Michigan · House Bill · 2025–2026 Regular Session
HB4536
Michigan House Bill No. 4536 — An act to amend 1956 PA 218 (The Insurance Code of 1956) by adding section 3406ss

Status ● Introduced Effective N/A Passage Likelihood L

WHAT THIS BILL REGULATES · 1 REQUIREMENT TYPE

How Is This Bill Enforced

Enforcement Authority
Enforcement authority is not specified in this bill. The Michigan Department of Insurance and Financial Services has general regulatory authority over insurers under the Insurance Code of 1956.
Private Right of Action
No private right of action. Enforcement is exclusive to the designated authority.
Penalties
The bill does not specify penalties, damages, or remedies. Enforcement would fall under the general remedial and enforcement provisions of the Michigan Insurance Code.

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
MCL § 500.3406ss
Prohibition on AI-based health insurance claim decisions
Deployer

1 Sec. 3406ss. An insurer that delivers, issues for delivery, or renews in this state a health insurance policy shall not deny, modify, or delay a claim based on a review using artificial intelligence.

Section 3406ss is the bill's sole operative provision. It imposes a categorical prohibition: health insurers may not deny, modify, or delay a claim based on a review using artificial intelligence. The prohibition applies to any insurer that delivers, issues for delivery, or renews a health insurance policy in Michigan.

Notably, the bill does not define "artificial intelligence," does not carve out AI tools used as decision-support under human oversight, and does not distinguish between AI as the sole basis versus a contributing factor in a claim decision. The breadth of the prohibition — covering any claim action "based on" AI review — is unusually expansive compared to other state healthcare AI bills, which typically require human review of AI-assisted decisions rather than banning AI involvement outright.

Compliance actions 1 item
1
Health insurers that deliver, issue for delivery, or renew a health insurance policy in Michigan must not deny, modify, or delay any claim based on a review using artificial intelligence.
HC-01.1

Passage Likelihood

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

Legislative History

2025-06-03 Introduced By Representative Rep. Carrie Rheingans
2025-06-03 Read A First Time
2025-06-03 Referred To Committee On Communications And Technology
2025-06-04 Bill Electronically Reproduced 06/03/2025
2025-09-18 Rule Suspended
2025-09-18 Motion To Discharge Committee Approved
2025-09-18 Placed On Second Reading
2025-09-18 Referred To Committee On Insurance
2026-03-19 Referred To Committee On Communications And Technology
2026-03-19 Rule Suspended
2026-03-19 Motion To Discharge Committee Approved
2026-03-19 Placed On Second Reading
2026-03-19 Re-referred To Committee On Communications And Technology

Entry Last Reviewed

2026-05-20
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