; . (c) Effective date The amendments made by this section shall apply to eligibility determinations with respect to medical assistance for periods beginning on or after January 1, 2018. B Provider price transparency 121. Ensuring access to emergency services without excessive charges for out-of-network services (a) In general Section 1867 of the Social Security Act ( 42 U.S.C. 1395dd ) is amended— (1) in subsection (d), by adding at the end the following new paragraph: (5) Enforcement with respect to excessive charges A hospital, physician, or other entity that violates the requirements of subsection (j)(1) with respect to the furnishing of items and services is subject to a civil money penalty of not more than $25,000 for each such violation. The provisions of section 1128A (other than subsections (a) and (b)) shall apply to a civil money penalty under this paragraph in the same manner as such provisions apply with respect to a penalty or proceeding under section 1128A(a).