; and (2) by striking the period and inserting , $176,000,000 for fiscal years 2018 and 2019, $184,000,000 for fiscal year 2020, $194,000,000 for fiscal year 2021, $203,000,000 for fiscal year 2022, $214,000,000 for fiscal year 2023, $224,000,000 for fiscal year 2024, $235,000,000 for fiscal year 2025, $247,000,000 for fiscal year 2026, $260,000,000 for fiscal year 2027, and for fiscal year 2028, and each subsequent fiscal year, the amount appropriated for the preceding fiscal year adjusted by the greater of the annual percentage increase in the medical care component of the consumer price index for all urban consumers (U.S. city average) as rounded up in an appropriate manner, or the percentage increase for the fiscal year involved under section 2(a)(11). . (b) Limitation Amounts otherwise appropriated for Teaching Health Centers may not be reduced as a result of the appropriations made under this section. (c) Availability of funds Amounts appropriated under this section shall remain available until expended. 5. Nurse Practitioner Residency Training Programs (a) In general Section 5316 of the Patient Protection and Affordable Care Act is amended by striking subsection (i) and inserting the following: (i) Appropriations In addition to amounts otherwise appropriated, there is authorized to be appropriated, and there is appropriated to carry out this section— (1) $35,000,000 for fiscal year 2018; (2) $40,000,000 for fiscal year 2019; (3) $45,000,000 for fiscal year 2020; (4) $50,000,000 for fiscal year 2021; (5) $55,000,000 for fiscal year 2022; (6) $60,000,000 for fiscal year 2023; (7) $65,000,000 for fiscal year 2024; (8) $70,000,000 for fiscal year 2025; (9) $75,000,000 for fiscal year 2026; (10) $80,000,000 for fiscal year 2027