the District of Columbia that provides such medical assistance for any portion of such fiscal year. (c) Effective date The amendments made by this section shall apply to payment for medical assistance for items and services furnished on or after October 1, 2016. 704. Cancer prevention and treatment demonstration for ethnic and racial minorities (a) Demonstration (1) In general The Secretary of Health and Human Services (in this section referred to as the Secretary ) shall conduct demonstration projects (in this section referred to as demonstration projects ) for the purpose of developing models and evaluating methods that— (A) improve the quality of items and services provided to target individuals in order to facilitate reduced disparities in early detection and treatment of cancer