; and (2) in paragraph (2)— (A) in subparagraph (B)— (i) by striking the header and inserting 2021 and subsequent years ; (ii) in the matter preceding clause (i), by striking 2021 and 2022 and inserting 2021 or a subsequent year ; (iii) in clause (i), by striking 50 percent and the applicable percent (as defined in clause (iv)) for such year ; (iv) in clause (ii)(I)— (I) in the matter preceding item (aa), by striking 50 percent and inserting the applicable percent (as defined in clause (iv)) for such year ; and (II) in item (bb)— (aa) by striking and other than payments made under title XIX and inserting other than payments made under title XIX ; and (bb) by striking State program under that title), and inserting State program under that title, and other than payments made by payers in which no payment or program meeting the requirements described in clause (iii)(II) is available from the payer for participation by the eligible professional) ; and (v) by adding at the end the following new clause: (iv) Applicable percent defined For purposes of clauses (i) and (ii), the term applicable percent means— (I) for 2021, 50 percent; and (II) for a subsequent year, a percent specified by the Secretary, but in no case less than the percent specified under this clause for the preceding year or more than 5 percentage points higher than the percent specified under this clause for such preceding year. ; (B) by striking subparagraph (C); and (C) by redesignating subparagraph (D) as subparagraph (C). (b) Partial qualifying APM participant modifications Section 1848(q)(1)(C)(iii) of the Social Security Act ( 42 U.S.C. 1395w–4(q)(1)(C)(iii) ) is amended— (1) in subclause (I), by adding and at the end; (2) in subclause (II)— (A) in the matter preceding item (aa), by striking 2022 and inserting subsequent years ; (B) in item (aa), by striking 50 percent was instead a reference to 40 percent and inserting the applicable percent were instead a reference to 10 percentage points less than the applicable percent