The Fear Index
Rank 5 of 17
AI deciding care
AI deciding or denying medical care: insurers or health plans using algorithms to deny claims, prior authorizations or coverage, or AI diagnosing or treating patients in place of a doctor or nurse. Mental health care given by an AI is AI therapists, and discrimination in who gets care is algorithmic bias.
76
on the Fear Index
Bills64
Lobbying filings392
News33
Wikipedia4.6K
The receipts
4,561Wikipedia views on this fear in the last 30 days
33news articles about it in the last 30 days
64bills, resolutions, rules and orders cite it since January 2025, in 28 states and Congress
59new government controls written into those bills
392federal lobbying filings name it, past year
In their own words
The fear as each bill's official summary or text states it, and the controls the same bill would create.
“to regulate the use of artificial intelligence in determinations of coverage”
SB 63, AlabamaPassedLabel or AI noticeMandatory reportingNew agency powersUse limitsAlabama Department of Insurance“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”
HB 1139, ColoradoPassedMandatory reportingUse limitsColorado Division of Insurance“health insurance benefit determinations and residential property underwriting decisions”
SB 2953, HawaiiNot passedMandatory reportingNew agency powersUse limitsHawaii Insurance Commissioner“Requires health care providers using AI in making consequential decisions relating to the patient to provide certain notice and statements”
SB 2281, HawaiiNot passedLabel or AI noticeNew agency powersUse limits“A utilization review agent may not use an automated decision system to make, wholly or partly, an adverse determination.”
SB 815, TexasPassedNew agency powersUse limitsTexas Insurance Commissioner
What it's buying
The government controls written into the bills that cite this fear.
Who benefits
Agencies and officials these bills would hand new power, by number of bills.
- 1California Medical Board1bill
- 2California Osteopathic Medical Board1bill
- 3Colorado Division of Insurance1bill
- 4Hawaii Insurance Commissioner1bill
- 5Pennsylvania Department of Health1bill
Everyone else lobbying
Companies, trade groups, think tanks, unions and other groups whose lobbying filings name this fear, past year.
- 1Oracle12 filings
- 2Medical Device Manufacturers Association8 filings
- 3Mayo Clinic8 filings
- 4Urac8 filings
- 5The Erisa Industry Committee8 filings
- 6Healthcare Leadership Council6 filings
Money, bills and attention
Money on filings naming it
Bills citing it
Wikipedia views
Each dot is 6 bills. Sources: lobbying filings on LDA.gov that name this fear, the bills that cite it, and Wikipedia readership of its articles.
Latest on this fear
- Lobbying filing2026-10-27Healthcare Privacy Forum, D/B/A Healthcare Trust Institute filed a lobbying report that mentions AI, $30K for the quarter across all its issues
- Lobbying filing2026-10-27National Fraternal Order of Police filed a lobbying report that mentions AI, $100K for the quarter across all its issues, naming H.R. 10349, H.R. 1046, H.R. 10551, H.R. 10678, H.R. 1236, H.R. 1260, H.R. 1266, H.R. 1269, H.R. 1443, H.R. 1505, H.R. 1551, H.R. 1556, H.R. 1726, H.R. 2094, H.R. 2096, H.R. 2189, H.R. 2194, H.R. 2240, H.R. 2305, H.R. 2502, H.R. 2654, H.R. 2711, H.R. 2735, H.R. 2752, H.R. 2964, H.R. 3267, H.R. 3366, H.R. 3372, H.R. 3398, H.R. 3598, H.R. 3633, H.R. 378, H.R. 3832, H.R. 4024, H.R. 4334, H.R. 4607, H.R. 503, H.R. 5107, H.R. 5282, H.R. 5391, H.R. 5403, H.R. 5594, H.R. 5744, H.R. 6042, H.R. 6120, H.R. 621, H.R. 633, H.R. 6602, H.R. 6605, H.R. 6683, H.R. 6911, H.R. 7033, H.R. 7114, H.R. 7184, H.R. 7718, H.R. 7834, H.R. 7876, H.R. 8675, H.R. 8746, H.R. 8750, H.R. 8776, H.R. 911, H.R. 9503, H.R. 993, H.R. 9937, S. 1077, S. 122, S. 1247, S. 1283, S. 1295, S. 1300, S. 1316, S. 1401, S. 1409, S. 146, S. 1572, S. 1595, S. 167, S. 180, S. 2, S. 2200, S. 2400, S. 3023, S. 3189, S. 3366, S. 3453, S. 3626, S. 3801, S. 3897, S. 4260, S. 4446, S. 4500, S. 4514, S. 5109, S. 516, S. 5644, S. 666, S. 678, S. 679, S. 767, S. 83, S. 911, S. 978
- Lobbying filing2026-10-21Bcbsm filed a lobbying report that mentions AI, $30K for the quarter across all its issues, naming H.R. 1197, H.R. 1627, H.R. 1909, H.R. 2509, H.R. 3841, H.R. 4710, H.R. 5629, H.R. 6248, S. 1851, S. 2355, S. 2420, S. 4027, S. 931, S. 958
- Lobbying filing2026-10-21National Association of Pediatric Nurse Practitioners filed a lobbying report that mentions AI, $24K for the quarter across all its issues, naming H.R. 10280, H.R. 1435, H.R. 1735, H.R. 2319, H.R. 2493, H.R. 3333, H.R. 3593, H.R. 3624, H.R. 3701, H.R. 3884, H.R. 4262, H.R. 4340, H.R. 4407, H.R. 4564, H.R. 4709, H.R. 4725, H.R. 5145, H.R. 5434, H.R. 5448, H.R. 5469, H.R. 5582, H.R. 6088, H.R. 6121, H.R. 6252, H.R. 6291, H.R. 6394, H.R. 6396, H.R. 6484, H.R. 6561, H.R. 6703, H.R. 6844, H.R. 6845, H.R. 6945, H.R. 7092, H.R. 7352, H.R. 7567, H.R. 7757, H.R. 7867, H.R. 7875, H.R. 7973, H.R. 8081, H.R. 8089, H.R. 8163, H.R. 8201, H.R. 8209, H.R. 8385, H.R. 8425, H.R. 8429, H.R. 8521, H.R. 8623, H.R. 8657, H.R. 9257, H.R. 9393, S. 1157, S. 1482, S. 1599, S. 1748, S. 1874, S. 1924, S. 2011, S. 2169, S. 2303, S. 2355, S. 272, S. 278, S. 2826, S. 2857, S. 2858, S. 2954, S. 3062, S. 3199, S. 3281, S. 3315, S. 3386, S. 3402, S. 3569, S. 3714, S. 3799, S. 3853, S. 4061, S. 4088, S. 4110, S. 4141, S. 4186, S. 4189, S. 4202, S. 4242, S. 4387, S. 4754, S. 4875, S. 5090, S. 5180, S. 5283, S. 5305, S. 705, S. 779, S. 836, S. 891, S. 921
- Lobbying filing2026-10-20Solventum filed a lobbying report that mentions AI, $130K for the quarter across all its issues, naming H.R. 1
- Lobbying filing2026-10-20National Nurses United filed a lobbying report that mentions AI, $50K for the quarter across all its issues, naming H.R. 10044, H.R. 2633, H.R. 9442, S. 4214
The bills
The ones carrying the most controls, first.
- SB 63, AlabamaPassedLabel or AI noticeMandatory reportingNew agency powersUse limitsRead it on alison.legislature.state.al.us, PDF
- SB 2953, HawaiiNot passedMandatory reportingNew agency powersUse limitsRead it on capitol.hawaii.gov
- SB 2281, HawaiiNot passedLabel or AI noticeNew agency powersUse limitsRead it on capitol.hawaii.gov
- HB 1139, ColoradoPassedMandatory reportingUse limitsRead it on leg.colorado.gov
- SB 2038, OklahomaNot passedLabel or AI noticeUse limitsRead it on oklegislature.gov
- SB 586, VirginiaNot passedLabel or AI noticeMandatory reportingRead it on lis.virginia.gov
- SB 1113, PennsylvaniaNot passedNew agency powersUse limitsRead it on palegis.us
- SB 815, TexasPassedNew agency powersUse limitsRead it on capitol.texas.gov
- S 10241, New YorkNot passedLabel or AI noticeRead it on nyassembly.gov
- A 11048, New YorkNot passedLabel or AI noticeRead it on nyassembly.gov