Maryland HB795 establishes regulations for health insurance carriers using AI for grievance decisions.
Maryland HB795, the AI Health Insurance Accountability Act of 2026, mandates that health insurance carriers using artificial intelligence, algorithms, or software tools for grievance decisions must follow specific guidelines. These include ensuring AI tools are reviewed quarterly for accuracy, basing decisions on relevant clinical information, and not solely on group datasets. Carriers must also provide a model review process for AI tools and report on grievance outcomes, including those involving AI.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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