; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children’s Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program published on December 13, 2022 (87 Fed. Reg. 76238), or application of such rule so finalized, for plan years before the third plan year beginning on or after the date of the enactment of this Act. 302. Extension of certain direct spending reductions Section 251A(6)(D) of the Balanced Budget and Emergency Deficit Control Act of 1985 (901a(6)(D)) is amended— (1) in clause (i), by striking ; and and inserting a semicolon; (2) in clause (ii), by striking second 6 months in which such order is effective for such fiscal year, the payment reduction shall be 0 percent. and inserting 2 month period beginning on the day after the last day of the period described in clause (i) in which such order is effective for such fiscal year, the payment reduction shall be 1.5 percent; and ; and (3) by adding at the end the following new clause: (iii) with respect to the last 4 months in which such order is effective for such fiscal year, the payment reduction shall be 0 percent. .