This bill amends Chapter 18, Title 41 of the Idaho Code by adding a new section, 41-1854, which establishes regulations regarding health care services for covered persons who choose to pay out of pocket. It defines key terms and prohibits health carriers from preventing health care providers from offering discounted cash prices for services. The bill allows covered persons to negotiate lower prices for medically necessary services and ensures that these out-of-pocket payments count towards their deductibles and maximum out-of-pocket expenses, provided certain conditions are met.

Additionally, the bill outlines the documentation required for covered persons to submit to their health carriers to ensure that their out-of-pocket costs are recognized. It specifies that health care providers must accept the discounted cash payment as full payment and cannot bill for any remaining balance. However, the provisions do not apply to certain types of insurance plans, including those limited to specific diseases, dental or vision care, and various other exclusions. The bill declares an emergency, making it effective on July 1, 2026.