Ban AI Denials in Medicare Act

# Ban AI Denials in Medicare Act (HR 6361) – Summary **What It Would Do** This bill would restrict Medicare from using artificial intelligence (AI) systems to automatically deny or reduce coverage for medical treatments and services. If passed, any AI-based decision to deny a Medicare claim would require human review and approval before taking effect. The bill aims to ensure that decisions affecting seniors' healthcare coverage involve actual doctors or trained human reviewers rather than being made solely by automated AI systems. **Who It Affects** The legislation directly impacts Medicare beneficiaries (primarily Americans age 65+) who could be denied coverage for medical services.

It also affects healthcare providers, hospitals, and insurers that process Medicare claims, as they would face new requirements around how they use AI in coverage decisions. **Key Provisions & Current Status** The bill requires human oversight of AI denial decisions but doesn't prohibit Medicare from using AI entirely—it can still be used to flag claims for review. The legislation is currently in committee, meaning it hasn't advanced to a full House vote yet. No specific effective date or implementation timeline is included in the available information.