; (B) by striking Subclause (VI) and inserting Subclauses (VI) and (XII) ; and (C) by striking such subclause applies and inserting such subclauses apply . (b) Removal for post-Acute care providers Section 1899B(h) of the Social Security Act ( 42 U.S.C. 1395lll(h) ) is amended by adding at the end the following new paragraph: (3) Measure removal factors (A) In general In carrying out paragraph (1) and the provisions specified in subparagraph (B), for purposes of evaluating quality measures described in such paragraph or such subparagraph, respectively, the Secretary shall consider removal of such a measure based on factors such as those described in section 1886(b)(3)(B)(viii)(XII). (B) Reporting provisions and measures described For purposes of subparagraph (A), the provisions and measures described in this subparagraph are the following: (i) In the case of inpatient rehabilitation facilities, section 1886(j)(7) and the measures described in such section. (ii) In the case of long-term care hospitals, section 1886(m)(5) and the measures described in such section. (iii) In the case of skilled nursing facilities, section 1888(e)(6) and the measures described in such section. (iv) In the case of home health agencies, section 1895(b)(3)(B)(v) and the measures described in such section. . (c) Providing for meaningful measures Section 1890A(a) of the Social Security Act ( 42 U.S.C. 1395aaa–1(a) ) is amended by adding at the end the following new paragraph: (7) Meaningful measures In selecting and updating quality measures for use under this title, the Secretary shall, as practicable, consider the extent to which such measures satisfy the following factors: (A) The measures are patient-centered and meaningful to patients, clinicians, and providers. (B) The measures address high-impact measure areas that safeguard public health. (C) The measures are outcome-based where possible. (D) The measures minimize the level of burden for providers. (E) The measures create significant opportunity for improvement