; and (II) include as an appendix to such report— (aa) analyses of such trends; and (bb) subject to paragraph (10), recommendations for changes to Medicare and Medicaid policy to ensure adequate and efficient access to care to improve and maintain the health and functional status of dually eligible beneficiaries and to increase the alignment of the Medicare and Medicaid programs in serving such beneficiaries. (ii) Appropriate committees of Congress Each report required under this subparagraph shall be submitted to the appropriate committees of Congress. . (2) Medicaid Section 1900(b)(11) of the Social Security Act ( 42 U.S.C. 1396(b)(11) ) is amended by adding at the end the following: (C) Biennial coordinated review and joint report on policies affecting dually eligible beneficiaries (i) In general Beginning with the report for March 15, 2024, and biennially thereafter, MACPAC shall coordinate with the Medicare Payment Advisory Commission established under section 1805 to jointly— (I) review and analyze aggregate trends in spending, utilization, and financial performance under Medicare and Medicaid regarding access to, and the quality of, care provided under such programs for dually eligible individuals; and (II) include as an appendix to such report— (aa) analyses of such trends