; and (iii) in subparagraph (A)(ii), by inserting or regional after local ; (5) in subsection (h)(3), in the matter preceding subparagraph (A), by inserting , as appropriate, after the Secretary ; (6) by amending subsection (i) to read as follows: (i) Report Not later than 4 years after the date of enactment of the Improving Care in Rural America 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 subsections (e), (f), and (g), including the impact of projects funded under such programs on the health status of rural residents with chronic conditions. ; and (7) in subsection (j), by striking $45,000,000 for each of fiscal years 2008 through 2012 and inserting $79,500,000 for each of fiscal years 2021 through 2025 .