; and (ii) by adding at the end the following new subparagraph: (B) Additional extension During the third 5 years of the 15-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2019, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4). . (C) Solicitation of applications Subparagraph (A) of subsection (g)(6) of such section 410A is amended— (i) by striking In general.— The Secretary and inserting In general.— (i) CURES Act solicitation The Secretary ; and (ii) by adding at the end the following new clause: (ii) Additional solicitation The Secretary shall, notwithstanding subsection (a)(2) or paragraph (2) of this subsection, not later than 120 days after the date of the enactment of this clause, issue a solicitation for applications to select up to the maximum number of additional rural community hospitals located in any State to participate in the demonstration program under this section for the third 5 years of the 15-year extension period without exceeding the limitation under paragraph (3) of this subsection. . (b) Clarification of application of case mix adjustment Subsection (b) of such section 410A is amended by adding at the end the following new paragraph: (3) Case mix adjustment The Secretary shall provide for an appropriate adjustment under this paragraph to take into account variations in case mix of rural community hospitals, using the most recent case-mix data available. . (c) Change in timing for report Subsection (e) of such section 410A is amended by striking Not later than August 1, 2018 and inserting Not later than August 1, 2023 . (d) Clarifying technical amendments Such section 410A, as amended by subsections (a), (b), and (c), is further amended— (1) in subsection (a)(1), by inserting of Health and Human Services after Secretary