Title I, SEC. 1134. COMBINATION COST SHARING. (a) In General. The combination cost sharing schedule referred to in section 1131 that is offered by a health plan (1) shall have (A) an annual individual out-of-pocket limit on cost sharing of $1500; and (B) an annual family out-of-pocket limit on cost sharing of $3000; and (2) otherwise shall require different cost sharing for in-network items and services than for out-of-network items and services. (b) In-Network Items and Services. With respect to an in-network item or service (as defined in section 1402(f)(1)), the combination cost sharing schedule that is offered by a health plan (1) may not apply a deductible; (2) shall prohibit payment of any coinsurance; and (3) shall require payment of a copayment in accordance with the lower cost sharing schedule described in section 1132. (c) Out-of-Network Items and Services. With respect to an out-of-network item or service (as defined in section 1402(f)(2)), the combination cost sharing schedule that is offered by a health plan (1) shall require an individual and a family to incur expenses before the plan provides benefits for the item or service in accordance with the deductibles under the higher cost sharing schedule described in section 1133; (2) shall prohibit payment of any copayment; and (3) shall require payment of coinsurance in accordance with such schedule.