clause (ii)(II), the Secretary shall use the most recently available data and information on the costs of such service or technology in making such a classification for the service or technology, including data and information from surveys of providers of services and suppliers conducted by the Secretary, private payers, health plans, physician specialty societies, or manufacturers as well as commercial price data and data from manufacturer invoices. . (B) Effective date The amendment made by subparagraph (A) shall take effect on the date of the enactment of this Act. (5) Criteria applied in making substantial improvement determinations (A) In general Section 1886(d)(5)(K) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(K) ), as amended by paragraphs (2)(A) and (4)(A), is further amended by adding at the end the following new clause: (xii) (I) In making a determination under this subparagraph whether a new medical service or technology represents an advance in medical technology that substantially improves the diagnosis or treatment of Medicare beneficiaries relative to a medical service or technology that was previously available, the Secretary shall also consider whether such new medical service or technology meets one or more of the following criteria: (aa) The use of the new medical service or technology can result in a reduction of the length of a hospital stay. (bb) The use of the new medical service or technology can improve patient quality of life. (cc) The use of the new medical service or technology can create long-term clinical efficiencies in treatment. (dd) The use of the new medical service or technology can address patient-centered objectives (as defined by the Secretary). (ee) The use of the new medical service or technology decreases the number of hospitalizations or physician visits. (ff) The use of the new medical service or technology reduces recovery time compared to the technologies previously used. (gg) The use of the new medical service or technology reduces device-related