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H 5206·SC·house

Health insurance

In CommitteeFiled Feb 18, 2026
Sponsor: Guffey
Latest Action

Referred to Committee on Labor, Commerce and Industry

Feb 18, 2026

Summary

The bill adds new rules for insurers that use artificial intelligence to decide prior authorizations. Insurers must base AI decisions on each enrollee’s medical history and specific clinical information, disclose the use of AI to members, and have a licensed clinician review any denial. The state Department of Insurance will certify compliance annually and can impose corrective actions or penalties for violations.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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