A bill for an act relating to utilization review organizations’ use of artificial intelligence, prior authorization determinations and exemptions, and audits, and including applicability provisions.

SF 2421 would have required healthcare review groups to use human reviewers - not solely artificial intelligence - for decisions denying, delaying, or downgrading prior authorizations (e.g., changing urgent requests to standard ones). It mandated that denials include written explanations citing specific criteria, along with detailed attestations about the reviewer’s qualifications and specialty expertise. The bill also required separate human reviews for appeals and prohibited the same reviewer from handling both initial denials and appeals. This bill was withdrawn on March 4, 2026, and did not become law.