facilities, including freestanding emergency rooms. (c) Facility For purposes of this section, the term health care facility includes hospitals, hospital outpatient departments, critical access hospitals, ambulatory surgery centers, laboratories, radiology clinics, and any other facility that provides services that are covered under a group health plan or health insurance coverage, including settings of care subject to section 2719A(b). . (b) Non-Federal governmental plans Section 2722(a)(2)(E) of the Public Health Service Act ( 42 U.S.C. 300gg–21(a)(2)(E) ) is amended by inserting , except that such election shall be available with respect to section 2729A before the period. 104. Effective date The amendments made by sections 101, 102, and 103 shall take effect beginning in the second plan year that begins after the date of enactment of this Act. 105. Ending surprise air ambulance bills (a) In general Part A of title XXVII of the Public Health Service Act is amended by inserting after section 2719A ( 42 U.S.C. 300gg–19a ) the following: 2719B. Ending surprise air ambulance bills (a) In general In the case of an enrollee in a group health plan or group or individual health insurance coverage who receives air ambulance services from an out-of-network provider— (1) the cost-sharing requirement (expressed as a copayment amount, coinsurance rate, or deductible) with respect to such services shall be the same requirement that would apply if such services were provided by an in-network practitioner, and any coinsurance or deductible shall be based on in-network rates