Effective date

The provisions of, including the amendments made by, this Act (other than sections 103 and 401) shall apply with respect to items and services furnished on or after the date that is 90 days after the date of the enactment of this Act. Notwithstanding any other provision of law, the Secretary of Health and Human Services shall implement such provisions, including such amendments, through interim final rule or subregulatory guidance if the Secretary determines such implementation to be necessary for purposes of complying with the preceding sentence or with any other effective date provided in this Act.