; and (B) by striking the period at the end and inserting ; and ; and (3) by inserting after subparagraph (C), as amended by paragraph (2), the following new subparagraph: (D) the terms prosthetics and prostheses refer to a device (including the clinical services associated with such device) that replaces all or part of a limb. . (d) Limitation of competitive acquisition for off-the-Shelf orthotics Section 1847(a) of the Social Security Act ( 42 U.S.C. 1395w–3(a) ) is amended— (1) in paragraph (2)(C), by inserting by the patient (and not by another person) after minimal self-adjustment ; and (2) in paragraph (7)(A)(i)— (A) by inserting , orthotist or prosthetist (as defined in section 1834(x)(5)(C)), after by a physician ; (B) by inserting , orthotist’s or pros­thet­ist’s, after to the physician’s ; and (C) by inserting , orthotist’s or pros­thet­ist’s, after of the physician’s . (e) Regulations Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall promulgate final regulations to implement the provisions of, and amendments made by, this Act.