Illinois: The ILGA S.B. 3114 bill-status page lists S.B. 3114 as sent to the Governor on June 25, 2026 after the bill passed both houses on May 27. As amended, S.B. 3114 would create the Transparency in Downcoding Act and prohibit health care payors from implementing a policy or using an algorithm or other automated process, system, or tool that bypasses evaluation of all information submitted by the billing health care professional to downcode a claim.

Pennsylvania: House companion to S.B. 1113. After the Communications and Technology Committee reported H.B. 1925 as amended, first consideration, and a May 5, 2026 table action, the bill was removed from the House table on June 25, 2026.

California: Long-Term Solvency Planning proposed regulation: CDI issued a formal proposed Title 10 long-term solvency planning regulation and noticed a July 28, 2026 public hearing. The proposal would require domestic insurers to assemble individualized long-term solvency planning information for 2030, 2040, and 2050.

California: Long-Term Solvency Planning workshop draft regulation is no longer included in the pending/proposed tracker. CDI released workshop draft text for a proposed Title 10 long-term solvency planning regulation requiring domestic insurers to assemble and make available to examiners long-term capital-needs analyses.

Massachusetts: Pending in the Joint Committee on Health Care Financing with a June 17, 2026 reporting-date extension to July 31, 2026 pending concurrence, H.4616 would add health-insurance prior-authorization reforms and AI utilization-review safeguards. The bill would require carriers and utilization review organizations using AI, algorithms, or other software tools for medical-necessity utilization review to use enrollee-specific clinical information, avoid sole reliance on group datasets, avoid supplanting provider decisionmaking, provide Division inspection access, disclose AI use and criteria, periodically review performance, limit patient-data use, and preserve licensed professional review for adverse medical-necessity determinations.

New Jersey: The official Jan. 13, 2026 Legislative Digest lists S.1029 as referred to Senate Commerce. The bill would require annual health-benefit-plan claims data collection and public disclosure, require every claim submitted to a payer to be reviewed by at least one medical director employed or contracted by the payer, require carriers to disclose whether they use automated utilization-management systems and how many claims were reviewed with those systems, and authorize DOBI to audit automated utilization-management systems and related data.

New Jersey: S.1029 is no longer pending. Pre-filed for introduction in the 2026 session, S.1029 would require annual health-benefit-plan claims data collection and public disclosure, require every claim submitted to a payer to be reviewed by at least one medical director employed or contracted by the payer, require carriers to disclose whether they use automated utilization-management systems and how many claims were reviewed with those systems, and authorize DOBI to audit automated utilization-management systems and related data.

Arizona: DIFI Predictive Modeling Checklist: DIFI's predictive-model checklist directs property and casualty filers introducing or modifying predictive models, including GLMs, gradient boosting models, decision trees, and random forests, to file the model under the applicable type of insurance and the Predictive Model filing type. It requires model-development narratives, training, testing, and validation support, modeler qualifications, software and external-model references, ASOP support, stability and goodness-of-fit exhibits, third-party and non-insurance data source details, Arizona data credibility, data dictionaries, variable-selection and risk-rationale support, vendor variable lists for rating and underwriting, customer data-correction processes, rating-impact exhibits, revised-model support, and final-rating-algorithm implementation details.

New Hampshire: Ins 2000 proposed medical utilization review and prior authorization amendments: NHID noticed proposed readoption with amendment of Chapter Ins 2000, Medical Utilization Review Entities, for a May 4, 2026 public hearing. Official proposed-rule and public-comment materials include AI utilization-review provisions, including a requirement that AI utilization-review programs use objective, evidence-based criteria that comply with URAC accreditation requirements.

Texas: Commissioner's Bulletin B-0003-26: TDI reminds all regulated entities and their agents and representatives that consumer-impacting decisions made or supported by AI must comply with applicable insurance laws, including unfair trade practice, unfair discrimination, claims, rating, agent, adjuster, utilization-review, market-conduct, examination, and record-production requirements. The bulletin sets expectations for AI governance, risk management, internal controls, human review before consequential decisions, third-party oversight, complaint and examination monitoring, and production of AI procedures and protections on request.

California: Prior Approval Rate Filing Instructions was updated in the current-authority tracker: date changed from Jan. 30, 2026 to Apr. 30, 2026. For property and casualty prior-approval filings, CDI requires rate applications to include all criteria, guidelines, systems, manuals, models, and algorithms used or relied upon to determine rates, rating rules, coverages, eligibility guidelines, or underwriting guidelines.

Rhode Island: S.2010 passed the Senate as Substitute A on June 9, 2026. The substitute would regulate health insurers' AI use in non-administrative claims and coverage management, including disclosure, documentation, reporting, and provider-review requirements.

Rhode Island: S.2010 advanced as Substitute A and was placed on the Senate Calendar on June 4, 2026 for June 9 consideration. The substitute would regulate health insurers' AI use in non-administrative claims and coverage management, including disclosure, documentation, reporting, and provider-review requirements.

New York: NY S.1169B passed the Senate 48-13 and was delivered to the Assembly on June 3, 2026. There have been no substantive changes to the bill text. The bill would regulate high-risk AI systems used in consequential decisions, including health insurance, and require anti-discrimination safeguards, independent audits, reporting, risk-management programs, notices, and human-review options.

Colorado: CO HB26-1210 was vetoed by the Governor on June 2, 2026 and is no longer pending. The final text would have prohibited individualized price or wage setting using surveillance data and algorithms, while preserving an insurance safe harbor for insurers complying with C.R.S. 10-3-1104.9 and using only risk-relevant data.

California: CA SB 420 was amended on June 3, 2026 to remove its high-risk automated-decision-system provisions and replace them with a property-tax welfare-exemption measure, so it is no longer tracked as an insurance AI bill. The latest text addresses the property-tax welfare exemption for detention facilities rather than AI or insurance.