The Secretary may put the change in place by program instruction
What the document says“Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.”
This clause lets the change take effect without notice and comment rulemaking, which is common in short-term Medicare extensions because the deadline arrives faster than a rule can be written.
What the document actually says“Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.”
The Secretary may make this change by sending out an instruction. There is no need for the longer path.
Changing a payment rule usually means writing a rule and taking comments. That takes months. This lets the change go out by notice instead.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.