; and (ii) by inserting and certain do-not-resuscitate orders or similar physician’s orders after advance directives . (3) Effective date (A) In general Except as provided in paragraph (2), the amendments made by this subsection shall take effect on the date of the enactment of this Act and shall apply to services furnished on or after the date that is 90 days after the date of the enactment of this Act. (B) Exception if State legislation required In the case of a State plan for medical assistance under title XIX of the Social Security Act which the Secretary of Health and Human Services determines requires State legislation (other than legislation appropriating funds) in order for the plan to meet the additional requirement imposed by the amendments made by this subsection, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet this additional requirement before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of the enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.