Private Review Agents; certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems; provide

Summary

The bill amends the state code to define artificial intelligence and set limits on its use in insurance coverage reviews. Private review agents and utilization review entities may employ AI tools, but an adverse determination cannot be issued until a qualified human reviewer and a clinical peer have completed the review. The measure aims to ensure human judgment remains central in health‑insurance decisions.

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