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Read. Follow. Verify.Oregon HB 4054 requires insurers to notify providers and offer appeals when using AI to downcode reimbursement claims
Last action · March 6, 2026: In committee upon adjournment.
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What This Bill Proposed
Health insurers offering health benefit plans in Oregon that use artificial intelligence or automated technology to automatically downcode reimbursement claims must notify the submitting health care provider in writing within two business days. The notice must disclose the AI use, state the reason for downcoding, cite specific policy or bill coding language, and describe the available appeals process. Insurers must also provide providers with an opportunity for a timely appeal before a medical consultant or peer review committee.
Health care providers treating patients under state-regulated health benefit plans gain formal notification requirements and an explicit right to appeal when automated systems reduce their reimbursement amounts.
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
health care providers
Health care providers submitting reimbursement claims receive mandatory written disclosures when AI is used to downcode claims and gain access to an established appeals process.
health insurers
Insurers offering health benefit plans and utilizing automated technology must issue timely written notices, cite specific policy language, and maintain an appeal mechanism for downcoded claims.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What must an insurer do when they use AI to downcode a claim?
What options do health care providers have if their claim is downcoded using artificial intelligence?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
4 actions- Mar 6, 2026HouseIn committee upon adjournment.
- Feb 6, 2026HousePublic Hearing held.
- Feb 2, 2026HouseReferred to Information Management and Technology.
- Feb 2, 2026HouseFirst reading. Referred to Speaker's desk.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Regulation of Automated AI Claim Adjustments
The measure integrates specific procedural protections and written disclosure mandates directly addressing the deployment of automated algorithms and artificial intelligence in claim reimbursement decisions.
Connected Entities
Sources
olis.oregonlegislature.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 60)
- Controversy35Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz25Current news / social attention level
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