As introduced: - Requires health plan issuers to file an annual report detailing their provider network, enrollment numbers, and use of AI-based algorithms in utilization reviews - Requires issuers that use AI to disclose criteria, training data, and review processes. - Prohibits health plan issuers from making care decisions solely based on AI and requires that medical necessity determinations are made by licensed professionals considering individual clinical circumstances. - Requires any AI-influenced denial, delay, or modification of care to include a clear explanation. Allows audits of AI use.
| Date | Chamber | Action |
|---|---|---|
Oct 28, 2025 | S | Hearing Scheduled - Financial Institutions, Insurance and Technology |
Apr 2, 2025 | S | Refer to Committee |
Apr 1, 2025 | S | Introduced |
| Last Action | Apr 2, 2025 |
| Year | 2025 |
| Bill Type | Bill |
| Created | Apr 2, 2025 |
| Updated | Oct 25, 2025 |