As introduced: - Creates the Office of the Public Intervenor within the Office of the Commissioner of Insurance to assist individuals with health insurance claims and appeals. - Prohibits health insurers from engaging in various claims denial practices, such as allowing non-physician personnel to determine medical necessity or requiring an insured to fail a cheaper treatment before approving necessary care. - Requires insurers to provide a detailed explanation for any claim denial and to disclose the use of artificial intelligence in claims processing, including an explanation of how the AI reached its decision. - Mandates that insurers annually publish reports on their claim denial rates and use of artificial intelligence, and directs the commissioner of insurance to maintain a public database of these rates. - Authorizes the commissioner of insurance to audit insurers with high claim denial rates and to impose corrective action plans and civil forfeitures for violations.
| Date | Chamber | Action |
|---|---|---|
Mar 23, 2026 | A | Failed to pass pursuant to Senate Joint Resolution 1 |
Mar 20, 2026 | A | Representative J. Jacobson added as a coauthor |
Mar 19, 2026 | A | Representative Subeck added as a coauthor |
Mar 13, 2026 | A | Read first time and referred to Committee on Insurance |
Mar 13, 2026 | A | Introduced by Representatives Anderson, Brown, Emerson, Joers, Kirsch, Neubauer, Palmeri, Roe, Sinicki, Stubbs and Udell; cosponsored by Senators Drake, Roys and Spreitzer |
| Last Action | Mar 23, 2026 |
|---|---|
| Year | 2025 |
| Bill Type | Bill |
| Created | Mar 21, 2026 |
| Updated | Mar 24, 2026 |