; and (BB) the budget neutrality adjustment that would have been applied for such year if such adjustment had been calculated using such actual utilization. (II) Definitions For purposes of this clause: (aa) Adjustment application year The term adjustment application year means, with respect to an adjustment to relative value units made under clause (ii)(I) for which a budget neutrality adjustment under clause (ii)(II) is required, the year for which such adjustments are applied. (bb) Adjustment correction period The term adjustment correction period means, with respect to an adjustment application year, the second year beginning after such adjustment application year. (cc) Estimated utilization The term estimated utilization means, with respect to an adjustment to relative value units made under clause (ii)(I), an estimate of utilization associated with such adjustment used for purposes of applying clause (ii)(II). . (b) Nonapplication of budget neutrality to reconciliation adjustments Section 1848(c)(2)(B) of the Social Security Act ( 42 U.S.C. 1395w–4(c)(2)(B) ) is amended— (1) in clause (iv)— (A) in subclause (V), by striking and at the end; (B) in subclause (VI), by striking the period and inserting ; and ; and (C) by adding at the end the following new subclause: (VII) clause (vii)(I)(bb) for an adjustment correction period shall not be taken into account in applying clause (ii)(II) with respect to such period.