Health care plans; to regulate the use of artificial intelligence in determinations of coverage

Summary

The law prohibits health insurers from relying solely on artificial intelligence when deciding prior‑authorization requests for health‑benefit plans. Any denial, reduction, or deferment must be made by a licensed health‑care professional after reviewing the AI’s recommendation, and insurers must disclose to plan sponsors or enrollees when AI is used. The Department of Insurance may investigate and discipline insurers that violate these rules.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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