; (7) in paragraph (8), by striking of the House of Representatives and the Committee on Finance of the Senate and inserting , the Committee on Appropriations, and the Committee on Oversight and Government Reform of the House of Representatives and the Committee on Finance, the Committee on Homeland Security and Governmental Affairs, and the Committee on Appropriations of the Senate ; (8) in paragraph (10), by adding at the end the following: For each recommendation that MACPAC determines would increase Federal or State outlays for Medicaid or CHIP, MACPAC shall make a recommendation regarding changes in Federal or State policy to offset such increased outlays. ; and (9) by adding at the end the following new paragraph: (15) Annual report Not later than three months after the end of a fiscal year, MACPAC shall prepare and make available on the MACPAC website a report with respect to such fiscal year on its activities that includes— (A) information related to MACPAC’s expenses, contracts, accomplishments, and activities for such fiscal year