; and (3) by adding at the end the following new subparagraph: (P) Evaluation and management codes The Secretary shall not apply subparagraph (B)(ii)(II) (relating to limitation on annual adjustments in relative values) or subparagraph (F) (relating to budget neutrality adjustments) with respect to the implementation of adjustments of relative value units for the evaluation and management codes described in the final rule published by the Secretary in the Federal Register on November 15, 2019 (84 Fed. Reg. 62568, 62847–62860), for 2021 and each subsequent year. . (b) Increase in update factor Paragraph (19) of section 1848(d) of the Social Security Act ( 42 U.S.C. 1395w–4(d) ) is amended to read as follows: (19) Update for 2020 through 2025 The update to the single conversion factor established in paragraph (1)(C) for 2020 and each subsequent year through 2025 shall be as follows: (A) For 2020, 0.0 percent. (B) For 2021, 1.0 percent. (C) For 2022 and 2023, 0.5 percent. (D) For 2024 and 2025, 0.0 percent. . 3. Helping outpatient providers through the COVID–19 pandemic (a) Clarification The third proviso of the third paragraph under the heading Office of the Secretary—Public Health and Social Services Emergency Fund in division B of the Coronavirus Aid, Relief, and Economic Security Act ( Public Law 116–136 ) is amended by inserting (including physicians, physical therapists, occupational therapists, speech language pathology therapists, audiologists, psychologists, social workers, and any other supplier enrolled through part B of the Medicare program under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq.)) after Medicare or Medicaid enrolled suppliers . (b) Effective date The amendment made by subsection (a) shall take effect as if included in the enactment of the Coronavirus Aid, Relief, and Economic Security Act ( Public Law 116–136 ). 4. Making appropriate therapy services accessible through the Medicare telehealth program (a) Medicare beneficiary access to therapy services during national health