-effective, agency-based Medicaid, Medicare, and Foster Care and Adoption Assistance operations; and (4) Optimizing Medicaid, Medicare, Foster Care and Adoption Assistance and other third-party revenues.