U.S. Congress legislation · 119th Congress
HB9734: Protecting Patients from Automated Denials Act
Status: In committee, July 16, 2026
To amend title XVIII of the Social Security Act to establish requirements for the use of artificial intelligence in prior authorization denials by Medicare Advantage organizations.
What the bill says
To amend title XVIII of the Social Security Act to establish requirements for the use of artificial intelligence in prior authorization denials by Medicare Advantage organizations.
From the introduced text, July 16, 2026:
A BILL To amend title XVIII of the Social Security Act to establish requirements for the use of artificial intelligence in prior authorization denials by Medicare Advantage organizations. SECTION 1. Short title This Act may be cited as the Protecting Patients from Automated Denials Act . SECTION 2. Establishing requirements for use of artificial intelligence in prior authorization denials under Medicare Advantage (a) In general Section 1852 of the Social Security Act ( 42 U.S.C. 1395w-22 ) is amended by adding at the end the following new subsection: (o) Requirements for use of artificial intelligence in prior authorization denials (1) In general With respect to plan years beginning on or after January 1, 2027, an MA plan that imposes a prior authorization requirement with respect to an item or service for which benefits are available under such plan may not deny a request for prior authorization with respect to such item or service based on the output of artificial intelligence, unless the following requirements are met: (A) Before such denial is issued, such denial is reviewed and approved, under the clinical direction of a medical director of such MA plan, by a qualified physician reviewer. (B) Such qualified physician reviewer provides to such MA plan a signed attestation that, in reviewing and approving such denial-- (i) such qualified physician reviewer …
Sponsors
- Herbert Conaway (D, HD-003) · primary sponsor
- Gregory Murphy (R, HD-003)
- Robert Bresnahan (R, HD-PA-8)
Latest actions
- : Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- : Introduced in House
Subjects: Health
Common questions
- What is HB9734?
- HB9734 is a bill in Congress (119th Congress): Protecting Patients from Automated Denials Act.
- What does HB9734 do?
- In its own words: To amend title XVIII of the Social Security Act to establish requirements for the use of artificial intelligence in prior authorization denials by Medicare Advantage organizations.
- What is the status of HB9734?
- In committee as of July 16, 2026. Latest action: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (July 16, 2026).
- Who sponsored HB9734?
- Herbert Conaway (D, HD-003), with 2 co-sponsors.
- Where is the official record for HB9734?
- On the Congress website: https://www.congress.gov/bill/119th-congress/house-bill/9734
Source: official Congress record. Tracked by Delilah, AI for legislation across all 50 states and Congress.