HF2500 (Legislative Session 94 (2025-2026))

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

AI Generated Summary

Purpose of the Bill

This bill aims to regulate the decision-making process in health insurance, specifically concerning how prior authorization requests are assessed.

Main Provisions

  • The bill prohibits health insurers from using algorithms or artificial intelligence programs to make decisions on whether to approve or deny requests for prior authorizations. This means all such decisions must be made by human personnel rather than relying on automated systems.

Significant Changes to Existing Law

  • The bill adds a new subdivision to Minnesota Statutes 2024 section 62A.59. This marks a shift by restricting the use of artificial intelligence in evaluating medical requests, ensuring that human oversight is maintained in these decisions.

Relevant Terms

  • Health insurance
  • Algorithm
  • Artificial intelligence
  • Prior authorization
  • Decision-making process

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 16, 2025HouseFloorActionIntroduction and first reading, referred toCommerce Finance and Policy
March 23, 2025HouseFloorActionAuthor added
March 23, 2025HouseFloorActionAuthor added

Citations

 
[
  {
    "analysis": {
      "added": [
        "Prohibition on using algorithms or AI in prior authorization determinations."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill prohibits the use of algorithms or artificial intelligence by health carriers in reviewing prior authorization requests under section 62A.59.",
      "modified": [
        ""
      ]
    },
    "citation": "62A.59",
    "subdivision": "subd. 3"
  }
]