; and ; and (2) in subparagraph (C), by striking and before patient-centered care and inserting , are appropriate to issues of quality outcomes related to the medical conditions under study, and are . 10. Effective date Except as otherwise provided in the previous sections of this Act (or the amendments made by such sections), such amendments shall apply with respect to the testing, expansion, or modification of models on or after January 1, 2020.