; (2) in paragraph (7)(E), by striking ; and and inserting a period; and (3) by striking paragraph (8). (b) Applicability The amendments made by this section apply with respect to services furnished during a year that begins more than 60 days after the date of the enactment of this Act. 302. Rebasing supervision requirements (a) Therapeutic hospital outpatient services (1) Supervision requirements Section 1833 of the Social Security Act ( 42 U.S.C. 1395l ) is amended by adding at the end the following: (aa) Physician supervision requirements for therapeutic hospital outpatient services (1) General supervision for therapeutic services Except as may be provided under paragraph (2), insofar as the Secretary requires the supervision by a physician or a non-physician practitioner for payment for therapeutic hospital outpatient services (as defined in paragraph (5)(A)) furnished under this part, such requirement shall be met if such services are furnished under the general supervision (as defined in paragraph (5)(B)) of the physician or non-physician practitioner, as the case may be. (2) Exceptions process for high-risk or complex medical services requiring a direct level of supervision (A) In general Subject to the succeeding provisions of this paragraph, the Secretary shall establish a process for the designation of therapeutic hospital outpatient services furnished under this part that, by reason of complexity or high risk, require— (i) direct supervision (as defined in paragraph (5)(C)) for the entire service