In establishing limits under subsection (a) on payment for rural health clinic services provided by rural health clinics (other than such clinics in hospitals with less than 50 beds), the Secretary shall establish such limit, for services provided prior to April 1, 2021 —
(A)#
in 1988, after March 31, at $46 per visit, and
(B)#
in a subsequent year (before April 1, 2021 ), at the limit established under this paragraph for the previous year increased by the percentage increase in the MEI (as defined in section 1395u(i)(3) of this title ) applicable to primary care services (as defined in section 1395u(i)(4) of this title ) furnished as of the first day of that year.