Health insurance; authorizing health care provider to accept certain payments; requiring application of certain charge to deductible and maximum out-of-pocket expense. Effective date.

Added House representatives Moore and Wolfley as co-sponsors to the bill, expanding the list of House sponsors from one to three representatives.

Updated document header from 'FLOOR SUBSTITUTE' to 'ENGROSSED SENATE BILL' to reflect the bill's current legislative stage and House floor version status.

Added House floor version page headers and footers with committee amendment notation, replacing Senate floor substitute formatting.

Adjusted line numbers and spacing throughout the document to accommodate the House floor version format, with no substantive policy changes.

Document structure was reorganized with page numbers, line numbers, and formatting adjustments typical of legislative floor amendments.

Header information was updated to reflect floor substitute status with revised sponsor attribution and session details.

Effective date section (Section 3) appears to be truncated in the floor substitute version, with the text cutting off mid-sentence.

Page numbering and formatting were adjusted throughout the document to reflect floor amendment markup conventions.

Statute citation changed from Section 6046 of Title 36 to Sections 6060.51 and 6060.52 of Title 36.

New detailed definitions added for 'health benefit plan' and 'health care service' with specific exclusions for certain types of insurance coverage.

Added provision allowing enrollees to negotiate lower prices with providers and electronically send documentation to carriers to count payments toward deductibles.

Changed from requiring providers to accept full payment directly to requiring providers to accept negotiated payments and not bill for balance differences.

Added requirement that carriers must count negotiated out-of-pocket payments toward in-network or out-of-network deductibles based on provider status.

Removed specific requirement that health care provider's discounted cash price be considered full payment for purposes of the section.

Effective date section was removed from the original version and not included in the engrossed version shown.

Updated the list of Senate and House sponsors to include additional names (Hamilton, Moore, Wolfley, Hays, and Roberts) that were not present in the Engrossed version.

Added a 'SUBJECT: Health care payments' line to the Enrolled version for clarity.

Changed the header from 'ENGROSSED SENATE' to 'ENROLLED SENATE' to reflect the bill's final status before signing.