Relating to health carriers standards of conduct; utilization review organizations, artificial intelligence, audits, and prior authorizations; certificate of need processes; and including applicability provisions
What it does: On the version voted Mar 5, 2026: Bars insurers from using artificial intelligence as the sole basis to deny prior authorization requests, ends prior authorization for cancer screenings and emergency care, sets rules for claim audits and denial appeals, and eases certificate-of-need requirements for health facilities. (AI-written summary of the bill; the official record shows the exact version voted)
Question before the chamber: Shall the bill pass?
The tally
Yes 94 · No 1 · Not voting 5
Bar: green = yes, brown = no, striped = not voting.
| Party | Yes | No | Not voting |
|---|---|---|---|
| Democrats | 29 | 0 | 4 |
| Republicans | 65 | 1 | 1 |
Most Democrats voted yes; most Republicans voted yes. 1 member voted against their party’s majority.
Voted against their party’s majority
- Charley ThomsonR58No
The full roll (100)
Yes 94
- Adam ZabnerD90
- Aime WichtendahlD80
- Amy NielsenD85
- Angel RamirezD78
- Ann MeyerR8
- Austin BaethD36
- Austin HarrisR26
- Barb Kniff McCullaR37
- Beth Wessel-KroeschellD49
- Bill GustoffR40
- Blaine WatkinsR100
- Bob HendersonR2
- Bob KressigD75
- Bobby KaufmannR82
- Brent SiegristR19
- Brett BarkerR51
- Brian LohseR45
- Brian MeyerD29
- Brooke BodenR21
- Bubba SorensenR23
- Carter NordmanR47
- Chad BehnR48
- Chad IngelsR68
- Christian HermansonR59
- Cindy GoldingR83
- Craig JohnsonR67
- Craig WilliamsR11
- Dan GehlbachR46
- Dan GosaD81
- Dave JacobyD86
- David BlomR52
- David SieckR16
- David YoungR28
- Dean FisherR53
- Derek WulfR76
- Devon WoodR17
- Eddie AndrewsR43
- Elinor LevinD89
- Elizabeth WilsonD73
- Eric GjerdeD74
- Gary MohrR93
- Hans WilzR25
- Heather HoraR92
- Heather MatsonD42
- Helena HayesR88
- Henry StoneR9
- J.D. ScholtenD1
- Jacob BossmanR14
- Jane BloomingdaleR60
- Jason GearhartR64
- Jeff CoolingD77
- Jeff ShipleyR87
- Jennifer KonfrstD32
- Jennifer SmithR72
- John WillsR10
- Josh MeggersR54
- Judd LawlerR91
- Ken CrokenD97
- Kenan JudgeD27
- Larry McBurneyD44
- Mark CisnerosR96
- Mark ThompsonR56
- Matt RinkerR99
- Matt WindschitlR15
- Megan JonesR6
- Megan SrinivasD30
- Michael BerganR63
- Mike VondranR94
- Monica KurthD98
- Norlin MommsenR70
- Pat GrassleyR57
- Rick OlsonD39
- Rob JohnsonD34
- Ross WilburnD50
- Ruth Ann GainesD33
- Ryan WeldonR41
- Sam WengrynR24
- Samantha FettR22
- Sean BagniewskiD35
- Shannon LathamR55
- Shannon LundgrenR65
- Skyler WheelerR4
- Steve BradleyR66
- Steven HoltR12
- Taylor CollinsR95
- Timi Brown-PowersD61
- Tom DetermannR69
- Tom JenearyR3
- Tom MooreR18
- Tracy EhlertD79
- Travis SitzmannR13
- Wendy LarsonR7
- Zach DiekenR5
- Former memberR
No 1
Not voting 5
- Jerome AmosD62
- Josh TurekD20
- Lindsay JamesD71
- Mary MadisonD31
- Tom GerholdR84
“Not voting” is a recorded non-vote, not a reason for the absence. Parties come from public rosters; how we count.