; (ii) the quality measures used to evaluate certified community behavioral health clinics participating in the demonstration program compare with the measures reported by certified community behavioral health clinics that are not participating in the program; and (iii) the quality measures being reported by certified community behavioral health clinics participating in the demonstration program offer insights on the quality of care provided at, and the health status of individuals treated by, such clinics. (D) An assessment of the extent to which the certified community behavioral health clinics participating in the demonstration program expanded the services they offer, as compared to certified community behavioral health clinics that are not participating in the program, and if so, what factored into the decision to expand. (E) Such recommendations as the Comptroller General determines appropriate for improving— (i) the reporting, accuracy, and validation of encounter data; (ii) accuracy in payments to certified community behavioral health clinics under State programs under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.) and quality monitoring of such clinics; and (iii) quality measure reporting and replacing process-driven quality measures with outcome-based measures that reflect improvements in patient functional status. (2) Report Not later than December 31, 2020, the Comptroller General of the United States shall submit to Congress a report containing the findings of the study conducted under paragraph (1). IV Human Services Extenders 401. Extension of sexual risk avoidance education program Section 510 of the Social Security Act ( 42 U.S.C. 710 ) is amended— (1) in subsection (a)— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking and 2019 and all that follows through December 20, 2019 and inserting through 2020 and for the period beginning October 1, 2020, and ending December 20, 2020