Bill > HF2500

This bill prohibits health insurance carriers from using algorithms or artificial intelligence (AI) programs when reviewing and making decisions about prior authorization requests. Prior authorization is a process where health insurers require healthcare providers to obtain advance approval for specific medical services, treatments, or medications before they will cover the cost. Under this legislation, which becomes effective January 1, 2026, health insurance plans must have human reviewers make determinations about approving or denying prior authorization requests, rather than relying on automated AI systems. The bill applies to all health plans that are offered, sold, issued, or renewed on or after the effective date, and aims to ensure that healthcare coverage decisions are made with human judgment and potentially more nuanced evaluation of individual medical needs. By mandating human review, the bill seeks to potentially reduce potential errors or overly rigid decision-making that might occur with algorithmic assessment of medical authorization requests.

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https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF2500&ssn=0&y=2025