Maine legislation · 132nd Legislature
Maine LD1301: An Act to Prohibit the Use of Artificial Intelligence in the Denial of Health Insurance Claims
Status: Failed, January 27, 2026
What the bill says
An Act to Prohibit the Use of Artificial Intelligence in the Denial of Health Insurance Claims Reference to the Committee on Health Coverage, Insurance and Financial Services suggested and ordered printed. DAREK M. GRANT Secretary of the Senate Presented by Senator TIPPING of Penobscot. Cosponsored by Representative GRAMLICH of Old Orchard Beach and Senators: BAILEY of York, President DAUGHTRY of Cumberland, MARTIN of Oxford, RENY of Lincoln, Representatives: ARFORD of Brunswick, CLUCHEY of Bowdoinham, DODGE of Belfast, ZAGER of Portland. Printed on recycled paper.
From the introduced text:
An Act to Prohibit the Use of Artificial Intelligence in the Denial of Health Insurance Claims Reference to the Committee on Health Coverage, Insurance and Financial Services suggested and ordered printed. DAREK M. GRANT Secretary of the Senate Presented by Senator TIPPING of Penobscot. Cosponsored by Representative GRAMLICH of Old Orchard Beach and Senators: BAILEY of York, President DAUGHTRY of Cumberland, MARTIN of Oxford, RENY of Lincoln, Representatives: ARFORD of Brunswick, CLUCHEY of Bowdoinham, DODGE of Belfast, ZAGER of Portland. Printed on recycled paper Be it enacted by the People of the State of Maine as follows: Sec. 1. 24-A MRSA §4304, sub-§8 is enacted to read: 8. Use of artificial intelligence. Beginning January 1, 2026, the use of artificial intelligence by a carrier, or by any 3rd party contracted by a carrier, to make medical review or utilization review determinations relating to the approval, denial, delay, modification or adjustment of coverage for services under a health plan is governed by this subsection. A. Determinations derived from the use of artificial intelligence, including algorithms and other software tools, must: (1) Be based upon an enrollee's medical history, as applicable, and individual clinical circumstances as presented by the requesting provider, as well as other relevant clinical information contained in the enrollee's medical record, and not supplant provider decision making; (2) Not …