; and (ii) by inserting and certain do-not-resuscitate orders or similar physician’s orders after advance directives . (3) Effective date The amendments made by this subsection shall apply with respect to items and services furnished on or after the date that is 90 days after the date of the enactment of this Act. (b) Medicaid State plan requirement (1) In general Section 1902(w) of the Social Security Act ( 42 U.S.C. 1396a(w) ) is amended by adding at the end the following new paragraphs: (6) For purposes of subsection (a)(57) and sections 1903(m)(1)(A) and 1919(c)(2)(E), the requirement of this subsection, in addition to paragraph (1), is that a provider or organization (as the case may be) maintain the following written policies and procedures with respect to all unemancipated minors receiving medical care by or through the provider or organization (or prospective patient or resident, with respect to the provider or organization, who is an unemancipated minor): (A) A do-not-resuscitate order or similar physician’s order shall not be instituted, either orally or in writing, unless at least one parent or legal guardian of such unemancipated minor has first been informed of the physician’s intent to institute such an order and a reasonable attempt has been made to inform the other parent if the other parent is reasonably available and has custodial or visitation rights. Such information must be provided both orally and in writing unless, in reasonable medical judgment, the urgency of the decision requires reliance on only providing the information orally. Oral provision of such information shall include speaking to at least one parent or legal guardian in person or on the telephone, and shall not be limited to recorded voice messages. Provision of such information shall include at least 72 hours of diligent efforts made by the physician or provider to contact and notify at least one parent or legal guardian. The provision of such information shall be contemporaneously recorded in the medical record of the