Pennsylvania House of Representatives Passes Healthcare AI Bill

The Pennsylvania House of Representatives has passed a bill establishing conditions for the use of artificial intelligence in clinical care applications and health insurance coverage decisions. House Bill 1925 was approved in a 144-59 vote on September 30 and referred to the Senate.

House Bill 1925, passed by the Pennsylvania House of Representatives, introduces limitations and disclosure rules for the use of artificial intelligence by healthcare facilities and insurance companies. Under the bill, healthcare facilities, including imaging centers, are expected to disclose their use of artificial intelligence in clinical decision-making processes through websites and written patient notifications. These notifications are planned to be provided once per care episode rather than at every encounter. Additionally, healthcare facilities are required to review artificial intelligence system performance at least once a year and ensure that the technology does not supersede physicians' independent clinical decision-making authority.

The bill also regulates the use of artificial intelligence by health insurers, such as Medicaid and Children's Health Insurance Program (CHIP) managed care plans. Before issuing adverse coverage decisions such as prior authorization denials, reviewers are required to examine clinical records, document this review, and use their own independent judgment rather than relying directly on artificial intelligence recommendations without human oversight. The bill, which was referred to the Senate Corporate Sustainability and Innovation Committee on October 14, remains pending in the Senate.