In one paragraph
Hawaii's House Bill 1787 (2026) would have set rules for health carriers and utilization review organizations that use AI, algorithms or other software tools in utilization review: determinations would have to rest on individual clinical history, be open to commissioner inspection and be reviewed at least quarterly. It would also have barred using these tools to deny, delay or modify care, and required a licensed provider to review adverse actions. It was referred to committees January 26, 2026 and not enacted.
Plain-English summary, written with AI assistance. The official text controls.
What it means for business
None: the bill was not enacted. If enacted, health carriers and utilization review organizations would have been barred from using AI tools to deny care and required provider review of adverse actions.
Key provisions
- Would have required determinations to rest on the enrollee's clinical history and circumstances, not solely a group dataset, with consistent application and inspection by the insurance commissioner
- Would have required performance, use and outcomes reviews at least quarterly and a written disclosure of the tool's use in each Hawaii policy
- Would have barred carriers and utilization review organizations from using AI, algorithms or software tools to deny, delay or modify a determination to provide health care services
- Would have required a licensed health care provider to independently review an adverse action, including a prior authorization denial, using independent medical judgment
- No penalty is stated; introduced and passed first reading January 22, 2026; referred to HLT, ECD, CPC January 26, 2026; effective upon approval
Latest legislative action
Jan 26, 2026. Referred to HLT, ECD, CPC, referral sheet 1
Sponsors (showing 5 of 32)
| Name | Role |
|---|---|
| AMATO | Primary |
| BELATTI | Primary |
| GANADEN | Primary |
| GARCIA | Primary |
| GARRETT | Primary |
Topics and industries
Related topics
Affected industries
This page is general information, not legal advice. Summaries are AI-assisted and may contain errors; read the statute for the controlling text and talk to a lawyer about your situation. Full disclaimer · Report an error