; and and inserting a semicolon; (B) by realigning the left margin of clause (xiii) to align with the left margin of clause (xii); (C) in clause (xiii), by striking the period at the end and inserting ; and ; and (D) by inserting after clause (xiii) the following: (xiv) such contract requires that the entity meets the requirements described in section 1857(e)(5) in the same manner as such requirements apply to an MA organization. . (2) Effective date The amendments made by this subsection shall apply to contracts entered into or renewed after December 31, 2019. 303. Enrollment in Exchanges (a) Open enrollment and special enrollment periods Section 1311(c)(6) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(6) ) is amended— (1) in subparagraph (B), by inserting that are not less than 8 weeks after open enrollment periods ; (2) in subparagraph (C), by striking ; and and inserting ; ; (3) in subparagraph (D), by striking the period and inserting ; and