; and (B) in subparagraph (A)— (i) in each of clauses (ii) and (iii) of subparagraph (A) by inserting , a nurse practitioner, a clinical nurse specialist, or a physician assistant (as the case may be) after physician ; and (ii) in clause (iv), by striking after January 1, 2010 and all that follows through face-to-face encounter and inserting made by a physician after January 1, 2010, or by a nurse practitioner, clinical nurse specialist, or physician assistant (as the case may be) after a date specified by the Secretary (but in no case later than the date that is 6 months after the date of the enactment of the CARES Act ), prior to making such certification a physician, nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant must document that a physician, nurse practitioner, clinical nurse specialist, or physician assistant has had a face-to-face encounter ; (2) in the third sentence, by inserting , nurse practitioner, clinical nurse specialist, or physician assistant (as the case may be) after physician; (3) in the fourth sentence— (A) by striking physician certification and inserting certification ; (B) by inserting (or in the case of regulations to implement the amendments made by section 4407 of the CARES Act the Secretary shall prescribe regulations which shall become effective no later than 6 months after the enactment of such Act)) after 1981 ; and (C) by striking a physician who and inserting a physician, nurse practitioner, clinical nurse specialist, or physician assistant who ; (4) in the fifth sentence, by inserting , nurse practitioner, clinical nurse specialist, or physician assistant after physician ; and (5) in the sixth sentence— (A) by inserting or no later than six months after the enactment of this legislation for purposes of documentation for certification and recerification made under paragraph (2) by a nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant, after January 1, 2019