So then, if you are already designing the girders to be composite for negative flexure, the check in Section 6.10.10.3 doesn't apply?
Correct. If it has shear connectors throughout, it can be designed as fully composite (composite the full length). The forces that develop in the deck are transferred to the top flange all though the negative moment region, rather than accumulating at the end of the region.
It seems kind of circular - if you're not designing composite, then you have to follow 6.10.10.3, which if you meet that check means it is now acting compositely, which means 6.10.10.3 doesn't apply?
There a difference between full composite action you can count on for design, and composite action that
may be present under some circumstances, in some regions without shear studs. Composite action may occur in certain portions of the negative moment regions without shear studs, by virtue of the deck being locked in to the steel girders at the ends of the negative moment regions.
Also, consider that because moving live loads typically compromise a majority of the load on a bridge, the contraflexure points for total loading shift substantially. There may be significant negative moment in the 'positive moment region' and significant positive moments well into the supposed negative moment region.
The bottom line is that you need to maintain continuity of the forces in the reinforcing steel so you don't have large tension forces transferred to the concrete deck.
Rod Smith, P.E., The artist formerly known as HotRod10