; and (2) by adding at the end the following new clause: (ii) Special rule for home health agencies (I) In general When conducting the review of home health agency financial performance and its impact on access to care under the original fee-for-service system, the Commission shall— (aa) review and report on aggregate trends in spending, utilization, and financial performance under the Medicare Advantage program, the Medicaid program under title XIX (both fee-for-service and managed care payment models), and other payers for home health agency services; (bb) evaluate and consider the impact of all payers on access to care for Medicare beneficiaries; and (cc) comprehensively disclose the methodologies used to evaluate and calculate home health agency margins under this title and all other payers, including the process for developing the data used. Where appropriate, the Commission shall conduct such reviews in consultation with the Medicaid and CHIP Payment and Access Commission established under section 1900. (II) Medicare home health cost report amendments For cost reporting periods beginning in 2025 and subsequent years, the Secretary shall have in effect an amended Medicare home health cost report that collects data on visit utilization and total payments by payer source, including original fee-for-service payments, Medicare Advantage, the Medicaid program under title XIX (both fee-for-service and managed care payment models), and other payers. The Secretary shall make such amended cost reports available to the Commission in the form and manner necessary to conduct the analysis described in subclause (I). (III) Financial data Prior to the availability of cost report data as described in subclause (II), the Commission shall utilize data on cost and revenues from sources it deems as reliable and valid for purposes of conducting the analysis described in subclause (I). .