; (2) in subparagraph (KK), by adding and after the semicolon at the end; and (3) by adding at the end the following new subparagraph: (LL) vision services (as defined in subsection (ooo)); . (b) Vision services defined Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ), as amended by section 2, is further amended by adding at the end the following new subsection: (ooo) Vision services The term vision services means— (1) routine eye examinations and procedures performed (during the course of any eye examination) to determine the refractive state of the eyes; and (2) other necessary services related to eye and vision health (as defined by the Secretary). . (c) Payment; coinsurance; and limitations (1) In general Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ), as amended by section 2, is further amended— (A) by striking and before (HH)