; and (B) in paragraph (5)— (i) in the second sentence, by striking tenth and inserting twelfth ; and (ii) in the third sentence, by striking tenth and inserting twelfth ; and (2) in subsection (h), by striking and $9,000,000 for fiscal year 2021 and inserting , $9,000,000 for fiscal year 2021, and $3,000,000 for fiscal year 2024 . (b) Effective date The amendments made by subsection (a) shall take effect as if included in the enactment of Public Law 111–148 . 407. Increase in support for physicians and other professionals in adjusting to Medicare payment changes Section 1848(t)(1)(D) of the Social Security Act ( 42 U.S.C. 1395w–4(t)(1)(D) ) is amended by striking 1.25 percent and inserting 2.5 percent . 408. Revised phase-in of Medicare clinical laboratory test payment changes (a) Revised phase-in of reductions from private payor rate implementation Section 1834A(b)(3) of the Social Security Act ( 42 U.S.C. 1395m–1(b)(3) ) is amended— (1) in subparagraph (A), by striking through 2026 and inserting through 2027 ; and (2) in subparagraph (B)— (A) in clause (ii), by striking through 2023 and inserting through 2024 ; and (B) in clause (iii), by striking 2024 through 2026 and inserting 2025 through 2027 . (b) Revised Reporting Period for Reporting of Private Sector Payment Rates for Establishment of Medicare Payment Rates Section 1834A(a)(1)(B) of the Social Security Act ( 42 U.S.C. 1395m–1(a)(1)(B) ) is amended— (1) in clause (i), by striking December 31, 2023 and inserting December 31, 2024 ; and (2) in clause (ii)— (A) by striking January 1, 2024 and inserting January 1, 2025 ; and (B) by striking March 31, 2024 and inserting March 31, 2025 . 409. Extension of adjustment to calculation of hospice cap amount under Medicare Section 1814(i)(2)(B) of the Social Security Act ( 42 U.S.C. 1395f(i)(2)(B) ) is amended— (1) in clause (ii), by striking 2032 and inserting 2033