; and (2) adjust the quarterly allocation of such visas accordingly. (d) For each calendar quarter subject to the visa allocation process set forth in subsection (b) or (c), if the total number of visas requested by employers whose petitions meet the standards for approval exceeds the total number of visas available for such employers, the Secretary shall ensure that each such petition is approved for a minimum number of visas, which shall be calculated based on the ratio between the total number of visas requested by such employers and the total number of visas available. (e) Effective October 1, 2020, section 214(g)(10) of the Immigration and Nationality Act ( 8 U.S.C. 1184(g)(10) ) is repealed. (f) Section 214(c)(14)(C) of the Immigration and Nationality Act ( 8 U.S.C. 1184(c)(14)(C) ) is amended to read as follows: (C) In determining the level of penalties to be assessed under subparagraph (A), the highest penalties shall be reserved for— (i) willful failures to meet any of the conditions of the petition that involve harm to United States workers; and (ii) willful misrepresentations of the number of necessary nonimmigrants in an application for temporary labor certification in support of a petition for nonimmigrants described in section 101(a)(15)(H)(ii)(b). . 527. None of the funds made available by this Act may be used to replace or diminish the quality of care provided by Medicare Advantage (as established in Title 42, Chapter 7, Subchapter XVIII, Part C of the United States Code) and the TRICARE program (as defined in Section 1072 of Title 10 of the United States Code). This Act may be cited as the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2020 .