Nonpartisan civic infrastructure
AllCiv·Legis1
·

HB 4054

BillStateORHouse
Relating to downcoding.
About This Bill
Latest Action · Mar 7, 2026
In committee upon adjournment.
Session
2026R1
Introduced
Feb 2, 2026

Summary

Highlight any text to annotate
Requires certain health insurers offering a health benefit plan in this state that provide utilization review or have utilization review provided on their behalf to notify a health care provider each time the insurer uses artificial intelligence or other automated technology to automatically downcode a claim for reimbursement submitted by the provider. Requires insurers to make an appeals process available to a provider who has had a claim automatically downcoded using artificial intelligence or other automated technology.

Take Action

Your position
Add a comment
to comment on this bill.
Annotate the text
Highlight the summary on the Overview tab to attach a note. Annotations appear on the Annotations tab.