As introduced: - Prohibits using an artificial intelligence algorithm as the sole basis to deny, delay, or downgrade a prior authorization request for a medically necessary service. - Requires that a clinical peer with a similar specialty make any denial or downgrade of a prior authorization request and that the provider be offered a follow-up consultation. - Exempts certain cancer screenings and treatments for life-threatening conditions that arise during inpatient care from prior authorization requirements. - Establishes timelines for prepayment audits of health claims, providing for automatic claim approval if deadlines are not met.
| Date | Chamber | Action |
|---|---|---|
Mar 4, 2026 | — | Withdrawn. S.J. 475. |
Mar 4, 2026 | — | HF 2635 substituted. S.J. 474. |
Mar 4, 2026 | — | Amendment S-5060 filed, adopted. S.J. 474. |
Mar 4, 2026 | — | Fiscal note. |
Mar 4, 2026 | — | Attached to HF 2635. S.J. 461. |
Mar 3, 2026 | S | Hearing Scheduled - Commerce |
Mar 3, 2026 | — | Committee report, recommending passage. S.J. 457. |
Mar 2, 2026 | S | Hearing Scheduled - Commerce (Warme Ch, Bousselot, Knox) |
| Last Action | Mar 4, 2026 |
| Year | 2025 |
| Bill Type | Bill |
| Created | Feb 24, 2026 |
| Updated | Mar 5, 2026 |