Will establish safeguards on the use of artificial intelligence in Medicare Advantage prior authorization denials, including physician review of AI-assisted denials and federal audit authority.

Gregory F. Murphy · North Carolina · Republican

policy impact 0.72 specificity 0.90 extraction confidence 90%

Commitment kind: unknown. Promised action: not established. Promised outcome: not established. Deadline: unknown; not assumed expired.

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Occurrences

This bipartisan bill would establish safeguards on the use of artificial intelligence in Medicare Advantage prior authorization decisions. Under the bill, any AI-assisted denial must be reviewed and approved by a qualified physician under the supervision of the plan’s medical director. It also requires physicians to attest that they exercised independent medical judgement and that the denial was not generated or dictated by AI. Additionally, the bill grants the Department of Health and Human Services the authority to audit and inspect AI use in prior authorization decisions

Murphy co-introduced legislation that would require physician oversight and HHS audit authority for AI-assisted Medicare Advantage prior authorization denials.

Conaway and Murphy Introduce Bill to Protect Patients from AI-Assisted Insurance Denials | Representative Herb Conaway
primary · press_release · model gpt-5.5

Mr. Conaway (for himself and Mr. Murphy) introduced the following bill... Full Title: To amend title XVIII of the Social Security Act to establish requirements for the use of artificial intelligence in prior authorization denials by Medicare Advantage organizations.

Murphy cosponsored H.R. 9734, the Protecting Patients from Automated Denials Act, committing to establish requirements governing AI use in Medicare Advantage prior authorization denials.

H.R. 9734 (IH) - Protecting Patients from Automated Denials Act - BILLS-119hr9734ih | Content Details | GovInfo
primary · other · model gpt-5.5

Evidence

legacy_unverified · Source version not recorded · locator unknown

GovInfo lists H.R. 9734 as introduced July 16, 2026 by Conaway for himself and Murphy, referred to Ways and Means and Energy and Commerce. The bill title is to establish requirements for AI use in Medicare Advantage prior authorization denials.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Official bill record shows Murphy cosponsored/introduced legislation matching the commitment, but the latest listed action is only referral to committees, not enactment or implementation. No newer action was found in the Aug. 17-19, 2026 lookback window.

unresolved same_term A for effort

H.R. 9734 (IH) - Protecting Patients from Automated Denials Act - BILLS-119hr9734ih | Content Details | GovInfo
primary · model gpt-5.5 · confidence 93%

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legacy_unverified · Source version not recorded · locator unknown

The introduced text would bar MA plans from issuing AI-based prior authorization denials unless a qualified physician reviewer reviews and approves the denial, signs an independent medical judgment attestation, disclosure is provided, records are kept for at least 10 years, reports go to the Secretary every 90 days, and HHS may audit AI use, denial data, attestations, internal policies, algorithms, and overturn rates.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): The bill text closely matches the promised safeguards, including physician review, AI disclosure, retention/reporting, and federal audit authority. Because it is introduced legislation rather than enacted law or final agency action, the promise remains unresolved rather than delivered.

unresolved same_term A for effort

GovInfo bill text - H.R. 9734 Introduced in House
secondary · model gpt-5.5 · confidence 95%

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Assessments

Public state: unverified As of unknown · legacy_unverified · . Original AI recommendation (not independently established): unresolved. unknown A for effort

Murphy materially advanced a bill in the 119th Congress that closely matches the promised Medicare Advantage AI prior authorization safeguards, including physician review, disclosure/reporting, record retention, and HHS audit authority. However, the bill has only been introduced and referred to House committees; it has not been enacted or implemented as federal policy. Because the legislative vehicle remains pending rather than finally failing, the promise is unresolved with credit for serious effort.

provider codex_cli · model gpt-5.5 · confidence 94%