; (ii) in clause (ii), by striking beginning January 1, 2024, and ending March 31, 2024 and inserting beginning January 1, 2027, and ending March 31, 2027 ; and (iii) in clause (iii) by striking every three years and inserting every four years . (B) Conforming change to definition of data collection period Section 1834A(a)(4)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(4)(B) ) is amended by striking January 1, 2019, and ending June 30, 2019 and inserting January 1, 2026, and ending June 30, 2026 . (b) Elimination of majority of Medicare revenues test The first sentence of section 1834A(a)(2) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(2) ) is amended by striking In this section and all that follows through the period and inserting the following: Notwithstanding determinations of applicable laboratories made prior to January 1, 2025, the term applicable laboratory means a laboratory that receives at least $12,500 in payments under this section during the first 6 months of the calendar year immediately preceding the applicable data collection period. . (c) Modifications to applicable information reported (1) Medicaid managed care rates Section 1834A(a)(8)(C) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(8)(C) ) is amended by striking A medicaid managed care organization and inserting With respect to data collection periods for reporting periods beginning before January 1, 2027, a medicaid managed care organization (as defined in section 1903(m)) . (2) Authority to exclude manual remittances Section 1834A(a)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(3) ) is amended— (A) in subparagraph (A), by striking subject to subparagraph (B), and inserting subject to subparagraphs (B) and (C)