; and (ii) that is offered on an Exchange. (B) Establishment (i) State Each State may establish a standardized option for the bronze, silver, and gold levels of coverage. (ii) Secretary The Secretary shall establish a standardized option in a State for any level of coverage described in clause (i) for which the State has not established a standardized option. (iii) Updates The Secretary shall annually update any standardized option established by the Secretary under clause (ii). (C) Deductible-exempt services (i) In general Except as provided in clause (ii), each standardized option established by the Secretary under subparagraph (B)(ii) shall include coverage of each of the following as deductible-exempt services: (I) All primary care visits and specialist visits. (II) All mental health and substance use disorder outpatient services. (III) All drugs approved under section 505(j) of the Federal Food, Drug, and Cosmetic Act and biological products licensed under section 351(k) of the Public Health Service Act. (IV) All urgent care services. (ii) Bronze and silver levels of coverage The Secretary may alter the services that shall be covered as deductible-exempt services under clause (i) for standardized options in the bronze and silver levels of coverage. (D) Display Each Exchange operated by a State shall preferentially display the standardized options offered in such State on the website of the Exchange. . (b) Effective date The amendments made by this section shall apply to plans beginning after December 31, 2019. 205. Clarification regarding determination of affordability of employer-sponsored minimum essential coverage (a) Special rule for employer-Sponsored minimum essential coverage Clause (i) of section 36B(c)(2)(C) of the Internal Revenue Code of 1986 is amended to read as follows: (i) Coverage must be affordable (I) In general Except as provided in clause (iii), an individual shall not be treated as eligible for minimum essential coverage if such coverage consists of an eligible employer-sponsored plan