SB 169

As introduced: - Requires health carriers using artificial intelligence for utilization review to base determinations on an individual patient's clinical history and circumstances, not solely on a group dataset. - Prohibits an AI, algorithm, or software tool from being used to deny, delay, or modify a determination to provide health care services, requiring a determination to be made by a licensed health professional. - Requires health carriers to annually report to the Legislative Research Council on their use of artificial intelligence for utilization review and the extent of human oversight. - Authorizes the Division of Insurance to inspect a health carrier's automated systems for compliance and to notify the attorney general of any noncompliance for potential enforcement action.