Health benefit plans; requiring certain health benefit plans to consider certain factors when determining payments for services. Effective date.

The document structure was updated to include line numbers, committee substitute headers, and page footers, replacing the original enrolled bill formatting.

Line breaks and spacing were adjusted throughout the text to align with standard committee substitute formatting conventions.

Metadata strings such as 'Req. No. 3579' and timestamps were added to the bottom of the pages, which are administrative tracking details rather than legislative content.

The document header was updated from 'ENGROSSED SENATE' to 'ENROLLED SENATE', indicating the bill has passed both legislative chambers and is ready for executive action.

The footer section was updated to include the Governor's signature block and the Secretary of State's receipt block, replacing the placeholder dates and blank lines found in the previous version.

The document header was changed from 'House of Representatives' to 'Senate Floor Version' and the date was updated to February 12, 2026.

The bill title was updated to reflect it is a 'Committee Substitute' rather than an 'Engrossed Senate' bill.

The committee submitting the report changed from the Committee on Commerce and Economic Development to the Committee on Business and Insurance.

Page numbering and internal formatting markers were adjusted to reflect the Senate's versioning system.

Added specific definitions for 'Anesthesia services', 'Base unit', 'Health benefit plan', and 'Physical status modifiers' to standardize terminology.

Mandated that health benefit plans must consider patient physical status and care complexity when determining anesthesia payments.

Established specific payment multipliers (Base Unit Values 1, 2, and 3) for patients in ASA III, IV, and V physical status categories.

Clarified that the new anesthesia payment rules do not apply to plans covering Medicaid members.

Set the effective date of the act to November 1, 2026.

Added a new definition for 'Base unit' to establish a specific value for anesthesia codes that reflects activities other than anesthesia time.

Added specific requirements for health benefit plans to pay 'Base Unit Value 1' for ASA III patients, 'Base Unit Value 2' for ASA IV patients, and 'Base Unit Value 3' for ASA V patients.

Updated the header and footer information to reflect the bill's status as 'Engrossed' and included dates indicating it passed the Senate.