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HB26-1139 · Bill · 2026 Regular Session · Colorado

Use of Artificial Intelligence in Health Care

Concerning the use of artificial intelligence in health care.

Official status: Became Law

4 proposed amendments

Prime sponsors

Progress (from the official record)

Official summary

Official text — shown in English exactly as published by the official source. The official text controls.

On and after January 1, 2027, when determining coverage for health-care services, the act requires entities that use an artificial intelligence system (AI system) for the purpose of conducting utilization review of health-care services, including health insurance companies (carriers), pharmacy benefit managers, private utilization review organizations, behavioral health administrative services organizations, and managed care entities (entities), ensure that the AI system complies with certain requirements specified in the act. Specifically, an entity shall ensure that the AI system: Makes determinations based on medical or clinical history, the patient's individual clinical circumstances, and other relevant clinical factors specified in the act, with denial of coverage reviewed by a licensed clinician or physician or other competent regulated professional who is competent to evaluate the specific clinical issues and review the health benefit plan's terms of coverage (competent regulated professional); Does not base its determination solely on group data without reference to the individual's data; Is not used in any way that discriminates against individuals in violation of other state or federal laws and is fairly and equitably applied, including in accordance with regulations and guidance issued by the federal department of health and human services; and Is periodically reviewed to ensure the AI systems outcomes are accurate and reliable and that an individual's health data is not used beyond its intended or stated purpose. Entities that use AI systems shall disclose to the division of insurance, the department of human services, or the department of health care policy and financing, as applicable, the utilization review functions for which the AI system will be used and the points in the utilization review process when it will be used, the process for human oversight of adverse coverage determinations, and the process for maintaining audit information to ensure that the use of the AI system complies with the requirements in the act. The AI system may be used to assist in utilization review, including expedited approvals. A carrier's denial of coverage for a service based in whole or in part on medical necessity shall not be issued solely on the output of an AI system without human review by a licensed clinician or physician or other competent regulated professional. Further, the act prohibits a carrier and a payer of services under the 'Colorado Medical Assistance Act' and the 'Children's Basic Health Plan Act' from paying for psychotherapy services that are provided directly to a client and that are conducted by an AI system. (Note: This summary applies to this bill as enacted.)

Status timeline

Every recorded action on HB26-1139, oldest first
DateLocationAction
02/04/2026HouseIntroduced In House - Assigned to Health & Human Services
03/04/2026HouseHouse Committee on Health & Human Services Refer Amended to House Committee of the Whole
03/09/2026HouseHouse Second Reading Laid Over Daily - No Amendments
03/13/2026HouseHouse Second Reading Special Order - Passed with Amendments - Committee, Floor
03/16/2026HouseHouse Third Reading Passed - No Amendments
05/04/2026SenateIntroduced In Senate - Assigned to Business, Labor, & Technology
05/05/2026SenateSenate Committee on Business, Labor, & Technology Refer Unamended to Senate Committee of the Whole
05/08/2026SenateSenate Second Reading Special Order - Passed - No Amendments
05/11/2026SenateSenate Third Reading Passed - No Amendments
05/28/2026HouseSigned by the Speaker of the House
05/28/2026SenateSigned by the President of the Senate
05/28/2026GovernorSent to the Governor
06/02/2026GovernorGovernor Signed

Recorded votes

Proposed amendments (4 proposed amendments)

Amendments proposed to HB26-1139, oldest first
AmendmentCommittee / floor hearingOfferedDispositionOfficial document
L.001Committee amendment — Health & Human Services (House)03/04/2026PassedView official document
L.002Committee amendment — Health & Human Services (House)03/04/2026PassedView official document
L.006
Sponsor: Representative Johnson		Floor amendment — Second Reading (House)03/13/2026PassedView official document
L.007
Sponsor: Representative Lieder		Floor amendment — Second Reading (House)03/13/2026PassedView official document

Source: Colorado General Assembly (leg.colorado.gov) · Data as of

Full text

Official record

View HB26-1139 on leg.colorado.gov

Source: Colorado General Assembly (leg.colorado.gov) · Data as of

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