; and (2) for 2021 and each subsequent year through 2028, 10 percent of the amount allocated under this subsection to such State for such year and purpose. . 4. Modifications to waiver for State innovation Section 1332 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18052 ) is amended— (1) in subsection (a)(3), in the first sentence, by striking individuals and small employers and all that follows through the State had not received such waiver and inserting the Secretary determines that there would be a reduction in the Federal deficit during the waiver period, the Secretary shall provide for a means by which the amount of such reduction ; and (2) in subsection (d)— (A) in paragraph (1), by striking 180 days and inserting subject to paragraph (3), 90 days ; and (B) by adding at the end the following new paragraph: (3) Expedited determination With respect to any application under subsection (a)(1) submitted on or after the date of enactment of this paragraph (or any such application submitted prior to such date of enactment and under review by the Secretary as of such date of enactment), the Secretary shall make a determination on such application, using the criteria for approval otherwise applicable under this section, not later than 45 days after the receipt of such application, and shall allow the public notice and comment at the State and Federal levels described under subsection (a)(4) to occur concurrently if such State application— (A) is submitted in response to an urgent situation, with respect to areas in the State that the Secretary determines are at risk for excessive premium increases or having no health plans offered in the applicable health insurance market for the current or following plan year