; (ii) the service is included in the essential health benefits package described in section 1302(a); and (iii) the service cannot be provided to the individual by an in-network provider within a reasonable timeframe or within a reasonable distance and travel time. (B) Cost-sharing A qualified health plan that provides coverage of a service provided by an out-of-network provider under subparagraph (A) shall provide such coverage with the same cost-sharing requirements as if the service was provided by an in-network provider. . (b) Effective date The amendments made by subsection (a) shall apply to plans beginning after December 31, 2020. (c) Grants for State network adequacy reviews (1) In general The Secretary of Health and Human Services shall carry out a program to award grants to States during the 5-year period beginning with fiscal year 2021 to assist such States in developing a metric to measure network adequacy as described in subparagraph (C)(i) of section 1311(c)(7) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(7) ) and to carry out the reviews described in subparagraph (C)(ii) of such section. (2) Authorization of appropriations There are authorized to be appropriated for each of fiscal years 2021 through 2025 such sums as may be necessary to carry out the grant program under this subsection. (d) Report (1) In general Not later than December 31, 2022, the Secretary shall prepare, and submit to Congress, a report containing the analysis and recommendations described in paragraph (2). (2) Analysis and recommendations The report under this subsection shall— (A) analyze how network adequacy and access to care has changed since the implementation of this section, including the amendments made by this section, including for children; (B) include information on the availability of providers that are essential community providers as described in section 1311(c)(1)(C) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 18031(c)(1)(C) )