; (B) in subparagraph (X)— (i) by moving the indentation 2 ems to the left; and (ii) by striking and at the end; (C) in subparagraph (Y), by striking the period at the end and inserting ; and ; and (D) by inserting after subparagraph (Y) the following new subparagraph: (Z) in the case of a hospital, to submit, in a form and manner, and at a time, specified by the Secretary, data on the Nulliparous, Term, Singleton, Vertex Cesarean section (NTSV C-section) rate with respect to the hospital for the preceding year. . (2) Incorporation into hospital quality reporting Section 1886(b)(3)(B)(viii) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(B)(viii) ) is amended by adding at the end the following new subclause: (XIII) Effective for payments beginning with fiscal year 2025, in expanding the number of measures under subclause (III), the Secretary shall adopt a measure relating to the Nulliparous, Term, Singleton, Vertex Cesarean section (NTSV C-section) rate for hospitals in inpatient settings. Not later than 2025, the Secretary shall incorporate such measure into the designation of maternity care quality hospitals, as described in the final rule entitled Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2023 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Costs Incurred for Qualified and Non-Qualified Deferred Compensation Plans