; and and inserting emergency services received from participating providers and participating emergency facilities with respect to such plan; ; (VI) by striking (II) if such services and all that follows through were provided in-network and inserting the following: (ii) the cost-sharing requirement (expressed as a copayment amount, coinsurance rate, or deductible) is not greater than the requirement that would apply if such services were provided by a participating provider or a participating emergency facility; ; and (VII) by adding at the end the following new clauses: (iii) the group health plan or health insurance issuer offering group or individual health insurance coverage pays to such provider or facility, respectively, subject to subsection (f), the amount by which the commercially reasonable rate, as determined by the plan or issuer, for such services exceeds the cost-sharing amount for such services (as determined in accordance with clause (ii) and, if applicable, any amount to reconcile the difference between such rate so paid and the specified rate determined under subsection (f)(1)) for such services; and (iv) there shall be counted toward any deductible or out-of-pocket maximums applied under the plan any cost-sharing payments made by the participant, beneficiary, or enrollee with respect to such emergency services so furnished in the same manner as if such cost-sharing payments were with respect to emergency services furnished by a participating provider and a participating emergency facility. ; and (B) in paragraph (2)— (i) in the matter preceding subparagraph (A), by inserting and subsection (e) after this subsection ; (ii) by redesignating subparagraph (C) as subparagraph (H); and (iii) by inserting after subparagraph (C) the following subparagraphs: (D) Nonparticipating emergency facility