HB 1866 Tennessee House · 114th Regular Session (2025-2026)

Insurance, Health, Accident - As introduced, creates the "Regulate Artificial Intelligence (AI) In Health Care Act." - Amends TCA Title 8, Chapter 27; Title 56 and Title 71.

HB 1866, the "Regulate Artificial Intelligence in Health Care Act," requires health insurance companies, pharmacy benefits managers, and state health programs like TennCare to have a licensed healthcare professional review any AI-driven decision to deny, delay, or modify medical care based on medical necessity. The bill prohibits using AI alone for such decisions without this human review, which must consider the patient’s medical history, the provider’s recommendation, and individual clinical circumstances. Violations would be treated as unfair claims practices, allowing affected patients to sue for actual damages, punitive damages, and attorney fees. The law would take effect on July 1, 2026, for most purposes.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 22, 2026 Last action Mar 11, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
10
Key actions
6
Committee
8
Mar 11, 2026
Lower · Passed
Taken off notice for cal in s/c Insurance Subcommittee of Insurance Committee
lower
Mar 4, 2026
Lower · Passed
Action Def. in s/c Insurance Subcommittee to 3/11/2026
lower
Mar 4, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 3/11/2026
lower
Feb 25, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 3/4/2026
lower
Feb 11, 2026
Lower · Passed
Action Def. in s/c Insurance Subcommittee to 2/25/2026
lower
Feb 4, 2026
Lower · Passed
Placed on s/c cal Insurance Subcommittee for 2/11/2026
lower
Feb 2, 2026
Committee
P2C, ref. to Insurance Committee- Government Operations for Review
lower
Feb 2, 2026
Committee
Assigned to s/c Insurance Subcommittee
lower
Jan 22, 2026
Introduced
Intro., P1C.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Justin Jones
Justin Jones
DDemocratic
TN
52