is not in an urban area of 50,000 or more . 6. Exception to behavioral health limitation Section 1861(aa) of the Social Security Act ( 42 U.S.C. 1395x(aa) ), in the first sentence of the flush matter following paragraph (2), is amended by inserting the following before the period: , except in the case where the facility is located in an area that is designated (under section 332(a)(1)(A) of the Public Health Service Act) as a mental health professional shortage area . 7. Effective date This Act and the amendments made by this Act shall take effect on January 1, 2024, and shall apply to items and services furnished on or after such date.