Policy Details

SB1120 – Physicians Make Decisions Act

Date Passed

9/28/2024

Effective Date

1/1/2025

Summary

Regulates payors’ use of AI in utilization management by requiring that medical-necessity determinations be made by qualified clinicians, not algorithms. Sets guardrails for AI-assisted review and preserves appeal rights/timelines under Knox‑Keene and Insurance Code.

Healthcare Implications

Directly limits fully automated coverage denials and compels health plans/disability insurers to maintain human clinical oversight. Providers should expect documentation standards when AI is used in utilization management and reconsider any payer contracts relying on automated denial tools. For patients, the law strengthens due process and transparency around AI-assisted determinations.

Impact Level

High

Stakeholders

Patients & Public; Regulators & Government