HB 820 Maryland House of Delegates · 2025 Regular Session

Health Insurance - Utilization Review - Use of Artificial Intelligence

HB 820 requires health insurance companies, pharmacy benefits managers, and private review agents to follow specific rules when using artificial intelligence (AI) for medical coverage decisions (utilization review). It mandates that AI tools base decisions on individual patient medical records - not just group data - and cannot replace healthcare providers in review processes. The bill also prohibits AI from causing prohibited discrimination and requires insurers to report whether AI was used in denied claims. This directly affects insurers and review entities that use AI to approve or deny treatments, hospital stays, or medications.

Issues: ✓ Healthcare ✓ Technology

Bill status signed all 5 stages cleared

Introduction

Jan 2025

Committee Review

Apr 2025

House of Delegates Passage

Apr 2025

Senate Passage

Apr 2025

Signed into Law

May 2025

Introduced Jan 29, 2025 Signed May 20, 2025

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What changed between versions

First - Health Insurance - Utilization Review - Use of Artificial Intelligence → Third - Health Insurance - Utilization Review - Use of Artificial Intelligence · 3 edits

MINOR

The bill was amended to add new sponsors and advance its legislative status from first reading to adoption with a favorable committee report. The substantive policy content regarding artificial intelligence in utilization review remains unchanged, with no new requirements, definitions, or enforcement mechanisms added.

Scope change

No substantive changes to the bill's scope or applicability; only administrative updates to sponsor list and legislative status.

TECHNICAL

Added new sponsors to the bill (Young, Bagnall, Bhandari, Chisholm, Cullison, Guzzone, Hutchinson, S. Johnson, Kerr, Kipke, Lopez, Martinez, Reilly, Rosenberg, Szeliga, Taveras, White Holland, Woods, and Woorman) to the original list of Hill, Pena-Melnyk, Kaiser, Kaufman, J. Lewis, J. Long, and Ruff.

Added committee report status showing the bill was adopted with favorable amendments and read for the second time on February 25, 2025.

Changed the bill title header from 'A BILL ENTITLED' to 'CHAPTER ______' to reflect its progression through the legislative process.

Floor votes · Senate Mar 23, 2025 · House of Delegates Feb 27, 2025

How they voted

46–0

Passed

Total votes 46

Mar 23, 2025

D Democratic33

33 Yea

100% Yea

R Republican13

13 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

May 20, 2025

Signed into law

Approved by the Governor - Chapter 747

executive

Apr 7, 2025

Lower · Passed

Returned Passed

lower

Apr 7, 2025

Upper · Passed

Third Reading Passed

upper

Apr 4, 2025

Upper · Passed

Favorable Adopted

upper

Apr 4, 2025

Upper · Passed

Favorable Report by Finance

upper

Mar 23, 2025

Senate · Passed

Senate Vote: pass (46-0)

senate

Mar 7, 2025

Committee

Referred Finance

upper

Mar 6, 2025

Lower · Passed

Third Reading Passed

lower

Mar 4, 2025

Lower · Passed

Favorable with Amendments {

lower

Mar 3, 2025

Lower · Passed

Favorable with Amendments Report by Health and Government Operations

lower

Feb 27, 2025

House Of Delegates · Passed

House of Delegates Vote: pass (133-0-6)

house of delegates

Jan 29, 2025

Committee

First Reading Health and Government Operations

lower

25 primary · 0 co-sponsors