Health Insurance - Use of Artificial Intelligence - Human Evaluation

Summary

The bill mandates that any artificial‑intelligence tool used by insurers, health plans, pharmacy benefit managers or private reviewers for utilization review must be audited by a licensed health‑care professional. It forces quarterly human checks of the AI’s performance and outcomes, and bars the AI from denying, delaying, or altering care. The goal is to keep AI decisions transparent, individualized and safe for patients.

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

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