; and (v) take into account reasonable costs for determining the payment rate consistent with paragraph (2)(B). . (b) Inclusion of network fee as an allowable cost Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395rr(b)(14) ), as amended by subsection (a), is amended by adding at the end the following new subparagraph: (K) Not later than January 1, 2020, the Secretary shall amend the ESRD facility cost report to include the per treatment network fee (as described in paragraph (7)) as an allowable cost or offset to revenue. . (c) Affirmation of availability of bad debt reimbursement for non-Composite rate services (1) Repeal of MIPPA bad debt rule of contruction Section 153(b)(4) of the Medicare Improvements for Patients and Providers Act ( 42 U.S.C. 1395rr note) is repealed. (2) Bad debt payments Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395rr(b) ), as amended by subsections (a) and (b), is further amended by adding at the end the following new subparagraphs: (L) Notwithstanding any other provision of this title, the Secretary shall provide payments for any unrecovered amount for any bad debt attributable to deductible and coinsurance for any item or service reimbursed under the system under this paragraph or bad debt described in section 153(b)(4) of the Medicare Improvements for Patients and Providers Act of 2008. Such payments for any unrecovered amount shall be made in addition to payments made under such system and such drug designation process. (M) The additional payments made under subparagraph (L)— (i) shall not be considered an adjustment under subparagraph (D); and (ii) shall not be implemented in a budget neutral manner. . (3) Effective date Paragraph (1) and the amendments made by paragraph (2) shall apply to payments beginning on January 1, 2020. (d) Productivity adjustment Section 1886(b)(3)(B)(xi) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(B)(xi) ) is amended— (1) in subclause (I), by striking For 2012 and inserting Subject to subclause (IV), for 2012