; or (ii) the Secretary determines that such skilled nursing facility or such group practice has failed to comply with a requirement specified in paragraph (1) or (2) of subsection (c), as applicable. (B) Exclusion from certification for 3-year period In the case that the Secretary revokes the certification of a qualified skilled nursing facility or a qualified group practice under subparagraph (A), such skilled nursing facility or such group practice shall be ineligible for certification as a qualified skilled nursing facility or a qualified group practice (as applicable) under subsection (c) for a period of 3 years beginning on the date of such revocation. (f) Determination of budget neutrality; termination of program (1) Determination Not later than July 1, 2024, the Chief Actuary of the Centers for Medicare & Medicaid Services shall determine whether the Program has resulted in an increase in total expenditures under this title with respect to the period beginning on January 1, 2019, and ending on December 31, 2023, compared to what such expenditures would have been during such period had the Program not been in operation. (2) Termination If the Chief Actuary makes a determination under paragraph (1) that the Program has resulted in an increase in total expenditures under this title, the Secretary shall terminate the Program as of January 1 of the first year beginning after such determination. .