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Representative Greg Landsman introduces H.R. 10210: Doctors Not AI Act of 2026

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We have received text from H.R. 10210: Doctors Not AI Act of 2026. This bill was received on 2026-09-01, and currently has 3 cosponsors.

Here is a short summary of the bill:

This bill would set rules for how health insurers and group health plans can use artificial intelligence when deciding whether to approve or deny coverage for medical care.

What the bill covers

The bill applies to group health plans and health insurance issuers offering group or individual coverage. It defines an “artificial intelligence system” broadly to include algorithms, predictive models, machine learning systems, and other automated decision tools that help determine coverage for health care items or services.

Main rule: humans must make coverage decisions involving clinical judgment

For coverage decisions that require medical judgment, the bill would say that:

  • an AI system cannot make the decision or dictate the outcome;
  • the decision must be made by a licensed health care professional acting within their license;
  • that professional must use independent clinical judgment based on the person’s individual medical situation;
  • the professional cannot treat AI output as automatically correct or substitute it for their own judgment.

This applies both to initial denials or reductions of coverage and to internal appeals.

Notice and record-keeping requirements

If AI was used anywhere in the review process, the insurer or plan would have to tell the patient in the denial notice:

  • that AI was used;
  • what role the AI played in the review;
  • the name, license, and credentials of the licensed health care professional who made the decision.

The plan or insurer would also have to keep documentation in the administrative record showing:

  • which AI system was used;
  • how it was used;
  • any outputs, scores, recommendations, or determinations it produced;
  • documents showing the decision complied with the requirement for independent human clinical judgment.

These materials would be treated as part of the administrative record and made available to the enrollee or participant upon request.

How it affects mental health and substance use disorder coverage rules

The bill would also change the federal rules on mental health and substance use disorder parity. It would require plans to disclose whether AI is used in designing, applying, or administering certain coverage limits, and to provide enough information for federal regulators to evaluate the AI’s function, operation, and effects compared with medical and surgical benefits.

It would also state that using AI in utilization review counts as a “treatment limitation.” In practice, that means AI-based review practices would be treated as part of the coverage-limit analysis under parity rules.

When the bill would take effect

The changes would apply starting with plan years that begin on or after January 1 of the first calendar year that starts at least 12 months after the bill is enacted.

Relevant Companies

  • UNH — UnitedHealth Group, a major health insurer and health services company that uses automated tools in claims and utilization review.
  • HUM — Humana, a large insurer that could need to change how it uses AI in coverage review and appeals.
  • ELV — Elevance Health, which offers health insurance products that could be affected by new review and disclosure requirements.
  • CI — Cigna, a health insurer and benefits administrator that may need to adjust claims review processes.
  • CVS — CVS Health, through its insurance and pharmacy benefit operations, could be affected if AI tools are used in coverage decisions.
  • CI — Cigna, including its health plan and benefits administration operations, could face changes in AI-assisted utilization review.

Representative Greg Landsman Bill Proposals

Here are some bills which have recently been proposed by Representative Greg Landsman:

  • H.R.10210: Doctors Not AI Act of 2026
  • H.R.9629: Protecting Communities from Data Center Impacts Act of 2026
  • H.R.9553: Child Care Small Business Insight and Improvement Act of 2026
  • H.R.9222: Drain the Swamp Act
  • H.R.8729: No-Cost Breast Examinations in Medicaid Act of 2026
  • H.R.8446: Family Farm Transition Act of 2026

You can track bills proposed by Representative Greg Landsman on Quiver Quantitative's politician page for Landsman.

Representative Greg Landsman Net Worth

Quiver Quantitative estimates that Representative Greg Landsman is worth $2.6M, as of September 3rd, 2026. This is the 244th highest net worth in Congress, per our live estimates.

Landsman has approximately $1.5M invested in publicly traded assets which Quiver is able to track live.

You can track Representative Greg Landsman's net worth on Quiver Quantitative's politician page for Landsman.

Representative Greg Landsman Stock Trading

We have data on up to $4.5M of trades from Representative Greg Landsman, which we parsed from STOCK Act filings. Some of the largest trades include:

  • A May 9th, 2025 sale of up to $500K of $KR. The stock has fallen 18.99% since then.
  • A March 27th, 2025 sale of up to $100K of $MSFT. The stock has risen 27.2% since then.
  • A March 27th, 2025 sale of up to $50K of $PH. The stock has risen 51.6% since then.
  • A October 15th, 2024 sale of up to $50K of $XOM. The stock has risen 36.39% since then.
  • A July 17th, 2024 sale of up to $50K of $ISRG. The stock has fallen 12.75% since then.

You can track Representative Greg Landsman's stock trading on Quiver Quantitative's politician page for Landsman.

2026 Ohio's 1st Congressional District Election

There has been approximately $9,076,319 of spending in Ohio's 1st congressional district elections over the last two years, per our estimates.

Approximately $543,969 of this has been from outside spending by PACs and Super PACs. Some of the groups who are spending money in this race include:

The rating for this race is currently "Lean D".

You can track this election on our matchup page for the 2026 Ohio's 1st congressional district election.

This article is not financial advice. See Quiver Quantitative's disclaimers for more information.

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