HB 579

Summary

As introduced: - Prohibits health plan issuers from making a decision to deny, delay, or modify health care services based solely on the results of an artificial intelligence application. - Requires that any determination of medical necessity be made by a qualified physician or provider who considers the patient's clinical history and individual circumstances. - Mandates that health plan issuers annually report to the superintendent of insurance on their use of AI in utilization review, including the disclosure of algorithms, training data, and outcomes. - Requires a plain language explanation to accompany any adverse care decision in which an AI algorithm was used. - Authorizes the superintendent of insurance to audit a health plan issuer's use of artificial intelligence algorithms.

Sponsor

Legislative History

Quick Actions

Details

Related Legislation