AI USE IN HEALTH INSURANCE ACT
What changed between versions
Replaced the term 'insurer' with 'health insurance issuer' throughout the text to limit the bill's application to health insurance providers.
Added specific definitions for 'Company' and 'Health insurance issuer' referencing existing state and federal health insurance laws.
Updated the definition of 'Adverse consumer outcome' to specify it applies to health insurance issuers and decisions violating health insurance standards.
Changed the definition of 'AI system' to explicitly include artificial intelligence and removed the definition for 'AI systems program'.
Updated the definition of 'Third party' to refer to organizations supporting health insurance issuers rather than general insurers.
Modified the requirement for human review of AI decisions to specify that the reviewer must be a 'clinical peer' when the decision involves managed care regulations.
Expanded disclosure requirements to include specific notices before AI use, after adverse decisions, and instructions for correcting information or appealing decisions.