; and (2) by inserting , and eyeglass lenses, low vision devices (as defined in section 1834(a)(25)), eyeglass frames, and contact lenses before ; except . (g) Repeal of ground for exclusion Section 1862(a)(7) of the Social Security Act ( 42 U.S.C. 1395y(a)(7) ) is amended by striking , eyeglasses (other than eyewear described in section 1861(s)(8)) or eye examinations for the purpose of prescribing, fitting, or changing eyeglasses, procedures performed (during the course of any eye examination) to determine the refractive state of the eyes . (h) Effective date The amendments made by this section shall apply to services furnished on or after January 1 of the first year beginning at least six months after the date of the enactment of this Act. 4. Hearing care (a) Coverage (1) In general Section 1861(s)(2) of the Social Security Act ( 42 U.S.C. 1395x(s)(2) ), as amended by sections 2 and 3, is further amended— (A) in subparagraph (HH), by striking and at the end; (B) in subparagraph (II), by inserting and at the end; and (C) by adding at the end the following new subparagraph: (JJ) audiology services (as defined in subsection (ll)(3)) and hearing services (as defined in subsection (ll)(5)); . (2) Hearing services defined Section 1861(ll) of the Social Security Act ( 42 U.S.C. 1395x(ll) ) is amended— (A) in the subsection heading, by inserting ; Hearing Services after Audiology Services ; and (B) by adding at the end the following new paragraph: (5) The term hearing services means— (A) routine hearing exams and exams for hearing aids; and (B) other necessary services related to hearing health (as defined by the Secretary). . (b) Payment; coinsurance; and limitations (1) In general Section 1833(a)(1) of the Social Security Act ( 42 U.S.C. 1395l(a)(1) ), as amended by sections 2 and 3, is further amended— (A) by striking and before (DD)