North AmericaA broad Massachusetts bill covering primary care and health-care affordability (most recently amended as H.B. 5630 on July 30, 2026) would, among other things, regulate carriers’ use of “automated utilization review tools” (defined as AI, algorithms, or software used to conduct or inform medical-necessity review). A tool’s output would be required to draw on the enrollee’s individual clinical circumstances rather than a group dataset alone, and only a licensed clinician would make any adverse coverage determination. Carriers would also be required to disclose a tool’s use (including in each denial notice), apply it without discrimination, monitor its performance, and report annually to the Division of Insurance on tool-assisted reviews and resulting denials and reversals.July 30, 2026
North AmericaThe Mass Wins Act, a wide-ranging economic development bill filed by Gov. Maura Healey (D) on April 16, 2026, was amended by the Mass. Senate on July 24, 2026 (S.B. 3228). The amended bill would, among other things, establish a frontier-AI developer safety framework (proposed Chapter 93M). Large frontier AI developers would have to publish and follow a risk-management framework, publish catastrophic-risk reports at least every 180 days, undergo annual independent third-party audits and periodic evaluations, and protect employee whistleblowers.July 24, 2026
North AmericaOn July 23, 2026, N.J. Gov. Mikie Sherrill (D) signed A.B. 4085, the Fair Price Protection Act. The Act prohibits surveillance pricing for groceries and other foodstuffs, meaning varying prices using an algorithm or automated system driven by consumers’ personal data, including data gathered through cameras, sensors, device tracking, or biometric monitoring. The Act preserves cost-based price differences (changed no more than once a day), disclosed uniform discounts, and compliant loyalty programs, and imposes a one-year pause on new electronic shelf labels. Enforcement is under New Jersey’s Consumer Fraud Act.July 23, 2026