; (C) in paragraph (5)(E)— (i) in clause (i)(I)(bb)— (I) in the heading by striking First 2 years and inserting First 5 years ; and (II) by striking the first and second years and inserting each of the first through fifth years ; and (ii) in clause (i)(II)(bb)— (I) in the heading, by striking 2 years and inserting 5 years ; and (II) by striking the second sentence and inserting the following new sentences: For each of the second, third, fourth, and fifth years for which the MIPS applies to payments, not less than 10 percent and not more than 30 percent of such score shall be based on performance with respect to the category described in clause (ii) of paragraph (2)(A). Nothing in the previous sentence shall be construed, with respect to a performance period for a year described in the previous sentence, as preventing the Secretary from basing 30 percent of such score for such year with respect to the category described in such clause (ii), if the Secretary determines, based on information posted under subsection (r)(2)(I) that sufficient resource use measures are ready for adoption for use under the performance category under paragraph (2)(A)(ii) for such performance period. ; (D) in paragraph (6)(D)— (i) in clause (i), in the second sentence, by striking Such performance threshold and inserting Subject to clauses (iii) and (iv), such performance threshold ; (ii) in clause (ii)— (I) in the first sentence, by inserting (beginning with 2019 and ending with 2024) after for each year of the MIPS ; and (II) in the second sentence, by inserting subject to clause (iii), after For each such year, ; (iii) in clause (iii)— (I) in the heading, by striking 2 and inserting 5 ; and (II) in the first sentence, by striking two years and inserting five years