CS/HB 527: Mandatory Human Reviews of Insurance Claim Denials
GENERAL BILL by Insurance & Banking Subcommittee ; Cassel ; (CO-INTRODUCERS) Salzman
Mandatory Human Reviews of Insurance Claim Denials ; Authorizes workers' compensation carriers, insurers & HMOs to use algorithms, artificial intelligence systems, & machine learning systems to assist in processing claims; prohibits use of algorithms, artificial intelligence, or machine learning systems as sole basis for determining whether to reduce claim payment or deny claim or portion of claim; requires that decisions by carriers, insurers & HMOs to deny claim or portion of claim or reduce claim be made by qualified human professionals; specifies duties of qualified human professionals; requires carriers, insurers & HMOs to include certain information in denial communications to claimants; authorizes DFS & OIR to conduct examinations & investigations.
Bill History
| Date | Chamber | Action |
|---|---|---|
| 11/24/2025 | House |
• Filed |
| 12/1/2025 | House |
• Referred to Insurance & Banking Subcommittee • Referred to Commerce Committee • Now in Insurance & Banking Subcommittee |
| 12/2/2025 | House |
• Added to Insurance & Banking Subcommittee agenda |
| 12/9/2025 | House |
• Favorable with CS by Insurance & Banking Subcommittee |
| 12/11/2025 | House |
• Reported out of Insurance & Banking Subcommittee • Laid on Table under Rule 7.18(a) • CS Filed |
| 12/12/2025 | House |
• Referred to Commerce Committee • Now in Commerce Committee |
