; (2) in subparagraph (C)(i)— (A) in the matter preceding subclause (I)— (i) by inserting or portion of a fiscal year after for a fiscal year ; and (ii) by inserting and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 after through 2024 ; (B) in subclause (III), by inserting and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 after through 2024 ; and (C) in subclause (IV), by striking fiscal year 2025 and inserting the portion of fiscal year 2025 beginning on January 1, 2025, and ending on September 30, 2025, and fiscal year 2026 ; and (3) in subparagraph (D)— (A) in the matter preceding clause (i), by inserting or during the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 after through 2024 ; and (B) in clause (ii), by inserting and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on December 31, 2024 after through 2024 . (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. 307. Extension of the Medicare-dependent hospital (MDH) 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 October 1, 2024 and inserting January 1, 2025 ; and (2) in clause (ii)(II), by striking October 1, 2024 and inserting January 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 October 1, 2024 and inserting January 1, 2025