; (ii) for the most recent cost reporting period that ended before the calendar quarter involved, had a disproportionate share adjustment percentage (as determined under section 1886(d)(5)(F) of the Social Security Act) greater than 11.75 percent or was described in section 1886(d)(5)(F)(i)(II) of such Act; and (iii) does not obtain covered outpatient drugs through a group purchasing organization or other group purchasing arrangement. If the Secretary determines that a hospital that is eligible for participation in the 340B program under this subparagraph obtained covered outpatient drugs through a group purchasing organization or another group purchasing arrangement while that hospital was participating in the drug discount program under this section, then the Secretary shall remove such hospital from such program and the hospital shall not be permitted to seek re-enrollment for a period of at least 12 months after its removal from the program. . (2) Study and report; moratorium; outpatient hospital facilities