SB 63 Alabama Senate · 2026 Regular Session

Health care plans; to regulate the use of artificial intelligence in determinations of coverage

SB 63 prohibits Alabama health insurers from using artificial intelligence (AI) exclusively to decide coverage for medical services. It requires final decisions to deny or reduce coverage to be made by a licensed physician or qualified health care professional, not AI alone. Insurers must disclose to enrollees when AI is used in coverage determinations and annually certify their AI tools comply with fairness and transparency standards. The Alabama Department of Insurance can investigate and impose penalties for violations of these requirements.

Issues: ✓ Healthcare ✓ Technology

Bill status signed all 5 stages cleared

Introduction

Jan 2026

Committee Review

Mar 2026

Senate Passage

Feb 2026

House Passage

Apr 2026

Signed into Law

Apr 2026

Introduced Jan 13, 2026 Signed Apr 17, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed → Enrolled · 3 edits · Apr 17, 2026

MINOR

The bill was finalized as an Enrolled version, updating internal tracking codes and page headers. Substantively, the law's scope was expanded from applying only to 'insurers' to include 'health benefit plan providers,' which now explicitly covers internal departments and external contractors performing utilization reviews. This ensures that artificial intelligence restrictions apply to all entities making coverage decisions, not just the primary insurance companies.

Scope change

The bill's applicability was broadened to include health benefit plan providers, their internal departments, and external contractors who perform utilization reviews, whereas the Engrossed version only applied to insurers.

DEFINITION

The definition of 'Insurer' was replaced with a new definition for 'Health Benefit Plan Provider' to explicitly include internal departments and external contractors performing utilization reviews.

REQUIREMENT

Requirements for AI usage, certification, and physician review were updated to apply to 'health benefit plan providers' instead of just 'insurers' to ensure comprehensive coverage.

TECHNICAL

Administrative details such as the bill tracking code (changed from NRSWP8T-2 to TBV8D95-2) and page headers were updated to reflect the final Enrolled status.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 8, 2026

Upper · Passed

Gudger Motion to Concur In and Adopt House Amendment - Adopted Roll Call 1261

upper

Apr 8, 2026

Lower · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1309

lower

Apr 8, 2026

Lower · Passed

Motion to Adopt - Adopted Roll Call 1308

lower

Apr 8, 2026

Introduced

Shaw 1st Amendment Offered

lower

Apr 8, 2026

Lower · Passed

Motion to Adopt - Adopted Roll Call 1307

lower

Apr 8, 2026

Introduced

Insurance Engrossed Substitute Offered (Insurance)

lower

Mar 17, 2026

Lower · Passed

Reported Out of Committee Second House (Insurance)

lower

Feb 19, 2026

Lower · Passed

Pending Committee Action in Second House (Insurance)

lower

Feb 19, 2026

Upper · Passed

Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 477

upper

Feb 19, 2026

Upper · Passed

Orr motion to Adopt - Adopted Roll Call 476

upper

Feb 19, 2026

Introduced

Healthcare 1st Substitute Offered (Healthcare)

upper

Feb 11, 2026

Upper · Passed

Reported Out of Committee House of Origin

upper

Jan 13, 2026

Upper · Passed

Pending Committee Action in House of Origin (Healthcare)

upper

1 primary · 0 co-sponsors