; and (2) applied to grandfathered health plans (as defined in section 1251(e) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18011(e) )). (b) Definitions For purposes of this section: (1) Qualifying COVID-19 preventive service The term qualifying COVID-19 preventive service means an item, service, or immunization that is intended to prevent or mitigate COVID-19 and that is— (A) an evidence-based item or service that has in effect a rating of A or B in the current recommendations of the United States Preventive Services Task Force; or (B) an immunization that has in effect a recommendation from the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention with respect to the individual involved. (2) Specified date The term specified date means— (A) with respect to a qualifying COVID-19 preventive service described in paragraph (1)(A), the date that is 15 business days after the date on which a rating, as described in such paragraph, is made with respect to such service; and (B) with respect to a qualifying COVID-19 preventive service described in paragraph (1)(B), the date that is 15 business days after the date on which a recommendation, as described in such paragraph, is made relating to the service. (3) Additional terms The terms group health plan ; health insurance issuer