previous year. Amounts appropriated pursuant to the previous sentence shall remain available until expended. (3) Limitation Amounts appropriated under this subsection are subject to the requirements and limitations under sections 506 and 507 of division H of Public Law 115–31 in the same manner and to the same extent as if such amounts were appropriated under such division. (c) Operation of program (1) In general The Administrator shall establish, after consultation with health care consumers, health insurance issuers, State insurance commissioners, and other stakeholders and after taking into consideration high cost health conditions and other health trends that generate high cost, parameters for the operation of the Program consistent with this section. (2) Expediting initial operation (A) Deadline for initial operation Not later than 60 days after the date of the enactment of this title, the Administrator shall establish sufficient parameters to specify how the Program will operate for plan year 2019. (B) Secretarial discretion To ensure the operation of the Program in plan year 2019, notwithstanding paragraph (1), the Secretary may in lieu of basing eligibility for participation in the Program on the parameters described in paragraphs (1) and (2) of subsection (d) and without consultation described in paragraph (1), base such eligibility on dollar amounts of claims and specify actuarial values to be applied for such amounts. (3) State operation of program (A) In general The Administrator shall establish a process for a State to operate the Program in such State beginning with plan year 2021. (B) Immediate waivers Such process shall allow a State that, as of March 1, 2018, had in place a fully established high risk sharing pool or fully established reinsurance program (as defined by the Secretary) to continue to operate such pool or program and not have the Program administered by the Secretary under this section apply to such State. (d) Details of program The parameters for the Program shall include the