; and (2) the inclusion in such report of recommendations on actions the Federal Government should take— (A) to mitigate the occurrence of ambulance diversions; and (B) to improve the health and safety of patients affected by ambulance diversions. (d) Definition In this section, the term ambulance diversion means the temporary closure of a hospital emergency department to incoming ambulances. 3. Hospital reporting requirement (a) Reporting requirement A hospital shall report to the Secretary of Health and Human Services, in the case the hospital implements an ambulance diversion on or after January 1, 2021— (1) how long the diversion was in effect; (2) the reason for the diversion; and (3) the number of ambulance calls the hospital diverted while the diversion was in effect. (b) Enforcement (1) Hospitals Section 1886(d)(5) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5) ) is amended by adding at the end the following new subparagraph: (M) (i) (I) In the case that the Secretary determines, with respect to a calendar quarter occurring in the period beginning with 2021 and ending with 2024, that a hospital has complied with the provisions of section 3(a) of the RESEARCH Act of 2020 with respect to each ambulance diversion (if any) that occurred during such quarter, the Secretary shall increase, by the percentage specified in subclause (II) for such quarter, the amount otherwise payable to such hospital under paragraph (1)(A) for discharges occurring in the succeeding quarter. (II) For purposes of subclause (I), the percentage specified in this subclause is, with respect to a calendar quarter occurring in— (aa) 2021 or 2022, 1 percent