payment amount under this subparagraph is attributable to resident positions distributed to a hospital under subsection (h)(9)(B), the indirect teaching adjustment factor shall be computed in the same manner as provided under clause (ii) with respect to such resident positions. . (c) Conforming amendment Section 422(b)(2) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 ( Public Law 108–173 ), as amended by section 5503 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ), is amended by striking paragraphs (7) and (8) and inserting paragraphs (7), (8), and (9). .