; and (II) in the case of positions made available under clause (iii), the demonstrated likelihood of the hospital filling such positions within the first three cost reporting periods beginning on or after July 1, 2019. (v) Limitation Notwithstanding clauses (ii) and (iv), an individual hospital may not receive more than 25 full-time-equivalent residency positions under this subparagraph. (vi) Clarification regarding availability of additional positions in subsequent fiscal years Nothing in this subparagraph shall preclude a hospital from receiving additional residency positions under subparagraph (C). (vii) Positions not distributed during the fiscal year If the number of resident full-time-equivalent positions distributed under this subparagraph is less than the aggregate number of positions available for distribution in the fiscal year (as described in subparagraph (A)), the difference between such number distributed and such number available for distribution shall be added to the aggregate number of positions available for distribution under subparagraph (C). (C) Distribution for fiscal years 2020 through 2023 (i) In general For the period of fiscal years 2020 through 2023, the positions available for distribution with respect to such period (as described in subparagraph (A), including after application of subparagraph (B)(vi)) shall be distributed to hospitals which demonstrate to the Secretary that the hospital— (I) will establish an approved program in addiction medicine, addiction psychiatry, or pain management