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HF2500 (Legislative Session 94 (2025-2026))

Algorithm and AI use prohibited during health insurance prior authorization request review.

Related bill: SF3984

AI Generated Summary

Purpose

Explain and limit how prior authorization decisions are made by health carriers in Minnesota. The bill adds a prohibition to prevent using automated tools in the determination process for approving or denying a prior authorization request.

Main provisions

  • Adds a new subdivision to Minnesota Statutes 2024 section 62A.59.
  • Subdivision 3: Algorithm and artificial intelligence use prohibited.
  • A health carrier is prohibited from using an algorithm or artificial intelligence program when making a determination to approve or deny a prior authorization request.

Significant changes to existing law

  • Establishes a clear ban on using algorithms or AI in the decision-making process for prior authorization determinations.
  • Creates a new statutory prohibition within the existing framework governing health insurance prior authorizations (section 62A.59).

Implications and considerations

  • The bill changes how health plans must handle prior authorization reviews by removing automated decision-making tools from the process.
  • It explicitly restricts the use of algorithmic or AI-based systems for approving or denying prior authorizations, requiring that such determinations be made without those technologies.

Additional context

  • The change is enacted through amending Minnesota Statutes 2024, specifically by adding a subdivision to Section 62A.59.

Relevant Terms - algorithm - artificial intelligence - AI - health carrier - prior authorization - prior authorization request review - determination - approve - deny - Minnesota Statutes 2024 section 62A.59 - Subd.3 - prohibited - automated decision-making - health insurance

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 17, 2025HouseActionIntroduction and first reading, referred toCommerce Finance and Policy
March 24, 2025HouseActionAuthor added
February 17, 2026HouseActionAuthor added
February 19, 2026HouseActionAuthor added
February 23, 2026HouseActionAuthor changed
March 05, 2026HouseActionAuthor added

Citations

 
[
  {
    "analysis": {
      "added": [
        "A new Subd. 3 prohibiting the use of an algorithm or artificial intelligence in determining prior authorization outcomes."
      ],
      "removed": [],
      "summary": "Adds Subd. 3 to Minn. Stat. § 62A.59 prohibiting health carriers from using algorithms or artificial intelligence in making prior authorization determinations.",
      "modified": []
    },
    "citation": "62A.59",
    "subdivision": "Subd.3"
  }
]

Progress through the legislative process

17%
In Committee

Sponsors

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