; (2) by inserting , orthotist’s or prosthetist’s, after to the physician’s ; and (3) by inserting , orthotist’s or prosthetist’s, after of the physician’s . (e) Effective date The amendments made by this section shall take effect on the date of enactment of this Act, and apply to items and services furnished on or after such date. 7. Clarification about minimal self-adjustment for off-the-shelf orthotics (a) In general Section 1847(a)(2)(C) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(2)(C) ) is amended— (1) by inserting furnished to a patient after section 1861(s)(9) ; (2) by inserting by that patient (and not by any other person) after minimal self-adjustment ; and (3) by striking to fit to the individual and inserting to fit to that patient . (b) Inclusion in medical and other health services Section 1861(s)(9) of the Social Security Act ( 42 U.S.C. 1395x(s)(9) ) is amended— (1) by striking leg, arm and inserting (A) leg, arm ; (2) in subparagraph (A), as added by paragraph (1), by striking the semicolon at the end and inserting ; and ; and (3) by adding the following new subparagraph: (B) off-the-shelf orthotics (as defined in section 1847(a)(2)(C)). . (c) Effective date The amendments made by this section shall take effect on April 1, 2007, and apply to items and services furnished on or after such date. 8. Regulations The Secretary shall promulgate— (1) not later than 1 year after the enactment of this Act, final regulations to implement the provisions of, and amendments made by, this Act; and (2) not later than 120 days after the enactment of this Act, final regulations to implement the provisions of, and amendments made by, section 427 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protections Act of 2000, as enacted into law by section 1(a)(6) of Public Law 106–554 .