; and (2) the cost of emergency medical services and supplies. (b) Rulemaking Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall determine the form and manner for submitting the description of charges in subsection (a) through notice and comment rulemaking. (c) Civil monetary penalties (1) In general A provider of emergency air medical services who violates the requirement of subsection (a) shall be subject to a civil monetary penalty of not more than $10,000 for each act constituting such violation. (2) Procedure The provisions of section 1128A of the Social Security Act ( 42 U.S.C. 1320a–7a ), other than subsections (a) and (b) and the first sentence of subsection (c)(1) of such section, shall apply to civil money penalties under this subsection in the same manner as such provisions apply to a penalty or proceeding under section 1128A of the Social Security Act. (d) Definitions In this section, the terms group health plan , health insurance coverage , and health insurance issuer have the meanings given such terms in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 ). (e) Effective date The requirement under subsection (a) shall take effect 6 months after the rules described in subsection (b) are finalized. 6. Report by Secretary of Labor Not later than one year after the date of the enactment of this Act, and annually thereafter for each of the following 5 years, the Secretary of Labor shall— (1) conduct a study of— (A) the effects of the provisions of, including amendments made by, this Act on premiums and out-of-pocket costs in group health plans, including out-of-pocket costs that are permitted by reason of compliance with section 2799A(d) of the Public Health Service Act, as added by section 2(d); (B) the adequacy of provider networks in group health plans; and (C) such other effects of such provisions, and amendments, as the Secretary deems relevant