; (iii) includes a substantial number of providers and facilities that are not part of the network; or (iv) omits a substantial number of providers and facilities that are part of the network. ; and (2) in subsection (b)— (A) in paragraph (1), by striking and if either of the criteria described in paragraph (2) applies with respect to such participant, beneficiary, or enrollee and item or service ; and (B) by striking paragraph (2) and inserting the following: (2) Reconciliation requirement If a nonparticipating provider was listed as a participating provider in the posted provider directory database, the group health plan shall, not later than 30 days after receiving the request for payment, notify the participant, beneficiary, or enrollee, in plain language, that the participant, beneficiary, or enrollee may be eligible for a refund from the group health plan if such participant, beneficiary, or enrollee paid the out of network cost-sharing and did not receive a refund under section 2799B–9(b) of the Public Health Service Act ( 42 U.S.C. 300gg–139 ). . (d) Effective date The amendments made by subsections (a), (b), and (c) shall apply with respect to group health plans, or any health insurance issuer offering health insurance coverage in connection with such plan, for plan years beginning after the date that is 1 year after the date of enactment of this Act. 3. Provider requirements to protect patients and improve the accuracy of provider directory information Section 2799B–9 of the Public Health Service Act ( 42 U.S.C. 300gg–139 ) is amended— (1) in subsection (a)— (A) in paragraph (3), by striking ; and and inserting a semicolon; (B) by redesignating paragraph (4) as paragraph (6); and (C) by inserting after paragraph (3) the following: (4) subject to paragraph (5), when a provider or facility that is not accepting new patients determines that it has the ability to accept new patients, within 5 business days of such determination