Pennsylvania House passes bill requiring AI disclosure in healthcare
Pennsylvania lawmakers have passed legislation that would establish requirements for artificial intelligence use in clinical care and health insurance coverage decisions.
The Pennsylvania House of Representatives approved House Bill 1925, which includes disclosure rules for healthcare facilities and restrictions on insurers’ reliance on AI during utilization review, by a 144-59 vote on Sept. 30. The amended bill was referred to the Senate Institutional Sustainability and Innovation Committee on Oct. 14 and remains pending in the Senate.
If enacted, the legislation would require healthcare facilities, including imaging centers, to disclose their use of AI in clinical decision-making through website postings and written patient notifications. The bill also would establish disclosure requirements for certain personalized patient communications generated by AI. Notifications would be required once per episode of care rather than at every encounter. Healthcare facilities would be required to review AI system performance at least annually and ensure that the technology does not supersede healthcare providers’ independent clinical judgment.
HB 1925 also addresses AI use by health insurers, including Medicaid and Children’s Health Insurance Program (CHIP) managed care plans. Before issuing or upholding an adverse coverage determination, such as a prior authorization denial, individuals conducting utilization review would be required to review clinical records, document that review and make their own independent judgment rather than relying on AI recommendations without human oversight.
The proposed requirements could have implications for radiology practices that have—or are planning to—integrate AI into their workflows. The bill comes amid broader efforts to establish guardrails for AI in healthcare without hindering the development and adoption of the technology.
The American College of Radiology has identified state legislation as an important opportunity for radiologists and state medical societies to advocate for policies that protect patients and preserve physician decision-making as AI regulation evolves. The organization expects similar proposals addressing clinical AI during 2027 state legislative sessions.
The bill now moves to the Pennsylvania Senate.
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In addition to her background in journalism, Hannah also has patient-facing experience in clinical settings, having spent more than 12 years working as a registered rad tech. She began covering the medical imaging industry for Innovate Healthcare in 2021.