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Washington

1 instrument read · Wash. Rev. Code § 48.43.830 (SB 5395, ch. 157, Laws of 2026) · in force since 2026-06-11

Can my health plan deny care using AI alone?

No.

Artificial intelligence shall not be the sole means used to deny, delay, or modify health care services.

Source: RCW 48.43.830(3)(a) · read 2026-09-17 · byte-tested against the retained file

Scope of the quotation: The registry records the whole of § 48.43.830(3)(a); the sentence shown is the last of that provision. The sentences before it name who may deny — a licensed physician or health professional — not who answers for the tool.

Who does the law hold responsible?

The carrier — your health plan.

A carrier that uses artificial intelligence for the purpose of prior authorization or prior authorization functions, based in whole or in part on medical necessity, or that contracts with or otherwise works through an entity that uses artificial intelligence for the purpose of prior authorization or prior authorization functions, based in whole or in part on medical necessity, shall ensure all of the following:

Source: RCW 48.43.830(3)(b) · read 2026-09-17 · byte-tested against the retained file

Note the reach: hiring a vendor does not move the duty. The plan stays on the hook for what the vendor's model does.

Can a chatbot be my therapist?

Not checked in this state.

RCW 48.43.830 is a coverage statute; it does not speak to therapy. No Washington instrument has been read on this question, so this site does not answer it. Not checked is not the same as “no”.

Colorado and Rhode Island do have instruments here.

Must my clinician tell me AI wrote the note?

Not checked in this state.

California and Texas do require disclosure; Washington has not been read on this point. Not checked is not the same as “no”.

See California § 1339.75 and Texas § 183.005(b).