SB 2038

Summary

As introduced: - Prohibits a health insurance issuer from using an AI system to issue a final adverse consumer outcome, such as a denial, reduction, or termination of benefits. - Requires that any final adverse consumer outcome be issued by a licensed professional. - Mandates that final decisions on medical necessity be made by a licensed health care provider, not the insurer, after consulting with the claimant's provider. - Requires an insurer to disclose to a claimant that a final adverse decision was made by a professional and not an AI system.

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