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ARTICLE · 26 APRIL 2026

State Legislatures Consider Oversight Of Artificial Intelligence In Health Insurance Decisions

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As artificial intelligence (“AI”) continues to be deployed in new use cases, state legislatures are considering measures to oversee its use in health insurance, particularly in prior authorization and utilization review.

United StatesTechnology

As artificial intelligence (“AI”) continues to be deployed in new use cases, state legislatures are considering measures to oversee its use in health insurance, particularly in prior authorization and utilization review. Last year, legislatures in Arizona, Maryland, Nebraska, and Texas enacted bills to address AI use in health insurance determinations.1 A prior analysis of California legislation that aimed to regulate AI in utilization review in the managed care space is available here. Building on that work, this post summarizes legislation under consideration in the first quarter of 2026 that governs health insurers’ use of AI in determinations such as prior authorization and utilization review.

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