States / Oregon / HB 4054

HB 4054 In Committee

Relating to downcoding.

Introduced
In Committee
Floor
Crossed Over
Passed
Enacted

Requires certain health insurers offering a health benefit plan in this state that provide utilization review or have utilization review provided on their behalf to notify a health care provider each time the insurer uses artificial intelligence or other automated technology to automatically downcode a claim for reimbursement submitted by the provider. Requires insurers to make an appeals process available to a provider who has had a claim automatically downcoded using artificial intelligence or other automated technology.

Chamber
House
Introduced
Feb 2, 2026
Last action
Mar 7, 2026 — In committee upon adjournment.
Session
2026R1
Momentum
26 · Low