; (ii) have not been supplied with one monaural hearing aid or two binaural hearing aids during the preceding 3 years; and (iii) have had a comprehensive audiologic assessment which indicates that the hearing of such individual has deteriorated since such individual was last supplied with a hearing aid such that a hearing aid of a different type is appropriate for such individual. . (d) Inclusion of audiology rehabilitation services Section 1861(ll)(2) of the Social Security Act ( 42 U.S.C. 1395x(ll)(2) ) is amended by inserting and rehabilitation after balance assessment . (e) Exception to exclusions from coverage Section 1862(a) of the Social Security Act ( 42 U.S.C. 1395y(a) ) is amended— (1) in paragraph (1)— (A) in subparagraph (O), by striking and at the end; (B) in subparagraph (P); by striking the semicolon at the end and inserting , and ; and (C) by adding at the end the following new subparagraph: (Q) in the case of hearing rehabilitation, which is furnished or supplied more frequently than is provided under section 1861(iii)(3)(D)(ii). ; and (2) in paragraph (7) by striking hearing aids or examinations therefor . (f) Effective date The amendments made by this section shall take effect on the date of the enactment of this Act, and shall apply to items and services furnished on or after a date specified by the Secretary of Health and Human Services that is not sooner than January 1 of the first year beginning after such date of enactment and not later than January 1 of the third year beginning after such date of enactment.