; (VI) take into account, to the greatest extent possible, the most recently available PAC provider data described in any of subsections (b) through (d) of section 1899B of such Act; and (VII) taking into account the impact assessment described in clause (vi), ensure that payment and access to care under the system would be adequate for each PAC provider setting during a pandemic of similar scope and impact as that of COVID–19. ; (C) in clause (iv), by striking and at the end; (D) in clause (v) by striking the period at the end and inserting ; and ; and (E) by adding at the end the following new clause: (vi) an impact assessment that— (I) evaluates the capabilities and limitations of each PAC provider setting with respect to quality of care, patient safety, and containment of infectious disease during the emergency period described in section 1135(g)(1)(B) of the Social Security Act; (II) reviews and compares the relative capabilities of each PAC provider setting in meeting the clinical needs of individuals with COVID–19 and the needs of referring acute-care hospitals, including a specific assessment of such capabilities with respect to individuals with high-acuity COVID–19 cases, including such individuals requiring ventilator services and such individuals with major and extreme levels of severity of illness (as defined under the APR–DRGs patient classification system) and individuals requiring intensive medical rehabilitation, therapy, and rehabilitation nursing care; (III) evaluates the relative abilities of each PAC provider setting to prevent, mitigate, and contain the intra-facility and community spread of COVID–19; (IV) specifies the types of adjustments in clinical capacity, infection control protocols, isolation space, physical plant, personnel, access to personal protective equipment, and other changes by each PAC provider setting needed to safely mitigate the spread of future pandemics that are similar in scope and impact to that of COVID–19