; (ii) by inserting or the hospice program after the home health agency ; (iii) by inserting or the hospice program after with respect to the agency ; and (iv) by inserting and hospice programs after with respect to home health agencies . (B) Effective date The amendments made by subparagraph (A) shall apply with respect to agreements entered into on or after, or in effect as of, the date that is 1 year after the date of the enactment of this Act. (4) Conforming amendments (A) Definition of a hospice program Section 1861(dd)(4) of the Social Security Act ( 42 U.S.C. 1395x(dd)(4) ) is amended by striking subparagraph (C). (B) Continuation of funding Section 3(a)(2) of the Improving Medicare Post-Acute Care Transformation Act of 2014 is amended by inserting and section 1822(a)(1) of such Act, after as added by paragraph (1), . (b) Increasing payment reductions for failure To meet quality data reporting requirements Section 1814(i)(5)(A)(i) of the Social Security Act ( 42 U.S.C. 1395f(i)(5)(A)(i) ) is amended by inserting (or, for fiscal year 2023 and each subsequent fiscal year, 4 percentage points) before the period. (c) Report Not later than October 1, 2024, the Comptroller General of the United States shall submit to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate a report containing an analysis of the effects of the amendments made by subsection (a), including the frequency of application of remedies specified in section 1822(c)(5)(B) of the Social Security Act (as added by such subsection), on access to, and quality of, care furnished by hospice programs under part A of title XVIII of the Social Security Act ( 42 U.S.C. 1395c et seq.).