; and (ii) meet the enrollee protection standards specified pursuant to paragraph (4); and (B) beginning with the fourth plan year beginning after the date of the enactment of this subsection, meet the transparency requirements specified in paragraph (3). (2) Electronic prior authorization program (A) In general For purposes of paragraph (1)(A), the electronic prior authorization program described in this paragraph is a program that provides for the secure electronic transmission of— (i) a prior authorization request from a provider of services or supplier to a Medicare Advantage plan with respect to an applicable item or service to be furnished to an individual and a response, in accordance with this paragraph, from such plan to such provider or supplier; and (ii) any attachment relating to such request or response. (B) Electronic transmission (i) Exclusions For purposes of this paragraph, a facsimile, a proprietary payer portal that does not meet standards specified by the Secretary, or an electronic form shall not be treated as an electronic transmission described in subparagraph (A). (ii) Standards An electronic transmission described in subparagraph (A) shall comply with— (I) applicable technical standards adopted by the Secretary pursuant to section 1173