; (8) for each of fiscal years 2026 and 2027, $1,327,000,000; (9) for each of fiscal years 2028 and 2029, $1,526,000,000; and . 4. Report Not later than 1 year after the date of the enactment of this Act, and annually thereafter, the Comptroller General of the United States shall submit to Congress a report on how quality-adjusted life years negatively impacts individuals with intellectual and developmental disabilities and their access to care.