; and (B) by inserting before the semicolon at the end the following: and (HH) with respect to medically necessary food (as defined in section 1861(nnn)), the amount paid shall be an amount equal to 80 percent of the lesser of the actual charge for the services or the amount determined under a fee schedule established by the Secretary for purposes of this subparagraph. . (4) Effective date The amendments made by this subsection shall apply to items and services furnished on or after the date that is 3 years after the date of the enactment of this Act. (b) Coverage under the Medicaid program (1) In general Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ) is amended— (A) in paragraph (30), by striking and at the end; (B) by redesignating paragraph (31) as paragraph (32); and (C) by inserting after paragraph (30) the following new paragraph: (31) medically necessary food (which shall include at least the items and services included in such term for purposes of section 1861(nnn)) and the medical equipment and supplies necessary to administer such food; and . (2) Conforming amendments (A) Mandatory benefits Section 1902(a)(10)(A) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A) ) is amended, in the matter preceding clause (i), by striking and (30) and inserting (30), and (31) . (B) Application of cost limits Section 1903(i)(27) of the Social Security Act ( 42 U.S.C. 1396b(i)(27) ) is amended— (i) by inserting or for equipment and supplies described in section 1905(a)(31), after 2018,