Doctors Not AI Act of 2026
Sponsored By: Representative Landsman, Greg [D-OH-1]
Introduced
Summary
The Doctors Not AI Act of 2026 would create a federal rule to protect clinician judgment and require clear disclosure and recordkeeping when artificial intelligence systems influence health‑plan coverage decisions. The bill sets the same definitions, clinician safeguards, notice rules, and documentation requirements across Public Health Service, ERISA, and tax law for group plans.
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
AI use counts as treatment limit
If enacted, the bill would require parity reviews to consider whether AI is used in or materially influences benefit limits. Plans and issuers would have to give officials enough information about an AI's function, operation, and effects so parity authorities can compare mental health and substance use disorder benefits to medical and surgical benefits both on paper and in practice. The bill would explicitly treat use of AI in utilization review as a "treatment limitation" subject to parity scrutiny, which could change enforcement and review of mental-health coverage limits.
Clinician review and AI notice rules
If enacted, an artificial intelligence system would not be allowed to issue or dictate any adverse coverage decision that involves clinical judgment. Those decisions would have to be made by a licensed clinician with relevant training who exercises independent clinical judgment. If AI was used, the denial notice would have to say AI was used, explain the AI's role, and list the clinician's name, license, and credentials. You would be able to request the AI outputs, scores, recommendations, and the plan's documentation showing the clinician's independent review. These rules would start for plan years beginning on or after January 1 of the first calendar year that begins at least 12 months after enactment.
Sponsors & CoSponsors
Sponsor
Landsman, Greg [D-OH-1]
OH • D
Cosponsors
Rep. Carter, Earl L. "Buddy" [R-GA-1]
GA • R
Sponsored 9/1/2026
Rep. Schrier, Kim [D-WA-8]
WA • D
Sponsored 9/1/2026
Rep. Barrett, Tom [R-MI-7]
MI • R
Sponsored 9/1/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov