; (B) an analysis of any differences in agreements and their effects on plan enrollee out-of-pocket spending and average pharmacy reimbursement, and any other impacts; and (C) any recommendations the Commission determines appropriate. (2) Not later than March 31, 2030, a report describing any changes with respect to the information described in paragraph (1) over time, together with any recommendations the Commission determines appropriate. 303. Extending the adjustment to the calculation of hospice cap amounts under the Medicare program Section 1814(i)(2)(B) of the Social Security Act ( 42 U.S.C. 1395f(i)(2)(B) ) is amended— (1) in clause (ii), by striking 2033 and inserting 2034 ; and (2) in clause (iii), by striking 2033 and inserting 2034 .