; and (ii) is a physician (as defined in subsection (r)(1)) or a physician assistant, nurse practitioner, or clinical nurse specialist (as defined in subsection (aa)(5)). . (b) Payment to renal dialysis facilities Section 1881(b) of the Social Security Act ( 42 U.S.C. 1395rr(b) ) is amended by adding at the end the following new paragraph: (15) For purposes of paragraph (14), the single payment for renal dialysis services under such paragraph shall not take into account the amount of payment for kidney disease education services (as defined in section 1861(ggg)). Instead, payment for such services shall be made to the renal dialysis facility on an assignment-related basis under section 1848. . (c) Effective date The amendments made by this section apply to kidney disease education services furnished on or after January 1, 2022. II INCENTIVIZING KIDNEY CARE INNOVATION 201. Refining the end-stage renal disease payment system to improve accuracy in payment and support therapies (a) In general Section 1881(b)(14) of the Social Security Act ( 42 U.S.C. 1395ww(b)(14) ) is amended by adding the following new subparagraph: (J) Payment for new and innovative drugs, biologicals, and devices that are renal dialysis services (i) In general For drugs or biologicals defined as within a functional category and furnished on or after January 1, 2024, the Secretary shall implement an add-on adjustment for claims that include such drugs or biologicals that, among other things, shall— (I) calculate a per-treatment cost using the most recent cost and utilization data collected during a transitional payment period of not less than 3 years by dividing the total spending for such drug or biological during such transitional period by the total number of treatments for which such drug or biological was listed on such claim during such period of time