; (B) be entered into at a time when the individual is facing an emergency health care situation; and (C) contain the items described in paragraph (2). (2) Items required to be included in contract Any contract to provide an item or service to which subsection (a) applies shall clearly indicate to the individual that by signing such contract the individual— (A) agrees not to submit a claim (or to request that the provider submit a claim) under this Act for such item or service even if such item or service is otherwise covered by the Medicare for All Program; (B) agrees to be responsible, whether through insurance offered under section 107(b) or otherwise, for payment of such item or service and understands that no reimbursement will be provided under this Act for such item or service; (C) acknowledges that no limits under this Act apply to amounts that may be charged for such item or service; (D) if the provider is a nonparticipating provider, acknowledges that the beneficiary has the right to have such item or service provided by other providers for whom payment would be made under the Medicare for All Program; and (E) acknowledges that the provider is providing an item or service outside the scope of the Medicare for All Program. (c) Provider requirements (1) In general Subsection (a) shall not apply to any contract unless an affidavit described in paragraph (2) is in effect during the period any item or service is to be provided pursuant to the contract. (2) Affidavit An affidavit as described in this subparagraph shall— (A) identify the provider, and be signed by such provider; (B) provide that the provider will not submit any claim under this title for any item or service provided to any beneficiary (and will not receive any reimbursement or amount described in subsection (a)(2) for any such item or service) during the 1-year period beginning on the date the affidavit is signed