frequency limitation under such clause for an individual (or category of individuals) if determined appropriate by the Secretary. . (e) Effective date The amendments made by this section shall apply to services furnished on or after January 1, 2024. 5. Nonapplication of competitive acquisition to certain items Section 1847(a)(2) of the Social Security Act ( 42 U.S.C. 1395w–3(a)(2) ) is amended— (1) by striking and excluding and inserting excluding