section 1867(e)(1)(A) of the Social Security 
Act. 
(B) EMERGENCY
SERVICES.—The term 
‘‘emergency services’’ means, with respect to an 
emergency medical condition— 
(i) a medical screening examination 
(as required under section 1867 of the So-
cial Security Act) that is within the capa-
bility of the emergency department of a 
hospital, including ancillary services rou-
tinely available to the emergency depart-
ment to evaluate such emergency medical 
condition, and 
(ii) within the capabilities of the staff 
and facilities available at the hospital, such 
further medical examination and treatment 
as are required under section 1867 of such 
Act to stabilize the patient. 
(C) STABILIZE.—The term ‘‘to stabilize’’, 
with respect to an emergency medical condition 
(as defined in subparagraph (A)), has the 
meaning given in section 1867(e)(3) of the So-
cial Security Act (42 U.S.C. 1395dd(e)(3)). 
(b) REIMBURSEMENT FOR MAINTENANCE CARE AND 
POST-STABILIZATION CARE.—A group health plan, and
health insurance coverage offered by a health insurance 
issuer, must provide reimbursement for maintenance care 
and post-stabilization care in accordance with the require-
ments of section 1852(d)(2) of the Social Security Act (42 
U.S.C. 1395w–22(d)(2)). Such reimbursement shall be 
provided in a manner consistent with subsection (a)(1)(C). 
(c) COVERAGE OF EMERGENCY AMBULANCE SERV-
ICES.— 
(1) IN GENERAL.—If a group health plan, or 
health insurance coverage provided by a health in-
surance issuer, provides any benefits with respect to 
ambulance services and emergency services, the plan 
or issuer shall cover emergency ambulance services 
(as defined in paragraph (2)) furnished under the 
plan or coverage under the same terms and condi-
tions under subparagraphs (A) through (D) of sub-
section (a)(1) under which coverage is provided for 
emergency services. 
(2) EMERGENCY AMBULANCE SERVICES.—For 
purposes of this subsection, the term ‘‘emergency 
ambulance services’’ means ambulance services (as 
defined for purposes of section 1861(s)(7) of the So-
cial Security Act) furnished to transport an indi-
vidual who has an emergency medical condition (as 
defined in subsection (a)(2)(A)) to a hospital for the
receipt of emergency services (as defined in sub-
section (a)(2)(B)) in a case in which the emergency 
services are covered under the plan or coverage pur-
suant to subsection (a)(1) and a prudent layperson, 
with an average knowledge of health and medicine, 
could reasonably expect that the absence of such 
transport would result in placing the health of the 
individual in serious jeopardy, serious impairment of 
bodily function, or serious dysfunction of any bodily 
organ or part. 
SEC. 114. TIMELY ACCESS TO SPECIALISTS. 
(a) TIMELY ACCESS.— 
(1) IN GENERAL.—A group health plan and a 
health insurance issuer offering health insurance 
coverage shall ensure that participants, beneficiaries, 
and enrollees receive timely access to specialists who 
are appropriate to the condition of, and accessible 
to, the participant, beneficiary, or enrollee, when 
such specialty care is a covered benefit under the 
plan or coverage. 
(2) RULE
OF
CONSTRUCTION.—Nothing in 
paragraph (1) shall be construed— 
(A) to require the coverage under a group 
health plan or health insurance coverage of ben-
efits or services;