Generally revise usage of artificial intelligence in certain health insurance
House Bill 556 regulates how health insurance issuers use artificial intelligence (AI) for reviewing and managing healthcare services. It prohibits AI, algorithms, or other software tools from solely determining medical necessity or denying, delaying, or modifying healthcare services. Instead, medical necessity determinations must be made by licensed healthcare professionals, considering individual patient history and circumstances, not just group data. The bill also requires AI tools to be applied fairly, avoid discrimination, and be open to audit, making non-compliance an unfair claim settlement practice.
Bill status
died
3 of 5 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
House Passage
Mar 2025
Senate Passage
Governor
Introduced Feb 18, 2025
Last action May 20, 2025
Maddy AI version diff · 1 comparison
What changed between versions
LC3970.pdf
→
HB0556_1.pdf
·
2 edits
MINOR
The bill was formally renumbered from LC 3970 to HB 556 and updated with a new list of sponsors. A substantive addition was made to the settlement standards, requiring that claims be settled based on the amounts advertised in the insurance application materials, ensuring advertised benefits are honored during disputes.
Scope change
The bill's scope now explicitly includes adherence to advertised benefit amounts during claim settlements, preventing insurers from offering less than what was promised in application materials.
TECHNICAL
The bill number was changed from LC 3970 to HB 556, and the sponsor list was updated to include J. Cohenour, D. Zolnikov, B. Mitchell, K. Sullivan, and K. Bogner.
REQUIREMENT
A new requirement was added stating that insurers cannot attempt to settle claims for less than the amounts a reasonable person would believe they are entitled to based on written or printed advertising material included in the application.
Floor votes · House Mar 1, 2025
How they voted
20–0
Passed
Total votes 20
Mar 1, 2025
D
Democratic8
100% Yea
R
Republican12
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
21
Key actions
1
Committee
1
Amendments
1
Mar 1, 2025
House · Passed
House Vote: pass (20-0)
house
Mar 1, 2025
Amended
(H) Tabled in Committee - (H) Business and Labor
lower
Feb 19, 2025
Committee
(H) Referred to Committee - (H) Business and Labor
lower
Feb 18, 2025
Introduced
(H) Introduced
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Jill Cohenour
DDemocratic
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