Tracker: State Legislation Regulating Use of AI in Healthcare Coverage Decisions
Major health insurance providers are increasingly using Artificial Intelligence (AI) to make decisions on whether or not to deny health care coverage. It is often unclear how AI makes these decisions and whether or how a human was involved in the process. The use of AI in these decisions has increased coverage denials — often wrongfully – leading to more people paying out of pocket or forgoing necessary, sometimes life-saving treatments.
State legislatures across the country are starting to pass urgently needed legislation to regulate the use of AI in healthcare coverage decisions. The table below illustrates where states have passed or are in the process of debating legislation to regulate AI in healthcare coverage decisions.
Public Citizen offers a model bill as well as legislative support for any state lawmaker interested in moving this forward in their state.
| STATE | BILL NO. | STATUS |
|---|---|---|
| AL | SB 63 | Enacted 2026 |
| AL | HB 515 | Failed 2025 |
| AL | SB 294 | Failed 2025 |
| AL | HB 557 | Failed 2025 |
| AR | HB 1816 | Withdrawn 2025 |
| AR | HB 1297 | Withdrawn 2025 |
| AZ | HB 2175 | Enacted 2025 |
| CA | SB 1120 | Enacted 2024 |
| CA | AB 512 | Vetoed 2025 |
| CO | HB 26-1139 | Passed House 2026 Passed Senate 2026 |
| CT | SB 342 | Failed 2026 |
| CT | SB 447 | Failed 2025 |
| CT | HB 5590 | Failed 2025 |
| CT | SB 817 | Failed 2025 |
| CT | HB 5587 | Failed 2025 |
| FL | HB 1555 | Withdrawn 2025 |
| FL | SB 794 | Failed 2025 |
| HI | SB 2768 / HB 1787 | Failed 2026 |
| HI | SB 2953 | Failed 2026 |
| HI | SB 3027 / HB 2537 | Failed 2026 |
| IA | HF 2635 | Substituted in for SF 2421 2026 Passed House 2026 Passed Senate 2026 Enacted 2026 |
| IA | SF 2421 | Introduced 2026, Replaced with HF 2635 |
| IA | SF 2226 | Introduced 2026 |
| IA | SF 562 | Introduced 2025 |
| IL | HB 35 | Passed House 2025 |
| IL | SB 1425/ HB 5918 | Failed 2025 |
| IN | HB 1271 | Enacted 2026 (only requires disclosure for AI in adverse decisions) |
| KS | SB 467 | Failed 2026 |
| LA | SB 246 | Introduced 2026 |
| LA | HB 880 | Introduced 2026 |
| MA | HB 4616 | Introduced 2026 |
| MA | S 2632 | Introduced Oct. 2025 |
| MA | S 46 | Introduced 2025, reintroduced as S 2632 Oct. 2025 |
| MA | H 4616 | Introduced Oct. 2025 |
| MA | H 1136 | Introduced 2025, reintroduced as H 4616 Oct. 2025 |
| MD | HB 820 | Enacted 2025 |
| MD | HB 1240 | Withdrawn 2025 |
| MD | SB 987 | Failed 2025 |
| ME | LD 1301 / SP 531 | Failed 2026 |
| ME | LD 955 / SP 411 | Failed 2025 |
| MI | HB 4536 | Introduced 2025 |
| MI | HB 4537 | Introduced 2025 |
| MN | SF 3984 | Failed 2026 |
| MN | HB 1838/ SF 1856 | Failed 2026 |
| MN | HF 2500 | Failed 2026 |
| MS | HB 1717 | Failed 2026 |
| MT | HB 556 | Failed 2025 |
| NC | H 1175 | Introduced 2026 |
| NC | SB 287 | Introduced 2025 |
| NC | SB 315 | Introduced 2025 |
| NE | LB 77 | Enacted 2025 |
| NJ | SB 3298 / A 3858 | Introduced 2024 |
| NV | SB 128 | Vetoed 2025 |
| NV | SB 495 | Failed 2025 |
| NV | AB 290 | Failed 2025 |
| NV | SB 295 | Failed 2025 |
| NY | A 11048 / S 10241 | Introduced 2026 |
| NY | A 1456 | Introduced 2025 |
| NY | S 7896 / A 8556 | Introduced 2025 |
| NY | A 3991 | Introduced 2025 |
| OH | SB 164 | Introduced 2025 |
| OH | HB 579 | Introduced 2025 |
| OK | HB 4462 | Failed 2026 |
| OK | HB 3675 | Failed 2026 |
| OK | SB 2038 | Failed 2026 |
| PA | SB 1113 | Introduced 2026 |
| PA | HB 1925 | Introduced 2025 |
| PA | SB 1113 | Introduced 2026 |
| RI | SB 2010 / HB 7190 | Introduced 2026 |
| RI | SB 13 | Passed Senate, Failed 2025 |
| RI | H 5172 | Failed 2025 |
| SC | S 920 / HB 5206 | Failed 2026 |
| SC | SB 443 | Failed 2026 |
| SD | SB 169 | Introduced 2026, Withdrawn 2026 |
| TN | H 2619/ S 2155 | Failed 2026 |
| TN | HB 1866/ SB 2010 | Failed 2026 |
| TN | HB 1382/ SB 1261 | Failed 2025 |
| TX | SB 815 | Enacted 2025 |
| TX | SB 1822 | Passed Senate, Failed 2025 |
| TX | SB 1411 | Failed 2025 |
| TX | HB 2922 | Failed 2025 |
| TX | HB 4585 | Failed 2025 |
| TX | HB 4635 | Failed 2025 |
| TX | HB 4018 | Failed 2025 |
| VT | H 776 | Introduced 2026 |
| WA | HB 1566 / SB 5395 | Introduced 2025 Enacted 2026 |
| WI | SB 1066 | Failed 2026 |
| WI | AB 1109 | Failed 2026 |
Last updated: May 20, 2026
See an error or want to share information on similar state legislation? Please contact Ilana Beller (ibeller@citizen.org).