Relating to utilization review organizations’ use of artificial intelligence, prior authorization determinations and exemptions, and prepayment audits, and including applicability provisions

Where it is now

1. ✓
   Done: IntroducedFebruary 5, 2026
2. ✓
   Done: SubcommitteeFebruary 5, 2026
3. ✓
   Done: Senate committeeFebruary 19, 2026
4. –
   Skipped: Passes the SenateContinued as SF 2421
5. Next: House committee
6. Next: Passes the House
7. Next: To the Governor
8. Next: Signed into law

Became SF 2421 → Its progress continues under the new number. Go to SF 2421 What’s a funnel?

Amendments · 4

3 adopted · 0 failed · 1 never voted on. Newest first.

• H-8154 · filed March 4, 2026 by

  AI summary This amendment adds a definition for "downgrade" regarding medical service requests and allows doctors to choose to receive audit notices electronically. It also requires healthcare providers to submit prior authorization requests electronically starting July 1, 2027, and updates the information required about clinical reviewers.
  Never voted on
• S-5067 · filed March 4, 2026 by Sen. Kara Warme (R)

  AI summary This amendment adds a definition for "downgrade" regarding medical authorization requests and allows doctors to choose to receive audit notices electronically. It also requires healthcare providers to submit prior authorization requests electronically starting July 1, 2027, and updates the information required about clinical reviewers to include their board certifications and expertise.
  Adopted
  March 4, 2026
• S-5060Strike everything · filed March 4, 2026 by Sen. Kara Warme (R)

  AI summary This amendment replaces the entire bill and establishes new rules for health insurance companies and review organizations. It prohibits using artificial intelligence as the only reason to deny or delay a medical request, sets specific deadlines and appeal processes for claim audits, and prevents insurance companies from penalizing doctors for their staffing or referral decisions. It also requires that any denial or downgrade of a medical request be made by a qualified professional in a similar medical specialty and accompanied by a written explanation.

  Amends this SF 2421 to CONFORM to HF 2635
  Adopted
  March 4, 2026
• H-8080Strike everything · filed March 3, 2026 by

  AI summary This amendment replaces the entire bill. It prohibits insurance companies from using artificial intelligence as the only reason to deny or delay medical care, sets specific timelines and appeal processes for medical audits, and prevents insurers from penalizing doctors for their staffing or out-of-network referrals. It also requires that any denial or downgrade of a prior authorization request be made by a qualified professional in a similar medical specialty and accompanied by a written explanation.
  Adopted
  March 3, 2026