Indiana: AI health lawsYour state

Since July 1, 2026, under HB 1271, a provider may not use an automated tool, including AI, to submit a claim under a state-regulated non-Medicaid plan without review by a provider or other person involved in developing the claim; insurers may not downcode a claim for medical necessity solely on such a tool unless an employee or contractor reviews the record, and must disclose AI use in adverse prior authorization determinations and downcodes. SB 480, in force since July 1, 2025, requires a clinical peer, a physician certified in the requester's specialty, to make adverse medical necessity determinations and decide appeals; it does not mention AI. A Medicaid fraud-prevention pilot announced June 24, 2026, without a start date, applies AI to claims before payment, generating prepayment edits and prior authorization triggers. SB 5, the consumer data law in force since Jan. 1, 2026, exempts entities covered by the Health Insurance Portability and Accountability Act.