; or (D) in the case such health plan is a self-insured group health plan and in the case of a State with an agreement with such plan in effect as of the date of the enactment of the Consumer Protections Against Surprise Medical Bills Act of 2020, that provides for a method for determining the total amount payable under such health plan with respect to such item or service furnished by such provider or facility, such amount determined in accordance with such method. (13) Stabilize The term to stabilize , with respect to an emergency medical condition, has the meaning give in section 1867(e)(3)(A) of the Social Security Act). (14) Cost-sharing The term cost-sharing includes copayments, coinsurance, and deductibles. (l) Payment to provider or facility In the case of any payment required to be made by a health plan pursuant to subsection (b)(1), (e)(1), or (i)(1) to a nonparticiapting provider or nonparticipating facility for an item or service, such payment shall be made to such provider or facility and not to the individual receiving such item or service. . (2) Effective date The amendments made by paragraph (1) shall apply with respect to plan years beginning on or after January 1, 2022. (b) IRC amendments (1) In general Subchapter B of chapter 100 of the Internal Revenue Code of 1986 is amended by adding at the end the following new section: 9816. Patient protections (a) Choice of health care professional If a health plan requires or provides for designation by a participant or beneficiary of a participating primary care provider, then the plan shall permit each participant or beneficiary to designate any participating primary care provider who is available to accept such individual. (b) Cost-Sharing and payment of emergency services (1) In general If a health plan provides or covers any benefits with respect to services in an emergency department of a hospital and, for plan year 2022 or a subsequent plan year, with respect to emergency services in an independent freestanding emergency department, the plan shall