Overview
- Four House Democrats and one Republican plan to introduce the measure, which was announced by Rep. Arvind Venkat, an emergency physician in the Pennsylvania General Assembly.
- The bill would apply to insurers, hospitals and other providers using AI for patient care, billing and coding, claims processing and related health services.
- It would require transparency about when and how AI is used, ensure a human makes the final decision whenever AI is involved and demand evidence that bias is being minimized.
- The action follows a surge of state laws this year, including bans on AI-only prior authorization or medical-necessity denials in Arizona, Maryland, Nebraska and Texas, and prohibitions on AI presenting itself as a provider in Nevada and Oregon.
- Polling and professional data show momentum for guardrails, with the American Medical Association reporting physician use of AI more than doubled and a United States of Care survey finding most patients want stronger oversight.