Regulates AI in Health Care Coverage Determinations
Alabama Legislative Events
Summary
Alabama Senate Bill 63 would regulate the use of artificial intelligence by health insurers and other entities in making coverage determinations. The bill passed both chambers unanimously and was enrolled on February 19, 2026. If enacted, the legislation would require transparency, fairness safeguards, and human oversight in AI-driven healthcare coverage decisions.
What changed
Alabama SB63 proposes to establish regulatory requirements for health insurers and entities using artificial intelligence in coverage determination decisions. The bill passed the Senate and House with unanimous support (27-0 Senate, 102-104 Yea in House) and was enrolled on February 19, 2026.
Affected parties including health insurers, managed care organizations, and potentially healthcare providers utilizing AI for coverage decisions should monitor for the bill's final enactment and any implementing regulations that may follow. Organizations currently using or planning to implement AI systems for healthcare coverage determinations should begin assessing their existing processes against potential new requirements for transparency and fairness in algorithmic decision-making.
What to do next
- Monitor for gubernatorial signature and enactment
- Review current AI-driven coverage determination systems for compliance readiness
- Prepare for potential transparency and fairness documentation requirements
Archived snapshot
Apr 9, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
ChangeBridge / Alabama / SB63 Enrolled SB63 Senate Bill Enrolled 2026-02-19
Health care plans; to regulate the use of artificial intelligence in determinations of coverage
Bill Details
State Alabama
Session 2026 Regular Session
Chamber Senate
Official Source alison.legislature.state.al.us/bill-search
LegiScan View on LegiScan
Sponsors
Arthur Orr (Sen - R)
Action History
2026-04-08 S Ready to Enroll 2026-04-08 S Gudger Motion to Concur In and Adopt House Amendment - Adopted Roll Call 1261 2026-04-08 H Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 1309 2026-04-08 H Motion to Adopt - Adopted Roll Call 1308 G359Y22-1 2026-04-08 H Shaw 1st Amendment Offered G359Y22-1 2026-04-08 H Motion to Adopt - Adopted Roll Call 1307 TBV8D95-1 2026-04-08 H Insurance Engrossed Substitute Offered TBV8D95-1 2026-04-08 H Third Reading in Second House 2026-03-17 H Read for the Second Time and placed on the Calendar 2026-03-17 H Reported Out of Committee Second House from House Insurance TBV8D95-1 2026-02-19 H Pending House Insurance 2026-02-19 H Read for the first time and referred to the House Committee on Insurance 2026-02-19 S Engrossed 2026-02-19 S Motion to Read a Third Time and Pass as Amended - Adopted Roll Call 477 2026-02-19 S Orr motion to Adopt - Adopted Roll Call 476 NRSWP8T-1 2026-02-19 S Healthcare 1st Substitute Offered NRSWP8T-1 2026-02-19 S Third Reading in House of Origin 2026-02-12 S Read for the Second Time and placed on the Calendar 2026-02-11 S Reported Out of Committee House of Origin 2026-02-11 S Healthcare 1st Substitute NRSWP8T-1 2026-01-13 S Pending Senate Healthcare 2026-01-13 S Read for the first time and referred to the Senate Committee on Healthcare
Votes
2026-02-19 SBIR: Passed by House of Origin Yea: 27 Nay: 0 2026-02-19 Third Reading in House of Origin Yea: 27 Nay: 0 2026-02-19 Orr motion to Adopt - Roll Call 476 NRSWP8T-1 Yea: 27 Nay: 0 2026-02-19 Motion to Read a Third Time and Pass as Amended - Roll Call 477 Yea: 27 Nay: 0 2026-04-08 Gudger Motion to Concur In and Adopt House Amendment - Roll Call 1261 Yea: 33 Nay: 0 2026-04-08 Motion to Adopt - Roll Call 1307 TBV8D95-1 Yea: 103 Nay: 0 2026-04-08 Motion to Adopt - Roll Call 1308 G359Y22-1 Yea: 104 Nay: 0 2026-04-08 Motion to Read a Third Time and Pass as Amended - Roll Call 1309 Yea: 102 Nay: 0
Committee Referrals
2026-01-13 S Healthcare 2026-02-19 H Insurance
Amendments
2026-02-11 Senate Healthcare Healthcare 1st Substitute 2026-03-17 House Insurance Reported Out of Committee Second House 2026-04-08 House Motion to Adopt - Adopted Roll Call 1308
Bill Text Versions
2026-01-13 Introduced 2026-02-19 Engrossed 0000-00-00 Enrolled
Subjects
Insurance Legislative data powered by LegiScan (CC BY 4.0)
Named provisions
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Source document text, dates, docket IDs, and authority are extracted directly from AL Senate.
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