; and (B) a State may enact laws relating to rate-setting, independent dispute resolution, an in-network guarantee, or an alternative methodology that complies with paragraph (1). (2) Self-insured plans In the case of a self-insured group health plan, the resolution methodology provided for under section 2729A of the Public Health Service Act, shall be used to determine compensation with respect to a surprise medical bill. . (c) FEHBP In the case of a health plan under chapter 89 of title 5, United States Code, the resolution methodology provided for under this Act (including the amendments made by this Act), shall be used to determine compensation with respect to a surprise medical bill. 11. Balance billing study (a) In general 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 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; (2) the incidence and prevalence of the delivery of out-of-network health care services; (3) the adequacy of provider networks offered by health plans and health insurance issuers (as such terms are defined in section 2791 of the Public Health Service Act ( 42 U.S.C. 300gg–91 )); (4) the impact of connecting reimbursement to different claims databases; (5) the number of bills that go to the independent dispute resolution process; and (6) the administrative cost of the independent dispute resolution process and estimated impact on health insurance premiums and deductibles. (b) Information requirements The information provided in the report under subsection (a) shall be— (1) disaggregated by State and according to the fully insured and the self-insured markets