; and (B) by inserting , or, with respect to 2026 and 2027, the scaled percentage amount (as defined in paragraph (2)(C)(vi)) after 3.5 percent ; (2) in paragraph (2)(C)— (A) in clause (i), by striking 75 percent and inserting the applicable percent (as defined in clause (iv)) for such year ; (B) in clause (ii)(I)— (i) in the matter preceding item (aa), by striking 75 percent and inserting the applicable percent (as defined in clause (iv)) for such year ; and (ii) in item (bb)— (I) by striking and other than payments made under title XIX and inserting other than payments made under title XIX ; and (II) by striking State program under that title), and inserting State program under that title, and other than payments made by payers in which no payment or program meeting the requirements described in clause (iii)(II) is available from the payer for participation by the eligible professional) ; and (C) by adding at the end the following new clauses: (iv) Applicable percent defined For purposes of clauses (i) and (ii), subject to clause (v), the term applicable percent means— (I) for each of 2026 and 2027, 50 percent