; and (B) in paragraph (3), by striking (such as laying cable or telephone lines, or purchasing or installing microwave towers, satellite dishes, amplifiers, or digital switching equipment) ; (11) by striking subsections (q) and (r) and inserting the following: (p) Report Not later than 4 years after the date of enactment of the Rural Delivery of Online Care Services Reauthorization Act of 2020 , and every 5 years thereafter, the Secretary shall prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the activities and outcomes of the grant programs under subsection (b). ; (12) by redesignating subsection (s) as subsection (q); and (13) in subsection (q), as so redesignated, by striking this section— and all that follows through the end of paragraph (2) and inserting this section $29,000,000 for each of fiscal years 2021 through 2025. .