of 2015 ( Public Law 114–10 ) with respect to ensuring flexibility in assessing the performance of MIPS eligible professionals under the Merit-based Incentive Payment System under section 1848(q) of the Social Security Act ( 42 U.S.C. 1395w–4(q) ) for the performance category described in paragraph (2)(A)(iv) of such section, as applicable and appropriate. (b) For eligible hospitals Section 1886(n)(3) of the Social Security Act ( 42 U.S.C. 1395ww(n)(3) ) is amended by adding at the end the following new paragraph: (D) Flexibility for meaningful use determinations for eligible hospitals In applying clauses (i), (ii), and (iii) of subparagraph (A), for purposes of subsection (b)(3)(B)(ix) for an EHR reporting period under such subsection with respect to fiscal years after 2019, the Secretary shall determine that an eligible hospital is a meaningful EHR user for the EHR reporting period for such fiscal years using a methodology specified by the Secretary through rulemaking based on performance with respect to objectives and measures established by the Secretary that are met by an eligible hospital. Such methodology shall allow an eligible hospital to be a meaningful EHR user if they achieve 70 percent (or a portion between 50 and 70 percent) of such measures or if they achieve a composite score (as determined by the Secretary through rulemaking) based on such measures. . 4. Reducing volume of future EHR-related significant hardship requests The last sentence of sections 1848(o)(2)(A) and 1886(n)(3)(A) of the Social Security Act ( 42 U.S.C. 1395w–4(o)(2)(A) , 1395ww(n)(3)(A)) are each amended by striking by and all that follows before the period at the end. 5. Extending flexibility in applying hardship exception for meaningful use for an eligible hospital for the 2017 EHR reporting period and payment adjustment for fiscal year 2019 Section 1886(b)(3)(B)(ix) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(B)(ix) ) is amended— (1) in the first sentence of subclause (II)— (A) by striking fiscal year 2017 and