Doctors Not AI Act of 2026 regulates artificial intelligence use in health insurance claims reviews.
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 regulate the use of artificial intelligence in the review of claims by group health plans and health insurance issuers offering group or individual health insurance coverage. It mandates that any adverse benefit determination involving clinical judgment must reflect the independent clinical judgment of a licensed health care professional, who must conduct an independent evaluation of the individual's medical circumstances.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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