; (2) in subparagraph (HH), by adding and after the semicolon at the end; and (3) by adding at the end the following new subparagraph: (II) vision services (as defined in subsection (lll)); . (b) Vision services defined Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ), as amended by section 2, is further amended by adding at the end the following new subsection: (lll) Vision services The term vision services means— (1) routine eye examinations and procedures performed (during the course of any eye examination) to determine the refractive state of the eyes; and (2) other necessary services related to eye and vision health (as defined by the Secretary). . (c) Payment; coinsurance; and limitations (1) In general Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ), as amended by section 2, is further amended— (A) by striking and before (CC) ; and (B) by inserting before the semicolon at the end the following: , and (DD) with respect to vision services (as defined in section 1861(lll)), the amount paid shall be the payment amount specified under section 1834(w) . (2) Payment and limits specified Section 1834 of the Social Security Act ( 42 U.S.C. 1395m ), as amended by section 2, is further amended by adding at the end the following new subsection: (w) Payment and limits for vision services (1) In general The payment amount under this part for vision services (as defined in section 1861(lll)) shall be, subject to paragraph (3), the applicable percent (specified in paragraph (2)) of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848. (2) Applicable percent For purposes of paragraph (1), the applicable percent specified in this paragraph is— (A) for the first year beginning at least 6 months after the date of the enactment of this subsection, 0 percent