HB 1866

As introduced: - Prohibits a health insurance issuer using an artificial intelligence tool for utilization review from denying, delaying, or modifying care unless a licensed healthcare professional both reviews the request and makes the final determination of medical necessity. - Designates a violation of these provisions as an unfair claims practice. - Creates a private right of action for an individual harmed by a violation and requires a court to award actual damages, punitive damages, and attorney fees if a violation is found.