State Health AI Law Tracker/California
California SB 1120 · Payer AI / prior auth · Effective
Physicians Make Decisions Act
Effective January 1, 2025
What the law does
California Chapter 879 of 2024 (SB 1120) requires health plans and disability insurers that use AI, algorithms, or similar tools in utilization review to keep a licensed physician or other licensed clinician in charge of medical-necessity decisions. The tool must use the enrollee's own clinical record, not group datasets alone, and may not deny, delay, or modify care on medical necessity. The Act took effect January 1, 2025.
- State
- California
- Bill number
- SB 1120
- Topic
- Payer AI / prior auth
- Status
- Effective
- Date enacted
- September 28, 2024
- Date effective
- January 1, 2025
- Applies to
- Payers, Vendors
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More Payer AI / prior auth laws
Alabama · SB 63
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Arizona · HB 2175
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Indiana · HB 1271
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Maryland · HB 820
Health insurance AI and utilization review
Nebraska · LB 77
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Automated decision systems in utilization review