SEC. 115. ENSURING ADEQUACY OF PROVIDER NETWORKS.

[a] In General- A qualified health benefits plan that uses a provider network for items and services shall meet such standards respecting provider networks as the Commissioner may establish to assure the adequacy of such networks in ensuring enrollee access to such items and services and transparency in the cost-sharing differentials between in-network coverage and out-of-network coverage.

[b] Provider Network Defined- In this division, the term 'provider network' means the providers with respect to which covered benefits, treatments, and services are available under a health benefits plan.