Section 252 Managed Care Organization Services Assessment 21

Sections 4, 5, 18, 19, 20, 58, 111, 120, 121, 122, 123, 124, 126, 130 and 131 shall take effect upon the later of (i) one full calendar month following the calendar month in which the secretary receives all federal approvals deemed necessary to implement said sections; or (ii) January 1, 2025.