CO HB 1139

enacted

Use of Artificial Intelligence in Health Care

Colorado · 2026 Regular Session · lower

Description

On and after January 1, 2027, when determining coverage for health-care services, the act requires entities that use an artificial intelligence system (AI system) for the purpose of conducting utilization review of health-care services, including health insurance companies (carriers), pharmacy benefit managers, private utilization review organizations, behavioral health administrative services organizations, and managed care entities (entities), ensure that the AI system complies with certain requirements specified in the act. Specifically, an entity shall ensure that the AI system:Makes determinations based on medical or clinical history, the patient's individual clinical circumstances, and other relevant clinical factors specified in the act, with denial of coverage reviewed by a licensed clinician or physician or other competent regulated professional who is competent to evaluate the specific clinical issues and review the health benefit plan's terms of coverage (competent regulated professional);Does not base its determination solely on group data without reference to the individual's data;Is not used in any way that discriminates against individuals in violation of other state or federal laws and is fairly and equitably applied, including in accordance with regulations and guidance issued by the federal department of health and human services; andIs periodically reviewed to ensure the AI systems outcomes are accurate and reliable and that an individual's health data is not used beyond its intended or stated purpose. Entities that use AI systems shall disclose to the division of insurance, the department of human services, or the department of health care policy and financing, as applicable, the utilization review functions for which the AI system will be used and the points in the utilization review process when it will be used, the process for human oversight of adverse coverage determinations, and the process for maintaining audit information to ensure that the use of the AI system complies with the requirements in the act. The AI system may be used to assist in utilization review, including expedited approvals. A carrier's denial of coverage for a service based in whole or in part on medical necessity shall not be issued solely on the output of an AI system without human review by a licensed clinician or physician or other competent regulated professional. Further, the act prohibits a carrier and a payer of services under the 'Colorado Medical Assistance Act' and the 'Children's Basic Health Plan Act' from paying for psychotherapy services that are provided directly to a client and that are conducted by an AI system.(Note: This summary applies to this bill as enacted.)

Introduced: 2026-02-04
Status date: —
Latest action: 2026-06-02 — Governor Signed
Bill type: bill
Last updated: —

Subjects

Committees

Not provided by source.

Action timeline

2026-06-02
Governor Signed
executive-signature
2026-05-28
Sent to the Governor
executive-receipt
2026-05-28
Signed by the President of the Senate
passage
2026-05-28
Signed by the Speaker of the House
passage
2026-05-11
Senate Third Reading Passed - No Amendments
passage,reading-3
2026-05-08
Senate Second Reading Special Order - Passed - No Amendments
2026-05-05
Senate Committee on Business, Labor, & Technology Refer Unamended to Senate Committee of the Whole
committee-passage,referral-committee
2026-05-04
Introduced In Senate - Assigned to Business, Labor, & Technology
introduction
2026-03-16
House Third Reading Passed - No Amendments
passage,reading-3
2026-03-13
House Second Reading Special Order - Passed with Amendments - Committee, Floor
2026-03-09
House Second Reading Laid Over Daily - No Amendments
2026-03-04
House Committee on Health & Human Services Refer Amended to House Committee of the Whole
committee-passage,referral-committee
2026-02-04
Introduced In House - Assigned to Health & Human Services
introduction

Versions

Introduced — 2026-02-04Compare
Engrossed — 2026-03-13Compare
Reengrossed — 2026-03-16Compare
Revised — 2026-05-08Compare
Rerevised — 2026-05-11Compare
Final Act — 2026-05-27Compare
Signed Act — 2026-06-03Compare
(document, no version)Compare

Documents

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Votes

Adopt amendment L.002 (Attachment M).
2026-03-04 · pass · 0-0
Adopt amendment L.001 (Attachment L).
2026-03-04 · pass · 0-0
Refer House Bill 26-1139, as amended, to the Committee of the Whole.
2026-03-04 · pass · 0-0
Member-level votes (13)
- Carlos Barron: no
- Mary Bradfield: no
- Brandi Bradley: no
- Regina English: yes
- Lisa Feret: yes
- Eliza Hamrick: yes
- Dusty Johnson: no
- Karen McCormick: yes
- Gretchen Rydin: yes
- Katie Stewart: yes
- Dan Woog: no
- Sheila Lieder: yes
- Lindsay Gilchrist: yes
Refer House Bill 26-1139 to the Committee of the Whole.
2026-05-05 · pass · 0-0
Member-level votes (5)
- Marc Catlin: yes
- Iman Jodeh: yes
- Larry Liston: yes
- Nick Hinrichsen: yes
- Jessie Danielson: yes
BILL
2026-05-11 · pass · 0-0
Member-level votes (36)
- Amabile: yes
- Baisley: no
- Ball: yes
- Benavidez: yes
- Bridges: yes
- Bright: yes
- Carson: yes
- Catlin: yes
- Cutter: yes
- Danielson: yes
- Daugherty: yes
- Exum: yes
- Frizell: yes
- Gonzales J.: yes
- Hinrichsen: yes
- Jodeh: yes
- Kipp: yes
- Kirkmeyer: yes
- Kolker: yes
- Lindstedt: yes
- Liston: yes
- Marchman: yes
- Mullica: yes
- Pelton B.: yes
- Pelton R.: yes
- Rich: no
- Roberts: yes
- Rodriguez: yes
- Simpson: yes
- Snyder: yes
- Sullivan: yes
- Wallace: yes
- Weissman: yes
- Zamora Wilson: no
- President: yes
- Coleman: yes

Related bills

No related bills recorded for this bill.

Official source

https://leg.colorado.gov/bills/HB26-1139

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T03:52:26.466301Z

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