; (2) in clause (iii), by striking The amount and inserting Subject to clause (vii), the amount ; (3) in clause (iv), by striking The total amount and inserting Subject to clause (vii), the total amount ; and (4) by adding at the end the following new clause: (vii) For discharges that have a primary or secondary diagnosis of COVID-19 and that occur during the emergency period described in section 1135(g)(1)(B), the amount of any additional payment under clause (ii) for a subsection (d) hospital for such a discharge shall be determined as if— (I) clause (ii) was amended by striking plus a fixed dollar amount determined by the Secretary ; (II) the reference in clause (iii) to approximate the marginal cost of care beyond the cutoff point applicable under clause (i) or (ii) were a reference to approximate the marginal cost of care beyond the cutoff point applicable under clause (i), or, in the case of an additional payment requested under clause (ii), be equal to 100 percent of the amount by which the costs of the discharge for which such additional payment is so requested exceed the applicable DRG prospective payment rate ; and (III) clause (iv) does not apply. . (b) Exclusion from reduction in average standardized amounts payable to hospitals located in certain areas Section 1886(d)(3)(B) of the Social Security Act ( 42 U.S.C. 1395ww(d)(3)(B) ) is amended by inserting before the period the following: , other than additional payments described in clause (vii) of such paragraph . (c) Application to site neutral IPPS payment rates Section 1886(m)(6)(B) of the Social Security Act ( 42 U.S.C. 1395ww(m)(6)(B) ) is amended— (1) in clause (i)— (A) in the matter preceding subclause (I), by striking In this paragraph and inserting Subject to clause (ii), in this paragraph ; (B) in subclause (I), by striking clause (iii) and inserting clause (iv) ; and (C) in subclause (II), by striking clause (ii) and inserting clause (iii)