; and (B) by inserting before the semicolon at the end the following: ; and (DD) with respect to audiologist services furnished under section 1861(s)(2)(II), the amounts paid shall be 80 percent of the lesser of the actual charge for the services or the fee schedule amount provided under section 1848 . (3) Payment on assignment-related basis Section 1842(b)(18)(C) of such Act ( 42 U.S.C. 1395u(b)(18)(C) ) is amended by adding at the end the following new clause: (vii) An audiologist. . (4) Payment under physician fee schedule Section 1848(j)(3) of such Act ( 42 U.S.C. 1395w–4(j)(3) ) is amended by inserting (2)(II), before (3), . 4. Rule of construction Nothing in the amendments made by this Act shall be construed to expand the scope of audiologist services or services for which payment may be made to other providers under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq.) beyond those services for which such payment may be made as of December 31, 2019. 5. Effective date The amendments made by this Act shall apply to items and services furnished on or after January 1, 2020.