Landsman Introduces Bipartisan Legislation to Keep AI from Making Health Care Decisions

Cincinnati, OH - Today, Congressman Greg Landsman (D-OH-01), Congressman Buddy Carter (R-GA-01), Congresswoman Kim Schrier (D-WA-08), and Congressman Tom Barrett (R-MI-07) introduced bipartisan legislation to prevent artificial intelligence from making health care decisions that should be made by qualified health care professionals.

Health care systems are increasingly using artificial intelligence (AI) to evaluate claims and determine if certain health care for patients is "medical necessity. This has led to denials of claims - impacting mental health coverage, cancer treatment, hospital stays, and more.

In response, Representatives Landsman, Carter, Schrier, and Barrett introduced the bipartisan Doctors Not AI Act - legislation to ensure medical decisions are made by a health professional, not AI.

The Doctor's Not AI Act would:

1. Ensure AI is only used in a Supporting Role

• Prevents AI from making or issuing harmful determinations involving medical judgment.
• Allows insurers to use AI technology to assist with processing claims.
• Requires that denials based on medical necessity be made by a licensed health care professional with appropriate expertise.

2. Protect Independent Clinical Judgment

• Requires health professionals to independently review each patient's individual medical circumstances.

3. Increase Transparency

• Requires disclosure when AI is used in the review process and must be included in the administrative record.
• Gives patients the right to know if AI has played a role in their insurance denial.

4. Protects Access to Mental Health Care

• Helps prevent AI from unfairly denying or limiting mental health and substance use disorder care.

Congressman Landsman:

"When a computer system is making decisions about health care, people will get hurt. We have to make sure health care professionals remain the decision makers.If not, folks will be left with massive bills, their health getting worse, or even life-threatening consequences."

Congressman Carter:

"Every patient's medical needs are unique and decisions about their care require the judgment of a qualified health care professional, not an algorithm. While AI can help make the claims process more efficient, it should never have the final say in denying someone access to medically necessary care. I am proud to co-lead the Doctors Not AI Act to put patients first, preserve independent clinical judgment, and bring greater transparency and accountability to insurers' use of AI."

Congressman Schrier, M.D.:

"It is critical that doctors, not automated systems or AI-powered models, are in charge of critical healthcare decisions for their patients. We are now seeing insurers implement automated systems that can make dangerous decisions about a patient's health, coverage, and treatment plans. Medical decisions should be made by health professionals, and we need oversight and transparency now to keep Americans safe and healthy."

Congressman Barrett:

"Artificial intelligence should never replace the judgment of a doctor. When it comes to someone's health and well-being, the outcome is too important to leave it up to an algorithm. This bill makes sure doctors - not AI - remain responsible for determining what care patients need while bringing greater transparency to the use of these technologies in health insurance."

Craig Obey, Senior Vice President of Federal Affairs at Inseparable

"Insurance coverage decisions that affect someone's mental healthcare, cancer treatment, or hospital stay should never be dictated by an algorithm. AI should be used responsibly and only as a supplementary tool, not substitute for the informed judgment of trained clinicians about the care patients need. The DNAI Act will ensure that patients are protected through a more transparent, fair, and honest system."

Read the bill text HERE.

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