; and (B) such sums as determined appropriate by the Secretary for each subsequent fiscal year for purposes of administering the provisions of such amendments. (2) Availability and additional use of funds Funds transferred pursuant to paragraph (1) shall remain available until expended and may be used, in addition to the purposes specified in paragraph (1), to implement the amendments made by section 4. (3) Administration The Secretary may implement, by program instruction or otherwise, any of the provisions of, or amendments made by, this section. 4. Providing coverage for vision care under the Medicare program (a) Coverage Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ) is amended— (1) in subparagraph (II), by striking and after the semicolon at the end; (2) in subparagraph (JJ), by striking the period at the end and adding ; and ; and (3) by adding at the end the following new subparagraph: (KK) vision services (as defined in subsection (nnn)); . (b) Vision services defined Section 1861 of the Social Security Act ( 42 U.S.C. 1395x ) is amended by adding at the end the following new subsection: (nnn) Vision services The term vision services means— (1) routine eye examinations to determine the refractive state of the eyes, including procedures performed during the course of such examination