; and (2) by striking paragraph (7). (c) Conforming amendments (1) Section 1902 of the Social Security Act ( 42 U.S.C. 1396a ) is amended— (A) in subsection (a), by striking paragraph (84); and (B) by striking subsection (nn). (2) Section 1905(a) of the Social Security Act ( 42 U.S.C. 1396d(a) ), as amended by subsection (a), is amended, in the matter following paragraph (31), by striking set forth in the subdivision (B) following paragraph (30) of the first sentence of this subsection and inserting set forth in the portion of the first sentence of this subsection that follows the last numbered paragraph of this subsection . (3) Section 5122 of division FF of the Consolidated Appropriations Act, 2023 ( Public Law 117–328 ) is repealed. (d) Effective date The amendments made by this section shall apply with respect to medical assistance, child health assistance, and pregnancy-related assistance provided on or after January 1, 2024. 3. Report by Comptroller General Not later than the date that is 3 years after the date of enactment of this Act, and annually thereafter for each of the following 5 years, the Comptroller General of the United States shall submit to Congress a report containing the following information: (1) The percentage of incarcerated individuals that receive medical assistance under a State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ) or child health assistance or pregnancy-related assistance under a State plan under title XXI of the Social Security Act ( 42 U.S.C. 1397aa et seq. ). (2) The access of incarcerated individuals to health care services, including specialty care, and health care providers. (3) The quality of healthcare services provided to incarcerated individuals. (4) Any impact of coverage under such a State plan on recidivism. (5) The percentage of incarcerated individuals who, upon release, are— (A) enrolled under such a State plan