; and (ii) by striking 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 and inserting 2025 ; (B) in subclause (III), by striking 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 and inserting 2025 ; and (C) in subclause (IV), by striking the portion of fiscal year 2025 beginning on January 1, 2025, and ending on September 30, 2025, and ; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by striking 2024 or during the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 and inserting 2025 ; and (B) in clause (ii), by striking 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 and inserting 2025 . (b) Implementation Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the provisions of, including the amendments made by, this section by program instruction or otherwise. 202. Extension of the Medicare-dependent hospital program (a) In general Section 1886(d)(5)(G) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(G) ) is amended— (1) in clause (i), by striking January 1, 2025 and inserting October 1, 2025 ; and (2) in clause (ii)(II), by striking January 1, 2025 and inserting October 1, 2025 . (b) Conforming amendments (1) Extension of target amount Section 1886(b)(3)(D) of the Social Security Act ( 42 U.S.C. 1395ww(b)(3)(D) ) is amended— (A) in the matter preceding clause (i), by striking January 1, 2025 and inserting October 1, 2025