HB4054Introduced in the House
Relating to downcoding.
What does this bill do?
Plain-English breakdown
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Official description
Tells some health insurers to inform health care providers when they use AI to downcode a claim for reimbursement. (Flesch Readability Score: 62.8). Requires certain health insurers offering a health benefit plan in this state that provide utilization review or have utilization review provided on their behalf to notify a health care provider each time the insurer uses artificial intelligence or other automated technology to automatically downcode a claim for reimbursement submitted by the provider. Requires insurers to make an appeals process available to a provider who has had a claim automatically downcoded using artificial intelligence or other automated technology.
Where it stands
In committee upon adjournment.
March 6, 2026
How did lawmakers vote?
No recorded vote is available for this bill yet.
What do people think?
Citizen Voice
How would you vote on this bill?
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Bill history
First reading. Referred to Speaker's desk.
Referred to Information Management and Technology.
Public Hearing held.
In committee upon adjournment.
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