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Enacting the use of artificial intelligence in medical decisions transparency act and requiring that all medical necessity determinations be made by a competent licensed physician or healthcare professional.
In one paragraph
Kansas's SB 467 (2026) would have enacted the Use of Artificial Intelligence in Medical Decisions Transparency Act. Health insurers and utilization review organizations using AI, algorithms or software tools for utilization review would have had to ensure the tool bases decisions on the enrollee's clinical information and does not supplant provider decision-making, and the tool could not deny, delay or modify care on medical necessity; only a licensed physician or competent licensed professional could. Referred to committee February 4, 2026; Died in Committee April 10, 2026.
Plain-English summary, written with AI assistance. The official text controls.
What it means for business
None: the bill did not pass. It would have kept AI and software tools from denying, delaying or modifying care on medical necessity at health insurers and utilization review firms, and required filed written policies.
Key provisions
- Applies to health insurers and utilization review organizations that use AI, algorithms or other software tools for utilization review or management based in whole or part on medical necessity, directly or through a contractor
- The tool would have to base determinations on the enrollee's clinical history, individual circumstances and relevant clinical information, not solely a group dataset
- The tool could not supplant provider decision-making, discriminate in violation of law, or directly or indirectly cause harm to the enrollee; it would be periodically reviewed, fairly applied and HIPAA-compliant
- The tool could not deny, delay or modify healthcare services based on medical necessity; only a licensed physician or competent licensed healthcare professional could make that determination
- Health insurers would have to set written utilization review policies, file them with the Kansas Department of Insurance and disclose them to insureds, providers and the public on request
- Introduced February 3, 2026; referred to Senate Financial Institutions and Insurance February 4; Died in Committee April 10, 2026
Latest legislative action
Apr 10, 2026. Died in Committee
Sponsors (showing 5 of 12)
| Name | Role |
|---|---|
| Committee on Commerce | Primary |
| Committee on Federal and State Affairs | Original Sponsor |
| Corson | Original Sponsor |
| Faust-Goudeau | Original Sponsor |
| Francisco | Original Sponsor |
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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