Establishes requirements for the use of artificial intelligence in utilization review and management in New York.

The bill amends the insurance law to establish requirements for the use of artificial intelligence, algorithms, or other software tools in utilization review and management. It defines "artificial intelligence" and mandates that these tools must not supplant health care provider decision-making, discriminate, or cause harm. The tools must base their determinations on an enrollee's medical or dental history and individual clinical circumstances. The bill also requires that patient data be used only for its intended purpose and that the tools' performance and outcomes be periodically reviewed.

Establishes requirements for the use of artificial intelligence in utilization review and management in New York.

The bill amends the insurance law to establish requirements for the use of artificial intelligence, algorithms, or other software tools in utilization review and management. It defines "artificial intelligence" and mandates that these tools must not supplant health care provider decision-making, discriminate, or cause harm. The tools must base their determinations on an enrollee's medical or dental history and individual clinical circumstances. The bill also requires that patient data be used only for its intended purpose and that the tools' performance and outcomes be periodically reviewed.