California · State AI law

California SB 1120 (Physicians Make Decisions Act)

Health Care Coverage: Utilization Review — AI Guardrails (Physicians Make Decisions Act)

In force

In force since 1 Jan 2025

Status checked 27 Sep 2026

Official source: leginfo.legislature.ca.gov ↗Cite this page Embed the live status

What it covers

Health care service plans, disability insurers, and contractors using AI/algorithm tools for utilization review or utilization management. Medical necessity decisions must be made by a licensed clinician, not AI alone.

Penalties and enforcement

Maximum penalty: DMHC administrative penalties; CDI Insurance Commissioner penalties; willful violation by a health plan is a crime under Knox-Keene Act.
Who enforces it: California DMHC; California Department of Insurance (CDI)

Bill history

SB 1120 (signed Sep 28, 2024 — Gov. Newsom)

Primary source: leginfo.legislature.ca.gov — SB 1120

For journalists

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AI Compliance Vendors, "California SB 1120: Health Care Coverage: Utilization Review — AI Guardrails (Physicians Make Decisions Act)," State AI Law Tracker, last checked 27 Sep 2026, https://aicompliancevendors.com/state-ai-law-tracker/california-sb-1120

Free to quote and republish under CC BY 4.0 with a link. Spotted an error? Tell us — corrections are made in public.

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Questions

Is California SB 1120 in effect?

Yes. California SB 1120 has been in force since 1 Jan 2025. Status last checked 27 Sep 2026.

Who enforces California SB 1120?

California DMHC; California Department of Insurance (CDI).

What are the penalties under California SB 1120?

DMHC administrative penalties; CDI Insurance Commissioner penalties; willful violation by a health plan is a crime under Knox-Keene Act.