; (II) implement strategies to reduce unnecessary, inefficient, or excessive spending under title XIX; (III) improve the use and availability of Medicaid data for program operation and oversight; and (IV) improve the quality of care and patient experience for individuals enrolled under the program under title XIX. (ii) As a condition of any additional increase pursuant to clause (i), not later than October 1, 2018, Puerto Rico shall submit to the Financial Oversight and Management Board for Puerto Rico a report regarding steps taken to achieve each of the goals described in subclauses (I) through (IV) of clause (i). (E) Payments under section 1903(a)(8) for a quarter of a fiscal year shall not be taken into account in applying subsection (f) (as increased in accordance with this paragraph and paragraphs (1), (2), (3), and (4)) to Puerto Rico for such fiscal year. . (b) Federal match for medical personnel and fraud reduction Section 1903(a) of the Social Security Act ( 42 U.S.C. 1396b(a) ) is amended— (1) in paragraph (2)(A), by inserting subject to paragraph (8), before an amount ; (2) in paragraph (6)— (A) in subparagraph (B), by inserting subject to paragraph (8), before 75 per centum ; and (B) by striking at the end plus ; (3) in paragraph (7), by striking at the end the period and inserting ; plus ; and (4) by adding at the end the following new paragraph: (8) for quarters during the period beginning January 1, 2018, and ending December 31, 2019, paragraphs (2)(A) and (6) shall apply with respect to Puerto Rico as if— (A) the reference to 75 per centum in paragraph (2)(A) were a reference to 90 per centum ; and (B) the reference to 75 per centum in paragraph (6)(B) were a reference to 90 per centum . .