; and (ii) by inserting before the semicolon at the end the following: , and (DD) with respect to preventive services described in subparagraph (D) of section 1861(ddd)(3), the amount paid shall be 100 percent of (i) except as provided in clause (ii), the lesser of the actual charge for the service or the amount determined under the fee schedule that applies to such treatment under this part, and (ii) in the case of such services that are covered OPD services (as defined in subsection (t)(1)(B)), the amount determined under subsection (t) . (C) Exemption from part B deductible Section 1833(b) of the Social Security Act ( 42 U.S.C. 1395l(b) ) is amended— (i) in paragraph (9), by striking and at the end; and (ii) in paragraph (10), by striking the period at the end and inserting , and (11) such deductible shall not apply with respect to preventive services described in subparagraph (D) of section 1861(ddd)(3). . (D) Effective date The amendments made by this paragraph shall apply to items and services furnished on or after January 1, 2021. (2) Part D (A) In general Section 1860D–2(b) of the Social Security Act ( 42 U.S.C. 1395w–102(b) ) is amended— (i) in paragraph (1)(A), by striking The coverage and inserting Subject to paragraph (8), the coverage ; (ii) in paragraph (2)(A), by striking and (D) and inserting and (D) and paragraph (8) ; (iii) in paragraph (3)(A), by striking and (4) and inserting (4), and (8) ; (iv) in paragraph (4)(A)(i), by striking The coverage and inserting Subject to paragraph (8), the coverage