In one paragraph
Louisiana's SB246 would have set rules for health insurers, pharmacy benefit managers and independent review organizations that use AI or automated decision systems in utilization review: no use that denies, delays or modifies care, adverse determinations signed by a physician who reviewed the record, disclosure of AI use, and a presumption that AI-influenced adverse decisions are invalid on appeal. The Senate withdrew it from its files May 28, 2026, so it died.
Plain-English summary, written with AI assistance. The official text controls.
What it means for business
None: the bill was withdrawn and never became law. Health insurers using AI in utilization review would have faced physician sign-off, disclosure and audit duties.
Key provisions
- Would have barred AI or automated decision systems that discriminate, delay, deny or modify healthcare services, or that base decisions solely on a group data set (R.S. 22:1260.49(C))
- AI could not replace a healthcare provider's role; every adverse determination had to be signed by a licensed physician who personally reviewed the medical record (22:1260.49(D))
- Issuers would have had to disclose AI use to the enrollee and the department, document its influence, and review AI performance at least quarterly
- An adverse determination to which AI materially contributed would have been presumed invalid on appeal unless the issuer showed independent documented clinical judgment (22:1260.49(E))
- The commissioner could inspect, audit and require independent review of the systems, at the issuer's expense; adverse-determination notices had to state whether AI was used
- Would have applied to policies issued on or after January 1, 2027, with existing policies conforming by renewal and no later than January 1, 2028; the text states no penalty
Latest legislative action
May 28, 2026. Read by title; withdrawn from the files of the Senate
Sponsors
| Name | Role | District |
|---|---|---|
| Regina Barrow D | Sponsor | SD-015 |
| W. Jay Luneau D | Sponsor | SD-029 |
Amendments (6)
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Senate Committee Amendment #748 INS Draft Not adopted
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Senate Committee Amendment #747 INS Draft Not adopted
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Senate Committee Amendment #681 INS Draft Not adopted
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Senate Committee Amendment #679 INS Draft Not adopted
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Senate Committee Amendment #772 INS Proposed Not adopted
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Senate Floor Legislative Bureau Amendment #876 Miller G. Proposed Not adopted
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