Ohio: AI health lawsYour state

Medicaid guidance issued April 24, 2026, bars a managed care plan from letting AI deny, limit or terminate a service without a human final decisionmaker, though it does not say that person must be a clinician, and requires department approval before moderate- or high-risk uses such as prior authorization automation. Under SB 164, a physician reviewing medical necessity for a health plan would have to open and document review of the patient's records before deciding, and plans could not rest a denial on AI alone; neither it nor its House companion has had a committee vote. HB 525 would let licensed therapy professionals, a category that could reach psychiatrists providing psychotherapy, use AI only for supplementary support with written patient consent, not therapeutic conversation or diagnosis. HB 524 would penalize developers and deployers of AI that encourages self-harm.