The two changes are:

Effective June 14, 2004, IMGs who have passed an English test will not be required to revalidate expired English test dates in order to enter GME; an IMG's most recent passing performance on the English test will be valid for the purpose of entry into GME, regardless of the length of time that has passed between the passing performance and the program start date.
(Until June 14, 2004, the English test date is valid for 2 years from the most recent date of passing performance. This means that an IMG must enter an ACGME-accredited program on or before the English test "valid through" date listed on the Certificate.)

Effective June 14, 2004, IMGs who passed the ECFMG Clinical Skills Assessment (CSA®) during the 3-year period before the implementation of USMLE Step 2 Clinical Skills (Step 2 CS) on June 14, 2004 will not be required to revalidate expired CSA dates before entering GME. These individuals may enter GME regardless of the length of time that has passed between their passing performance and the program start date.
(Until June 14, 2004, the CSA test date is valid for 3 years from the most recent date of passing performance. This means that an IMG must enter an ACGME-accredited program on or before the CSA "valid through" date listed on the Certificate.)

Therefore, effective June 14, 2004, the English test "valid through" date on the Standard ECFMG Certificate can be disregarded for IMGs who are entering GME on or after June 14, 2004, the effective date of the changes. Additionally, the CSA "valid through" date can be disregarded for IMGs who passed the CSA on or after June 14, 2001.

Beginning June 14, 2004, these IMGs can request stickers, to be affixed to the Standard ECFMG Certificate. The permanent validation sticker will indicate that the English test date (and CSA date, if applicable) is no longer subject to expiration. See How to Request Permanent Validation Stickers

will take step 2 cs in september, will i need to take toefl as requirement for ecfmg certification?