HB 1406

As amended on 3/12/2026: - Requires all adverse determinations, including payment reductions and downcoding, must be made by a qualified health care provider. Requires written notice of the adverse decision to the covered person. - Requires health carriers to maintain records related to the health carrier’s use of algorithms, artificial intelligence, or other machine-based systems. titution for any resulting delay or denial of care. - Holds a health carrier responsible for overseeing any contracted entity performing utilization review functions, including those using artificial intelligence systems.