Connecticut · House Bill · January Session, 2025
HB5587
Connecticut Proposed Bill No. 5587 — An Act Prohibiting Health Insurers from Using Artificial Intelligence as the Primary Method to Deny Health Insurance Claims

Status ● Introduced Effective N/A Passage Likelihood L

WHAT THIS BILL REGULATES · 1 REQUIREMENT TYPE

How Is This Bill Enforced

Enforcement Authority
Not specified. The bill is a concept bill directing amendment of the general statutes; no enforcement mechanism, agency authority, or private right of action is specified.
Private Right of Action
No private right of action. Enforcement is exclusive to the designated authority.
Penalties
Not specified. The bill contains no damages, remedies, or penalty provisions.

What This Bill Requires

Verbatim statutory text on the left; plain-language analysis and a per-section checklist on the right. Numbered markers cross-link to the matching checklist row.

Statutory Text
Analysis & Obligations
Section 1
Prohibition on AI as primary method for claim denials
Deployer

1 That the general statutes be amended to prohibit any health insurer from using artificial intelligence as the primary method to deny health insurance claims.

The bill's sole operative section directs that the Connecticut general statutes be amended to prohibit health insurers from using artificial intelligence as the primary method to deny health insurance claims. This is a concept bill — it contains no specific statutory language, definitions, enforcement provisions, or penalties. The operative effect, if enacted in its current form, would be a prohibition analogous to HC-01.1 requirements seen in other states: AI may not serve as the primary basis for adverse claim determinations without human clinical review.

The use of "primary method" rather than "sole basis" suggests a stricter standard than some comparable state bills, which prohibit AI only as the sole basis for denial. Under this framing, even a denial process where AI plays the dominant but not exclusive role could be prohibited.

Compliance actions 1 item
1
Health insurers must not use artificial intelligence as the primary method to deny health insurance claims.
HC-01.1

Passage Likelihood

Low
Status Introduced
Chamber No passage
Committee No action
Majority party Yes
Bipartisan No
Prior session None

Legislative History

2025-01-21 Referred to Joint Committee on Insurance and Real Estate

Entry Last Reviewed

2026-05-20
AI generated