I guess it would depend on what luminaire...
It's unavoidable, but terminology such as "similar occupancies" sure make the Code fun.
If you look at additional Handbook wording in that section, "
This requirement is intended to reduce the exposure of residents in dwellings and similar occupancies to electric shock hazards when using or servicing permanently installed luminaires and cord-and-plug-connected portable lamps and appliances.
It's a bit difficult to see a hospital patient changing the lamps in his overhead troffer
as always, a judgment call but I don't see your AHJ taking that stand.
In addition, it says "terminals" and the voltage on fluorescent, if thats the luminaire in question, terminals would be the same with 277 as it would be 120.