; clerical change The table of contents in section 1 of the Employee Retirement Income Security Act of 1974 ( 29 U.S.C. 1001 et seq.) is amended by inserting after the item relating to section 714 the following new items: Sec. 715. Additional market reforms. Sec. 716. Required exceptions process for medication step therapy protocols. . (c) Effective date (1) In general The amendment made by subsection (a) applies to plan years beginning no sooner than 6 months after the date of the enactment of this Act. (2) Regulations Not later than the date that is 9 months after the date of the enactment of this Act, the Secretary of Labor shall issue final regulations, through notice and comment rulemaking, to implement the provisions of section 716 of the Employee Retirement Income Security Act of 1974, as added by subsection (a).