As reported: - Requires insurers and other health care entities to institute site-neutral payments for outpatient services and equal reimbursement rates for providers within the same geographic region. - Prohibits a health carrier from using a software tool, including artificial intelligence, to automatically downcode or deny a health insurance claim without a review by a clinical peer. - Creates a rebuttable presumption that a health service is medically necessary when ordered by a provider in the highest tier of a carrier's tiered network during a utilization review. - Expands restrictions on the use of step therapy to include drugs for the treatment of disabling or life-threatening chronic diseases.
| Date | Chamber | Action |
|---|---|---|
May 6, 2026 | — | House Calendar Number 575 |
May 6, 2026 | — | Favorable Report, Tabled for the Calendar, House |
May 5, 2026 | — | Transmitted Pursuant To Joint Rule 17 |
May 5, 2026 | — | Senate Passed as Amended by Senate Amendment Schedule A,B |
May 5, 2026 | — | Senate Adopted Senate Amendment Schedule B 6132 |
Apr 27, 2026 | — | Favorable Report, Tabled for the Calendar, Senate |
Apr 27, 2026 | — | No New File by Committee on Judiciary |
Apr 27, 2026 | — | Reported Out of Legislative Commissioners' Office |
| Last Action | May 6, 2026 |
|---|---|
| Year | 2026 |
| Bill Type | Bill |
| Created | Mar 21, 2026 |
| Updated | May 7, 2026 |