Becker's Healthcare October 8, 2025
Pennsylvania lawmakers introduced a bill to regulate AI use in health insurance. Pennsylvania joins a wave of states attempting to add guardrails in the payer space, especially after an early draft of the One Big Beautiful Bill Act included a decade-long ban on state regulation of AI.
While not all of these regulations are totally new, the most recent developments come just months before CMS’ AI-driven prior authorization pilot for Medicare.
California led the charge during the 2023 to 2024 legislative session with a bill specifically addressing AI use in coverage decisions. Arizona, Connecticut, Maryland, Nebraska and Texas legislatures presented similar bills that have since been approved by the governor or formally signed into law.
“An artificial intelligence-based...
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