Bill No. 1224 aims to provide legal protections for medical practitioners, health care institutions, and health care payors regarding their rights to refuse participation in health care services that conflict with their conscience. The bill defines key terms such as "conscience," "discrimination," "health care institution," and "health care payor," and establishes that these entities cannot be compelled to participate in or fund services that violate their ethical, moral, or religious beliefs. It also prohibits discrimination against these entities for exercising their rights of conscience and grants them immunity from civil actions related to such refusals, with specific exceptions for emergency medical treatment and state-owned institutions.

Additionally, the bill outlines the rights of medical practitioners to refuse participation in services that conflict with their conscience without facing disciplinary actions or liability. It mandates that health care payors disclose any services they may refuse to cover on the basis of conscience and establishes protections against retaliation for whistleblowing or reporting violations of the act. The bill also includes provisions for the enforcement of these rights, including remedies for unlawful interference and the requirement for professional licensing boards to provide timely notice of complaints against practitioners. The act is set to take effect on November 1, 2025.