; and (B) by adding at the end the following new subparagraph: (C) Exclusion of manual remittances An applicable laboratory for which less than 10 percent of its total paid claims during a data collection period are paid by private payors by means other than an electronic standard transaction (as defined in section 162.103 of title 45, Code of Federal Regulations (or any successor regulation)) may exclude from the definition of applicable information under this paragraph payments made by private payors that are not made through an electronic standard transaction. . (d) Modification to limits on payment reductions; imposition of annual cap on payment increases (1) Payment reduction limits Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ) is amended— (A) in subparagraph (A), by striking for each of 2017 through 2026 and inserting for 2017 and each succeeding year ; and (B) in subparagraph (B)— (i) in clause (ii)— (I) by striking through 2023 and inserting through 2024 ; and (II) by striking and at the end; and (ii) by striking clause (iii) and inserting the following: (iii) for 2025, 2.5 percent; and (iv) for 2026 and each subsequent year, 5 percent. . (2) Annual cap on payment rate increases Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ), as amended by paragraph (1), is amended— (A) in subparagraph (A)— (i) by striking test for 2017 and each succeeding year— and inserting test— (i) for 2017 and each succeeding year ; (ii) in clause (i), as added by clause (i) of this subparagraph, by striking the period and inserting ; and ; and (iii) by adding at the end the following new clause: (ii) for 2024 and each succeeding year, shall not result in an increase in payments for a clinical diagnostic laboratory test for the year of greater than the applicable percent (as defined in subparagraph (D)) of the amount of payment for the test for the preceding year.