HB 5206

As introduced: - Requires health insurers using artificial intelligence for prior authorization to base decisions on an enrollee's medical history and unique clinical circumstances. - Mandates that a licensed healthcare professional make any final determination to deny, reduce, or defer a prior authorization request. - Requires insurers to disclose their use of AI to enrollees and annually certify to the Department of Insurance that their AI systems are fair, non-discriminatory, and accurate. - Requires insurers, upon request, to make available the percentage of denials for a specific healthcare service. - Authorizes the Department of Insurance to take disciplinary action against insurers for violations.