Hawaii HB1787 regulates the use of artificial intelligence in health insurance decisions and requires physician review of adverse actions.

Hawaii HB1787 aims to regulate the use of artificial intelligence, algorithms, and software tools in health insurance utilization reviews. It mandates that any health carrier or utilization review organization using such tools must ensure they are based on relevant clinical information, not solely on group datasets, and are applied consistently. The bill also requires these tools to be open for inspection and reviewed quarterly for accuracy. Additionally, HB1787 prohibits the use of these tools to deny, delay, or modify health care services.

Hawaii HB1787 regulates the use of artificial intelligence in health insurance decisions and requires physician review of adverse actions.

Hawaii HB1787 aims to regulate the use of artificial intelligence, algorithms, and software tools in health insurance utilization reviews. It mandates that any health carrier or utilization review organization using such tools must ensure they are based on relevant clinical information, not solely on group datasets, and are applied consistently. The bill also requires these tools to be open for inspection and reviewed quarterly for accuracy. Additionally, HB1787 prohibits the use of these tools to deny, delay, or modify health care services.