; (B) is deemed to have met any applicable solvency and capital adequacy standards; and (C) shall exercise such authorities (including the use of regional or other pharmaceutical benefit managers) as the Secretary determines necessary to offer the prescription drug plan in the same or a comparable manner as is the case for prescription drug plans offered by private PDP sponsors. (c) Flexibility in risk assumed In order to ensure access pursuant to subsection (a) in an area the Secretary may approve limited risk plans under section 1860D–11(f) for the area. . (b) Conforming amendment Section 1860D–11(g) of the Social Security Act ( 42 U.S.C. 1395w–111(g) ) is amended by adding at the end the following new paragraph: (8) Application This subsection shall not apply on or after January 1, 2019. . (c) Effective date The amendments made by this section shall apply to plan years beginning on or after January 1, 2019. 304. Full reimbursement for qualified retiree prescription drug plans (a) Elimination of true Out-of-Pocket limitation Section 1860D–2(b)(4)(C)(iii) of the Social Security Act ( 42 U.S.C. 1395w–102(b)(4)(C)(iii) ) is amended— (1) in subclause (III), by striking or at the end; (2) in subclause (IV), by striking the period at the end and inserting ; or