As introduced: - Requires AI tools used in utilization review to base determinations on an individual’s clinical history, clinical circumstances, and other relevant medical records. - Prohibits decisions based solely on generalized or group datasets, or replacing the judgment of qualified health care professionals with AI. - Prohibit violating discrimination laws. Requires fair and equitable application. Requires AI to be open to audit and review. Requires disclosures pertaining to use and oversight. - Prohibits using AI to deny, delay, or modify health care services on medical necessity, requiring a licensed professional to evaluate medical necessity.
| Date | Chamber | Action |
|---|---|---|
Jan 7, 2026 | — | referred to insurance |
May 20, 2025 | — | referred to insurance |
| Last Action | Jan 7, 2026 |
|---|---|
| Year | 2025 |
| Bill Type | Bill |
| Created | Mar 21, 2026 |
| Updated | May 21, 2025 |