Pennsylvania: AI health lawsYour state
6 entries on the map: 2 in force and 4 bills in the legislature.
Pennsylvania's rules in force bind insurers and utilization reviewers, not physicians; four bills have passed a chamber.
Full overviewHide full overview
Act 146 of 2022 requires a licensed physician to make any utilization review payment denial (since Jan. 1, 2024) and same or similar specialty review before a prior authorization denial (since Jan. 1, 2023), without mentioning AI. Insurance Notice 2024-04, adopted April 6, 2024, expects insurers to keep a written AI governance program. HB 1925, passed by the House Sept. 30, 2026, would make physician offices using AI in clinical decisions disclose that use to patients and label AI-generated clinical messages, and require provider record review before an insurer or Medicaid plan using AI denies care. HB 2006, passed by the House Sept. 28, 2026, and SB 1090, passed by the Senate March 17, 2026, would make AI companion operators refer suicidal users to crisis services. HB 78, a privacy bill awaiting a Senate vote, would exempt practices covered by the Health Insurance Portability and Accountability Act.
Payer and utilization review AI
SB 225, Act 146 of 2022, Prior Authorization and Utilization Review Reform (Insurance Company Law, Article XXI)
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Insurance Notice 2024-04, adopting the NAIC Model Bulletin: Use of Artificial Intelligence Systems by Insurers
HB 1925, Artificial Intelligence in Facilities, Use by Insurers and Use by MA or CHIP Managed Care Plans
Patient disclosure of AI use
Also relevant here: HB 1925, Artificial Intelligence in Facilities, Use by Insurers and Use by MA or CHIP Managed Care Plans (under payer and utilization review AI); HB 2006, AI Companion Safety Act (Providing for Safety Regarding Artificial Intelligence in Companionship Applications) (under mental health AI); SB 1090, Safeguarding Adolescents from Exploitative Chatbots and Harmful AI Technology Act (under clinical decision and chatbot limits).
Clinical decision and chatbot limits
SB 1090, Safeguarding Adolescents from Exploitative Chatbots and Harmful AI Technology Act
Also relevant here: HB 1925, Artificial Intelligence in Facilities, Use by Insurers and Use by MA or CHIP Managed Care Plans (under payer and utilization review AI).
Mental health AI
HB 2006, AI Companion Safety Act (Providing for Safety Regarding Artificial Intelligence in Companionship Applications)
Also relevant here: SB 1090, Safeguarding Adolescents from Exploitative Chatbots and Harmful AI Technology Act (under clinical decision and chatbot limits).
Data and privacy
HB 78, Consumer Data Privacy Act
What applies to me in Pennsylvania: physician, practice owner, hospital.
Federal law also applies in every state: see federal law and policy.
Calendar of dates laws take effect (Pennsylvania): subscribe or download the .ics file.
General information, not legal advice. The whole map is available as data at /law-map/laws.json.