costs and benefits information at all sites of care and for all providers included in the plan network. Such information shall be made available to enrollees through an internet website or an application. Information about the availability of such price information through such means shall be provided to each enrollee upon enrollment, or renewal, in the health plan or health insurance coverage. . (b) Effective dates (1) Cost-sharing disclosures Subsection (a)(1) of section 2729E of the Public Health Service Act, as added by subsection (a), shall apply with respect to plan years beginning on or after January 1, 2020. (2) Availability of information Subsection (b) of section 2729E of the Public Health Service Act, as added by subsection (a), shall apply with respect to plan years beginning on or after January 1, 2021. 7. Medical loss ratio Section 2718(a)(1) of the Public Health Service Act ( 42 U.S.C. 300gg–18(a)(1) ) is amended by inserting before the period the following: (including, in the case of group health plans, the amount of independent dispute process expenses incurred by the plan) . 8. Transparency requirements on hospitals Section 2718 of the Public Health Service Act ( 42 U.S.C. 300gg–18 ) is amended by adding at the end the following: (f) Transparency requirements on hospitals (1) Requirements for hospitals and physician groups Each hospital operating within the United States shall for each year disclose on its internet website and in printed materials, any financial relationship or profit-sharing agreement the hospital maintains with a physician group. (2) Required information (A) In general Each hospital operating within the United States shall include ancillary services provided by individuals such as phlebotomists, laboratory technicians, and echocardiogram technicians within each hospital bill that is provided to patients. (B) Study Not later than 1 year after the date of enactment of this Act, the Secretary shall conduct a study on the feasibility of hospitals and hospital-based provider