Sign Up
HB 4054 Oregon House · 2026 Regular Session

Relating to downcoding.

Summary
Requires certain health insurers offering a health benefit plan in this state that provide utilization review or have utilization review provided on their behalf to notify a health care provider each time the insurer uses artificial intelligence or other automated technology to automatically downcode a claim for reimbursement submitted by the provider. Requires insurers to make an appeals process available to a provider who has had a claim automatically downcoded using artificial intelligence or other automated technology.
Issues: ✓ HealthcareSupports HealthcareRequires insurers to notify providers and provide appeals for AI-driven claim downcoding, protecting provider reimbursement rights and ensuring fair billing practices in healthcare insurance.90% confidence ✓ TechnologySupports TechnologyRequires insurers to notify providers and provide appeals when using AI to downcode claims, ensuring transparency and accountability in AI-driven healthcare billing decisions.90% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 2, 2026 Last action Mar 7, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
2
Mar 7, 2026
Lower · Passed
In committee upon adjournment.
lower
Feb 2, 2026
Committee
Referred to Information Management and Technology.
lower
Feb 2, 2026
Introduced
First reading. Referred to Speaker's desk.
lower
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.