adding at the end the following new subsection: (p) Each contract under this chapter shall require the carrier to comply with requirements described in the provisions of subsections (b), (e), and (f) of section 2719A of the Public Health Service Act and sections 2729A and 2729B of such Act in the same manner as those provisions apply to a groups health plan or health insurance issuer offering health insurance coverage, as described in such sections. . (2) Effective date The amendment made by this subsection shall apply with respect to contracts entered into or renewed for contract years beginning at least one year after the date of enactment of this Act. 8. Studies by Secretaries of Health and Human Services and of Labor (a) Impact study Not later than 3 years after the date of enactment of this Act, the Secretary of Health and Human Services, in consultation with the Secretary of Labor, shall conduct a study of the effects of this Act (including the amendments made by this Act), and submit to Congress (and make public) a report on the findings of such study, which shall include information and analysis on— (1) the financial impact on patient responsibility for health care spending and overall health care spending