insurance coverage uses an incentive payment and adjustment system (as defined by the Secretary) in determining pharmacy reimbursement payments for oral medications, such system shall only use quality measures that are relevant to the performance of such pharmacy with respect to areas that the pharmacy can impact based on the oral medications dispensed and managed by the pharmacy. (4) Oral medication defined In this subsection, the term oral medication means a drug or biological (as defined in section 1861(t) of the Social Security Act) that is used for a medically accepted indication that is dispensed as an outpatient and taken by mouth. . (b) Conforming amendment Section 2719A(e) of the Public Health Service Act (42 U.S.C. 300gg–19a(e)) is amended by inserting (other than subsection (f)) after The provisions of this section . (c) GAO report and recommendations (1) In general Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall submit to the Chair and Ranking Member of the Committee on Health, Education, Labor, and Pensions of the Senate and the Chair and Ranking Member of the Committee on Energy and Commerce of the House of Representatives a report on the effects of the implementation of subsection (f) of section 2719A of the Public Health Service Act (as added by subsection (a)) on the timely access of patients to oral medications (as defined in subsection (f)(4) of such section), together with such recommendations as the Comptroller General determines are appropriate. (2) Items included The report submitted under paragraph (1) shall include— (A) a comparison of the amount of time between the date on which a prescription is written and the date on which a patient receives an oral medication before and after the implementation of subsection (f) of section 2719A of the Public Health Service Act