This bill establishes new provisions regarding health insurance payments and the application of those payments toward deductibles and out-of-pocket expenses. It mandates that health care providers accept full payment directly from enrollees for health care services instead of submitting claims to the enrollees' health benefit plans. The bill specifies that the discounted cash price offered by providers will be considered full payment. Additionally, it requires that any charges for medically necessary covered services paid directly by enrollees be applied toward their deductibles and maximum out-of-pocket expenses, while payments for uncovered services will not qualify for this application.

Furthermore, the bill obligates health benefit plans to create a procedure for enrollees to claim credit for these expenses and to identify the necessary documentation to support such claims. It also stipulates that this information must be easily accessible on the health benefit plan's website. Importantly, the bill prohibits any waiver of these requirements by contract. The provisions outlined in this bill are set to take effect on November 1, 2025.