; and (B) by adding , and before October 1, 2018 before the period at the end. (2) Sunsetting existing adjustment for complications Section 1886(p) of the Social Security Act ( 42 U.S.C. 1395ww(p) ) is amended— (A) in paragraph (1), by inserting (before fiscal year 2019) after a subsequent fiscal year ; and (B) in paragraph (5), by inserting (before fiscal year 2019) after each subsequent fiscal year . (3) Sunsetting existing adjustment for readmissions Section 1886(q) of the Social Security Act ( 42 U.S.C. 1395ww(q) ) is amended— (A) in paragraph (1), by inserting and ending before October 1, 2018 after October 1, 2012, ; (B) in paragraph (3)(C)(iii), by inserting before fiscal year 2019 after and subsequent fiscal years ; and (C) in paragraph (5)(B), by inserting and ending with fiscal year 2018 after fiscal year 2015 . (4) Sunsetting existing adjustment for certain hospital acquired infections Section 1886(d)(4)(D) of the Social Security Act ( 42 U.S.C. 1395ww(d)(4)(D) ) is amended by inserting and before October 1, 2018 after 2008, .