; and (2) by striking and 2019. and inserting and 2019, and $30,000,000 for each of fiscal years 2020 through 2022. . (b) Input for removal of measures Section 1890(b) of the Social Security Act ( 42 U.S.C. 1395aaa(b) ) is amended by inserting after paragraph (3) the following: (4) Removal of Measures The entity may provide input to the Secretary on quality and efficiency measures described in paragraph (7)(B) that could be considered for removal. . (c) Prioritization of measure endorsement Section 1890(b) of the Social Security Act ( 42 U.S.C. 1395aaa(b) ) is amended by adding at the end the following: (9) Prioritization of measure endorsement The Secretary— (A) during the period beginning on the date of the enactment of this paragraph and ending on December 31, 2023, shall prioritize the endorsement of measures relating to maternal morbidity and mortality by the entity with a contract under subsection (a) in connection with endorsement of measures described in paragraph (2); and (B) on and after January 1, 2024, may prioritize the endorsement of such measures by such entity. . 204. Improving measurements under the skilled nursing facility value-based purchasing program under the Medicare program (a) In general Section 1888(h) of the Social Security Act ( 42 U.S.C. 1395yy(h) ) is amended— (1) in paragraph (1), by adding at the end the following new subparagraph: (C) Exclusions With respect to payments for services furnished on or after October 1, 2021, this subsection shall not apply to a facility for which there are not a minimum number (as determined by the Secretary) of— (i) cases for the measures that apply to the facility for the performance period for the applicable fiscal year; or (ii) measures that apply to the facility for the performance period for the applicable fiscal year. ; (2) in paragraph (2)(A)— (A) by striking The Secretary shall apply and inserting The Secretary— (i) shall apply ; (B) by striking the period at the end and inserting ; and