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SB1425

AI USE IN HEALTH INSURANCE ACT Verified

Disclaimer: This page provides general informational summaries only and does not constitute legal advice. AI-generated content may contain errors. Always consult a qualified attorney for guidance specific to your situation. Read full disclaimer →
AI Summary

The AI Use in Health Insurance Act regulates insurers' use of AI systems, ensuring meaningful review by authorized individuals and oversight, including investigations by the Department of Insurance.

Business Impact

If you operate in health insurance, you must ensure AI systems undergo meaningful review by authorized individuals by January 1, 2025, or face penalties.

State
Illinois
Bill Number
SB1425
Status
Introduced
Risk Level
Medium
Category
Sector-Specific
Last Action
Apr 11, 2025
Last Verified
Apr 21, 2026
Data Updated
Apr 21, 2026
What do these statuses mean?
Introduced — Filed in the legislature; not yet heard in committee
In Committee — Assigned to and being reviewed by a legislative committee
Passed — Approved by one or both chambers; awaiting further action
Signed / Enacted — Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed — Vetoed, failed to pass, or session expired without action
Unknown — Status data not yet available or awaiting classification

Affected Industries

Healthcare Consumer Protection Technology Health Insurance Finance

Topics

What This Means

The Artificial Intelligence Systems Use in Health Insurance Act establishes regulatory oversight for insurers in Illinois regarding their use of AI systems. It mandates that any adverse consumer outcomes, specifically the denial, reduction, or termination of insurance plans or benefits, based solely on AI decisions are prohibited.

Key Provisions

Latest Legislative Action

Rule 3-9(a) / Re-referred to Assignments

Bill Sponsors (showing 30 of 87)

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Compliance Checklist

Ensure no adverse consumer outcomes result solely from AI decisions.
Who: Insurers authorized to operate in Illinois
Deadline: Ongoing compliance required upon enactment
Penalty: Potential regulatory action by the Department of Insurance
Implement a meaningful review process for AI-generated decisions.
Who: Insurers authorized to operate in Illinois
Deadline: By the time the AI system is deployed
Penalty: Regulatory penalties and potential fines

Related & Companion Bills

Illinois HB0035 — AI USE IN HEALTH INSURANCE ACT Illinois HB5918 — AI USE IN HEALTH INSURANCE ACT

Full Legal Analysis

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