New York A08556 regulates the use of artificial intelligence in health and accident insurance utilization reviews.

New York A08556 establishes requirements and safeguards for using artificial intelligence, algorithms, or software tools in health and accident insurance utilization reviews. The bill mandates that these tools base their determinations on an insured's medical history, individual clinical circumstances, and other relevant clinical information. It prohibits these tools from denying, delaying, or modifying health care services based on medical necessity. A licensed physician or a licensed health care professional must make the final determination of medical necessity.

New York A08556 regulates the use of artificial intelligence in health and accident insurance utilization reviews.

New York A08556 establishes requirements and safeguards for using artificial intelligence, algorithms, or software tools in health and accident insurance utilization reviews. The bill mandates that these tools base their determinations on an insured's medical history, individual clinical circumstances, and other relevant clinical information. It prohibits these tools from denying, delaying, or modifying health care services based on medical necessity. A licensed physician or a licensed health care professional must make the final determination of medical necessity.