; (B) in subparagraph (P), by striking the semicolon at the end and inserting , and ; and (C) by adding at the end the following new subparagraph: (Q) in the case of vision services (as defined in section 1861(nnn)) that are routine eye examinations and contact lens fitting services (as described in paragraph (1) or (2), respectively, of such section), which are furnished more frequently than once during a 2-year period; ; and (2) in paragraph (7)— (A) by inserting (other than such an examination that is a vision service that is covered under section 1861(s)(2)(KK)) after eye examinations ; and (B) by inserting (other than such a procedure that is a vision service that is covered under section 1861(s)(2)(KK)) after refractive state of the eyes . (h) Implementation (1) Funding (A) In general In addition to amounts otherwise available, the Secretary of Health and Human Services (in this subsection referred to as the Secretary ) shall provide for the transfer from the Federal Supplementary Medical Insurance Trust Fund under section 1841 of the Social Security Act ( 42 U.S.C. 1395t ) to the Centers for Medicare & Medicaid Services Program Management Account of— (i) $20,000,000 for each of fiscal years 2024 and 2025 for purposes of implementing the amendments made by this section; and (ii) such sums as determined appropriate by the Secretary for each subsequent fiscal year for purposes of administering the provisions of such amendments. (B) Availability and additional use of funds Funds transferred pursuant to subparagraph (A) shall remain available until expended and may be used, in addition to the purpose specified in subparagraph (A)(i), to implement the amendments made by section 3. (2) Administration The Secretary may implement, by program instruction or otherwise, any of the provisions of, or amendments made by, this section.