HRES 694119th CongressIn Committee

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

This resolution expresses the sense of the House that the Centers for Medicare & Medicaid Services (CMS) should halt a newly announced pilot program that would contract with for-profit companies to use enhanced technologies, including artificial intelligence (AI), to decide whether Medicare-covered services should be provided. The House asserts that CMS should not use AI to determine Medicare coverage, framing the use of AI in coverage decisions as potentially jeopardizing seniors’ access to essential health care. As a resolution, it is a non-binding expression of policy and does not by itself create new law or funding, but it signals congressional opposition to the pilot and could influence CMS policy or future legislative action. The bill clarifies the context: CMS on June 27, 2025 announced a pilot program aimed at evaluating coverage decisions with the help of AI and other “enhanced technologies” via contracts with for-profit firms. The resolution directs that CMS should refrain from employing AI to determine coverage and notes its referral to the Ways and Means and Energy and Commerce committees for consideration.

Key Points

1Expresses the sense of the House that CMS should halt its pilot program using AI to determine Medicare coverage decisions.
2References CMS’s June 27, 2025 announcement of a pilot program to contract with for-profit companies to use enhanced technologies (including AI) to evaluate whether services should be covered by Medicare.
3States clearly that CMS should not utilize artificial intelligence to determine whether patients’ procedures will be covered by Medicare.
4Indicates the resolution was referred to the House Committee on Ways and Means and the Committee on Energy and Commerce for consideration of relevant provisions.
5Status: Introduced in the 119th Congress on September 10, 2025 by Mr. Landsman; the text provided shows no enactment but a formal expression of opposition.

Impact Areas

Primary group/area affected: Medicare beneficiaries (seniors and certain disabled individuals) whose access to covered services could be influenced by coverage determinations.Secondary group/area affected: CMS policymakers and staff, and any private for-profit contractors involved or anticipated to participate in the pilot program; health care providers who rely on Medicare coverage decisions.Additional impacts: Signals congressional concern about the use of AI in coverage decisions, which could influence future policy, oversight, and potential legislative changes; raises considerations about data privacy, algorithmic bias, transparency in coverage decisions, and access to care if AI were used to narrow coverage. As a non-binding resolution, it would not immediately change law or funding but could shape debates and future actions.

Generated by gpt-5-nano on Oct 8, 2025