Can an algorithm deny your care?

Federal health agencies are expanding AI in Medicare review while AI labs sell prior-authorisation tools to insurers. States are responding with laws requiring a licensed clinician to make every denial, setting up a clash with federal efforts to pre-empt state AI rules.

1. 4 Dec 2025PolicyHealthUS

   HHS publishes department-wide AI strategy built on a 'OneHHS' platform

   HHS commits to AI across CMS and other agencies.

2. 1 Jan 2026ProgrammeHealthUS

   Medicare starts WISeR, an AI-assisted prior-authorisation pilot in six states

   Traditional Medicare begins AI-assisted prior authorisation, with vendors paid from savings.

3. 11 Jan 2026LaunchHealthUS

   Anthropic launches Claude for Healthcare with HIPAA-ready tools for providers and payers

   Frontier labs package prior-authorisation and claims-appeal tools for payers and providers.

4. 17 May 2024Rule · SupersededUS-CO

   Colorado AI Act (SB 24-205)

   Colorado's general AI Act already treats health-care decisions as consequential.

   Also on Washington vs the states on AI rules, Who audits the hiring algorithm?

5. 23 Mar 2026Rule changeHealthUS-WA US

   Washington law says only a licensed clinician can deny prior-authorisation requests

   Washington and six other states require a human clinician behind every AI-assisted denial.

6. 22 Sep 2025Rule · Partly in forceUS-CA

   CCPA ADMT regulations

   California's automated decision-making rules add notice and opt-out duties.

   Also on Who audits the hiring algorithm?

7. 11 Dec 2025Rule · In forceUS

   State AI law preemption EO

   Federal pressure to pre-empt state AI laws could test these state protections.

   Also on Transparency, not licensing