340B(a)(4) of the Public Health Service Act or a rural sole community hospital described in subparagraph (O) of such section). . (B) Other part B claims Section 1847A of the Social Security Act ( 42 U.S.C. 1395w–3a ) is amended by adding the following new subsection: (h) 340B claims modifier All claims submitted under this part (other than under the prospective payment system for hospital outpatient department services under section 1833(t)) for reimbursement of a unit of a covered outpatient drug subject to an agreement under section 340B of the Public Health Service Act shall include the 340B modifier established by the Secretary under such payment system that is JG . . (2) Medicare Advantage and Medicare part D Section 1857(e) of the Social Security Act ( 42 U.S.C. 1395w–27(e) ) is amended by adding at the end the following new paragraph: (5) 340B claims modifier All claims submitted to a Medicare Advantage organization or a PDP sponsor under this part and part D, respectively, for reimbursement of a unit of a covered outpatient drug subject to an agreement under section 340B of the Public Health Service Act shall include the 340B modifier established by the Secretary under the prospective payment system for hospital outpatient department services under section 1833(t) that is JG or the Submission Clarification Code of 20 developed by the National Council for Prescription Drug Programs (NCPDP). . (3) Report on utilization under Medicare part B The Secretary of Health and Human Services shall publish an annual report on utilization under part B of title XVIII of the Social Security Act ( 42 U.S.C. 1395j et seq.) of covered outpatient drugs purchased subject to an agreement under section 340B of the Public Health Service Act ( 42 U.S.C. 256b ) during the preceding calendar year. The Secretary shall not include confidential patient-specific, drug-specific, or manufacturer-specific information in any such annual report. (c) Effective date The amendments made by this section take effect on the date that is 6