HF1838 (Legislative Session 94 (2025-2026))
Health insurance; use of artificial intelligence prohibited in the utilization review process.
Related bill: SF1856
AI Generated Summary
Purpose
To prohibit the use of artificial intelligence in the utilization review process for health insurance, ensuring that decisions about medical necessity and related actions are made without AI involvement.
What the bill would do
- Define artificial intelligence (AI) for the statute using the definition from United States Code.
- Create a new prohibition on AI in utilization review.
- Apply the prohibition to all stages of the utilization review process, including review, evaluation, determination, and appeals.
Key provisions
- Section adds a subdivision to Minnesota Statutes 62M.02 defining artificial intelligence.
- Section creates Minnesota Statutes 62M.20, titled Prohibition on Artificial Intelligence.
- The prohibition states that AI cannot be used by a utilization review organization in any part of its review, evaluation, determination, or appeals processes.
Definitions
- Artificial intelligence: as defined in United States Code, Title 15, Section 9401.
Impact and considerations
- Establishes an explicit ban on AI in utilization review for health insurance processes.
- Affects how utilization review organizations conduct reviews, make determinations, and handle appeals.
- The text provided does not specify penalties or enforcement details.
Significance
- Represents a significant change to existing law by adding a new prohibition and a formal definition of AI within the context of utilization review.
Relevant Terms artificial intelligence AI utilization review utilization review organization review evaluation determination appeals processes Minnesota Statutes 62M.02 Minnesota Statutes 62M.20 United States Code Title 15 Section 9401 health insurance prohibition
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| March 03, 2025 | House | Action | Introduction and first reading, referred to | Commerce Finance and Policy |
Citations
[
{
"analysis": {
"added": [
"Adds Subd.2a establishing the definitional reference for 'Artificial intelligence'."
],
"removed": [],
"summary": "Adds Subdivision 2a to Minnesota Statutes, section 62M.02, to define 'Artificial intelligence' using the meaning given in United States Code title 15, section 9401.",
"modified": []
},
"citation": "62M.02",
"subdivision": "Subd.2a"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "The bill references federal law for the definition of 'Artificial intelligence' by citing United States Code title 15, section 9401.",
"modified": []
},
"citation": "15 U.S.C. § 9401",
"subdivision": ""
}
]Progress through the legislative process
In Committee