; and (iii) the service cannot be provided to the individual by an in-network provider within a reasonable timeframe or within a reasonable distance and travel time. (B) Cost-sharing A qualified health plan that provides coverage of a service provided by an out-of-network provider under subparagraph (A) shall provide such coverage with the same cost-sharing requirements as if the service was provided by an in-network provider. . (b) Effective date The amendments made by subsection (a) shall apply to plans beginning after December 31, 2019. (c) Grants for State network adequacy reviews (1) In general The Secretary of Health and Human Services shall carry out a program to award grants to States during the 5-year period beginning with fiscal year 2020 to assist such States in developing a metric to measure network adequacy as described in subparagraph (C)(i) of section 1311(c)(7) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(7) ) and to carry out the reviews described in subparagraph (C)(ii) of such section. (2) Authorization of appropriations There are authorized to be appropriated for fiscal years 2020 through 2024 such sums as may be necessary to carry out the grant program under this subsection. 302. Ensuring adequate coverage in areas with fewer than 3 health insurance issuers offering qualified health plans on the State Exchange (a) Requirements for Medicare Advantage organizations (1) In general Section 1857(e) of the Social Security Act ( 42 U.S.C. 1395w–27(e) ) is amended by adding at the end the following new paragraph: (5) Requirement for certain Medicare Advantage organizations thatoffer an MA plan in an applicable area to also offer qualified health plans in the applicable area (A) In general A contract under this section with an MA organization described in subparagraph (B) shall require the organization to, in each applicable area in which the organization offers an MA plan, also offer, through the individual market in the Exchange operating in the State, at least one