That political effort to enact earlier implementation did not bear fruit for a Jan 1, 2024 start. That is not to say there could not be another push. The NOPAIN Act Senate and House passage took two tries before it passed. The start remains as it was originally passed into Law…Jan 1, 2025
Also, elections are on the horizon along with all the other distractions. Bigger fish to fry?
Conversely, a second push for an earlier start, if it were to happen, might be a go if it is seen as bringing in better polling numbers, and eventually more votes, for the respective runners.