Doctors Not AI Act of 2026 mandates clinical judgment in health plans, prohibiting AI systems from issuing adverse benefit determinations.

The Doctors Not AI Act of 2026 amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to ensure that adverse benefit determinations in health plans are made by licensed health care professionals, not AI systems. It requires plans to disclose when AI is used in the review process and mandates that any AI system outputs are not determinative. The act defines an "adverse benefit determination involving clinical judgment" and requires plans to ensure these decisions reflect independent clinical judgment.

Doctors Not AI Act of 2026 mandates clinical judgment in health plans, prohibiting AI systems from issuing adverse benefit determinations.

The Doctors Not AI Act of 2026 amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to ensure that adverse benefit determinations in health plans are made by licensed health care professionals, not AI systems. It requires plans to disclose when AI is used in the review process and mandates that any AI system outputs are not determinative. The act defines an "adverse benefit determination involving clinical judgment" and requires plans to ensure these decisions reflect independent clinical judgment.