; and (C) submit to Congress an annual report on waiver applications (and waiver reports under subsection (e)) reviewed by the Panel during the applicable year, including the number of applications (and reports) received and the number of applications recommended for approval (and of reports with respect to which recommendations for continuation were provided). (4) Membership (A) Number and appointment The Panel shall consist of 11 members appointed by the Secretary of Health and Human Services, of whom— (i) one shall be appointed on the recommendation of the Speaker of the House of Representatives; (ii) one shall be appointed on the recommendation of the minority leader of the House of Representatives; (iii) one shall be appointed on the recommendation of the majority leader of the Senate; (iv) one shall be appointed on the recommendation of the minority leader of the Senate; (v) one shall be appointed on the recommendation of the Republican Governors Association; (vi) one shall be appointed on the recommendation of the Democratic Governors Association; (vii) one shall be a representative from the patient advocacy community; (viii) two shall be representatives of a labor organization representing health care professionals who provide direct patient care, including at least one labor organization that primarily represents registered nurses; (ix) one shall be a representative of primary care physicians