Health insurance; review agents; artificial intelligence system; adverse determinations; effective date.

Summary

The bill mandates that any AI or automated system decision that denies or questions a health‑care service must be reviewed by a qualified medical professional before it is finalized. It also obligates insurers to give patients a clear explanation of the decision and information on how to appeal. The goal is to keep automated tools while ensuring human oversight and transparency.

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

Topics

Share