HB 35 Illinois House · 104th Regular Session

AI USE IN HEALTH INSURANCE ACT

Summary
Creates the Artificial Intelligence Systems Use in Health Insurance Act. Provides that the Department of Insurance's regulatory oversight of insurers includes oversight of an insurer's use of AI systems to make or support adverse determinations that affect consumers. Provides that any insurer authorized to operate in the State is subject to review by the Department in an investigation or market conduct action regarding the development, implementation, and use of AI systems or predictive models and the outcomes from the use of those AI systems or predictive models. Provides that an insurer authorized to do business in Illinois shall not issue an adverse consumer outcome with regard to the denial, reduction, or termination of insurance plans or benefits that result solely from the use or application of any AI system or predictive model. Provides that any decision-making process for the denial, reduction, or termination of insurance plans or benefits that results from the use of AI systems or predictive models shall be meaningfully reviewed, in accordance with review procedures determined by Department rules, by an individual with authority to override the AI systems and determinations. Authorizes the Department to adopt emergency rules to implement the Act and to adopt rules concerning standards for full and fair disclosure of an insurer's use of AI systems. Makes a conforming change in the Illinois Administrative Procedure Act.
Bill status passed 3 of 5 stages cleared
Introduction
Apr 2025
Committee Review
Jun 2025
House Passage
Apr 2025
Senate Passage
Governor
Introduced Apr 10, 2025 Last action Jun 2, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 7 edits · Apr 9, 2025
MODERATE
The bill was revised to narrow its scope from a general AI regulation for all insurers to a specific focus on health insurance issuers. This change aligns the terminology with federal health laws and clarifies that the new rules apply specifically to health coverage decisions rather than all types of insurance.
Scope change
The bill's applicability changed from 'any insurer authorized to operate in the State' to specifically 'health insurance issuers' and 'health insurance coverage'.
SCOPE

Replaced the term 'insurer' with 'health insurance issuer' throughout the text to limit the bill's application to health insurance providers.

DEFINITION

Added specific definitions for 'Company' and 'Health insurance issuer' referencing existing state and federal health insurance laws.

Updated the definition of 'Adverse consumer outcome' to specify it applies to health insurance issuers and decisions violating health insurance standards.

Changed the definition of 'AI system' to explicitly include artificial intelligence and removed the definition for 'AI systems program'.

Updated the definition of 'Third party' to refer to organizations supporting health insurance issuers rather than general insurers.

REQUIREMENT

Modified the requirement for human review of AI decisions to specify that the reviewer must be a 'clinical peer' when the decision involves managed care regulations.

Expanded disclosure requirements to include specific notices before AI use, after adverse decisions, and instructions for correcting information or appealing decisions.

Floor votes · House Apr 9, 2025

How they voted

7935
Passed · 4 other
Total votes 118
Apr 9, 2025
D Democratic78
76 Yea 2
97% Yea
R Republican40
3 Yea 35 Nay 2
87% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
35
Key actions
8
Committee
14
Amendments
3
Jun 2, 2025
Committee
Senate Committee Amendment No. 1 Rule 3-9(a) / Re-referred to Assignments
upper
Jun 2, 2025
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
May 23, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As June 1, 2025
upper
May 13, 2025
Upper · Passed
Senate Committee Amendment No. 1 Assignments Refers to Executive
upper
May 12, 2025
Committee
Senate Committee Amendment No. 1 Referred to Assignments
upper
May 12, 2025
Introduced
Senate Committee Amendment No. 1 Filed with Secretary by Sen. Laura Fine
upper
May 9, 2025
Upper · Passed
Rule 2-10 Committee Deadline Established As May 23, 2025
upper
Apr 23, 2025
Committee
Assigned to Executive
upper
Apr 10, 2025
Committee
Referred to Assignments
upper
Apr 10, 2025
Introduced
Arrive in Senate
upper
Apr 9, 2025
Lower · Passed
Third Reading - Short Debate - Passed 079-035-000
lower
Apr 9, 2025
Lower · Passed
House Floor Amendment No. 1 Adopted
lower
Apr 8, 2025
Lower · Passed
House Floor Amendment No. 1 Recommends Be Adopted Insurance Committee; 010-004-000
lower
Apr 7, 2025
Lower · Passed
House Floor Amendment No. 1 Rules Refers to Insurance Committee
lower
Apr 4, 2025
Committee
House Floor Amendment No. 1 Referred to Rules Committee
lower
Apr 4, 2025
Introduced
House Floor Amendment No. 1 Filed with Clerk by Rep. Bob Morgan
lower
Mar 11, 2025
Lower · Passed
Do Pass / Short Debate Insurance Committee; 011-006-000
lower
Feb 4, 2025
Committee
Assigned to Insurance Committee
lower
Jan 9, 2025
Committee
Referred to Rules Committee
lower
2 primary · 7 co-sponsors

Sponsors