As introduced: - Establishes standards for the use of artificial intelligence in utilization reviews, including requiring that determinations are based on an enrollee's individual clinical information. - Requires disclosure of how AI is used in the utilization review process in each policy. - Prohibits a health carrier or utilization review organization from using artificial intelligence to deny, delay, or modify a determination to provide health care services. - Requires a licensed health care provider to conduct an independent review of a claim before a health carrier may issue an adverse action.
| Date | Chamber | Action |
|---|---|---|
Jan 30, 2026 | S | Referred to HHS/LBT, CPN. |
Jan 26, 2026 | S | Passed First Reading. |
Jan 23, 2026 | S | Introduced. |
| Last Action | Jan 30, 2026 |
|---|---|
| Year | 2025 |
| Bill Type | Bill |
| Created | Mar 21, 2026 |
| Updated | Jan 31, 2026 |