Health plans required to credit enrollees for services provided by an out-of-network provider at a lower cost than the plan's in-network providers, and commissioner of commerce enforcement authorized.

Summary

The bill forces health insurers to provide a good‑faith cost estimate for both in‑network and out‑of‑network providers, and to credit enrollees 50 % of any cost difference when the out‑of‑network price is lower. It applies to anyone with a health‑plan enrollment and aims to lower out‑of‑pocket expenses for patients who use out‑of‑network providers.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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