; (2) by striking 65 percent and inserting 100 percent ; and (3) by adding at the end the following new paragraph: (2) (A) The total cost of providing services or in-kind assistance in the case of any veteran described in subparagraph (B) for any fiscal year under the program may exceed 100 percent of the cost that would otherwise have been incurred as specified in paragraph (1) if the Secretary determines, based on a consideration of clinical need, geographic market factors, and such other matters as the Secretary may prescribe through regulation, that such higher total cost is in the best interest of the veteran. (B) A veteran described in this subparagraph is a veteran with amyotrophic lateral sclerosis, a spinal cord injury, or a condition the Secretary determines to be similar to such conditions. . (b) Applicability The amendments made by subsection (a) shall apply with respect to fiscal years beginning on or after the date of the enactment of this Act. 121. Coordination with Program of All-Inclusive Care for the Elderly Section 1720C of title 38, United States Code, as amended by section 120 , is further amended by adding at the end the following new subsection: (f) In furnishing services to a veteran under the program conducted pursuant to subsection (a), if a medical center of the Department through which such program is administered is located in a geographic area in which services are available to the veteran under a PACE program (as such term is defined in sections 1894(a)(2) and 1934(a)(2) of the Social Security Act ( 42 U.S.C. 1395eee(a)(2)