; (II) an evaluation by the physician or practitioner of pain of the individual; (III) the provision of information regarding non-opioid treatment options for the treatment and management of any chronic pain of the individual; and (IV) if determined necessary by the physician or practitioner based on the results of the review and evaluation conducted as described in this paragraph, an appropriate referral by the physician or practitioner for additional treatment. (B) For purposes of this paragraph, the term qualified non-physician practitioner means a physician assistant, nurse practitioner, or certified clinical nurse specialist. . (b) Effective date The amendments made by subsection (a) shall apply with respect to initial preventive physical examinations furnished on or after January 1, 2020.