; and (ii) assures unbiased review of the highest scientific standards by qualified individuals with no interest in the outcome of the review. . (b) Effective date The amendments made by this section shall apply with respect to plan years beginning on or after January 1, 2021. 6. Medicare coverage of items and services furnished in connection with qualifying Valley fever clinical trials (a) Coverage Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ) is amended— (1) in subparagraph (GG), by striking and at the end; (2) in subparagraph (HH), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following new subparagraph: (II) items and services furnished in connection with participation in a qualifying Valley fever clinical trial (as defined in section 2709A(b)(4) of the Public Health Service Act), including travel and incidental expenses; . (b) Payment Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ) is amended— (1) by striking and (CC) and inserting (CC) ; and (2) by inserting before the semicolon at the end the following: , and (DD) with respect to items and services described in section 1861(s)(2)(II), the amount paid shall be 100 percent of the lesser of the actual charge for the services or the amount determined under the payment basis determined under section 1848 .