An Act To Prohibit The Use Of Artificial Intelligence In The Denial Of Health Insurance Claims
Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD)
Summary
The bill sets rules for Maine health insurers that use artificial intelligence to evaluate claim approvals, denials, delays, or changes. AI can still be used, but its outputs must be based on the patient’s record, be non‑discriminatory, be disclosed, and be overseen by policies that ensure accuracy and data protection. Any decision about medical necessity must be made by a qualified clinical peer, not solely by AI.
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