; and (II) an assessment of the impact of all the State demonstration programs conducted under this paragraph on the Federal and State costs relating to providing freestanding birth center services for women with a low-risk pregnancy (including with respect to the provision of inpatient, emergency, and ambulatory services) and newborn care, compared to the Federal and State costs related to the provision of freestanding birth center services by freestanding birth centers outside of such demonstration programs. (ii) Recommendations Not later than the end of the third year of the demonstration program established under this subsection, the Secretary shall submit to Congress recommendations concerning whether the demonstration programs under this paragraph should be continued, expanded, modified, or terminated. (4) Funding (A) In general Out of any funds in the Treasury not otherwise appropriated, there is appropriated to the Secretary— (i) for purposes of carrying out paragraph (2)(B), $2,000,000; and (ii) for purposes of carrying out the demonstration programs under paragraph (3), $25,000,000. (B) Availability Funds appropriated under subparagraph (A) shall remain available until expended. (5) Definitions In this subsection: (A) Freestanding birth center services The term freestanding birth center services has the meaning given that term under section 1905(l)(3)(A) and includes such other services as the Secretary shall determine for purposes of the demonstration programs conducted under paragraph (3). (B) Low-risk pregnancy The term low-risk pregnancy means an uncomplicated singleton term pregnancy with a vertex presentation with an expected uncomplicated birth. .