HB 1139 CO

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Became Law

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; andIs 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.)

• J. Joseph Democratic · sponsor
• S. Lieder Democratic · sponsor
• L. Cutter Democratic · sponsor
• L. Daugherty Democratic · sponsor

1. Jun 2, 2026 Governor Signed · executive
2. May 28, 2026 Sent to the Governor · executive
3. May 28, 2026 Signed by the President of the Senate · upper
4. May 28, 2026 Signed by the Speaker of the House · lower
5. May 11, 2026 Senate Third Reading Passed - No Amendments · upper
6. May 8, 2026 Senate Second Reading Special Order - Passed - No Amendments · upper
7. May 5, 2026 Senate Committee on Business, Labor, & Technology Refer Unamended to Senate Committee of the Whole · upper
8. May 4, 2026 Introduced In Senate - Assigned to Business, Labor, & Technology · upper
9. Mar 16, 2026 House Third Reading Passed - No Amendments · lower
10. Mar 13, 2026 House Second Reading Special Order - Passed with Amendments - Committee, Floor · lower
11. Mar 9, 2026 House Second Reading Laid Over Daily - No Amendments · lower
12. Mar 4, 2026 House Committee on Health & Human Services Refer Amended to House Committee of the Whole · lower
13. Feb 4, 2026 Introduced In House - Assigned to Health & Human Services · lower