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HRES 694119th CongressIntroduced

Expressing the sense of the House of Representatives that the Centers for Medicare & Medicaid Services should halt the pilot program and should not jeopardize seniors' access to critical health care by utilizing artificial intelligence to determine Medicare coverage.

Introduced: Sep 10, 2025
HealthcareTechnology & Innovation
Standard Summary
Comprehensive overview in 1-2 paragraphs

H. Res. 694 is a House resolution expressing the sense of the House that the Centers for Medicare & Medicaid Services (CMS) should halt a CMS pilot program that would use artificial intelligence (AI) and other “enhanced technologies” to determine whether Medicare-covered services should be paid for. The resolution argues that AI-based coverage decisions could jeopardize seniors’ access to critical health care and urges CMS not to use AI for determining Medicare coverage. It is a non-binding statement of the House’s position and does not by itself change existing law or create new federal programs. The resolution was introduced by Mr. Landsman on September 10, 2025 and referred to the House committees with jurisdiction over Ways and Means and Energy and Commerce. It does not authorize funding or create new requirements beyond expressing opposition to the AI-based pilot approach.

Key Points

  • 1Expresses the sense of the House that CMS should halt the pilot program that uses AI or “enhanced technologies” to decide Medicare coverage for procedures or services.
  • 2Specifically objects to using artificial intelligence to determine whether a patient’s procedures will be covered by Medicare.
  • 3Ties the resolution to a CMS announcement dated June 27, 2025 about a new pilot program contracting with for-profit companies to apply AI to coverage decisions.
  • 4The resolution is a non-binding expression of the House’s viewpoint, not a law or mandatory directive.
  • 5The bill was introduced by Representative Landsman and referred to the Committee on Ways and Means and the Committee on Energy and Commerce for consideration.

Impact Areas

Primary group/area affected: Medicare beneficiaries (seniors) who rely on Medicare coverage determinations; health care providers who bill Medicare.Secondary group/area affected: CMS administration and policy direction; for-profit contractors involved in the pilot.Additional impacts: Signals congressional opposition to AI-driven coverage decisions, which could influence future policy debates, oversight, or potential legislative provisions related to AI use in Medicare. The resolution itself does not alter existing Medicare law or create new regulatory requirements.
Generated by gpt-5-nano on Oct 2, 2025