North Carolina S287 mandates that healthcare service necessity determinations be made by licensed professionals, prohibiting insurers from using AI.

North Carolina S287 ensures that health benefit plans continue to have licensed and qualified healthcare providers determine the medical necessity or appropriateness of healthcare services. The bill prohibits insurers from using artificial intelligence-based algorithms as the sole basis for denying, delaying, or modifying healthcare services. It also mandates that the State Treasurer review all practices of the State Health Plan and any third-party contracts to ensure compliance with these provisions. This act becomes effective 30 days after it is enacted.

North Carolina S287 mandates that healthcare service necessity determinations be made by licensed professionals, prohibiting insurers from using AI.

North Carolina S287 ensures that health benefit plans continue to have licensed and qualified healthcare providers determine the medical necessity or appropriateness of healthcare services. The bill prohibits insurers from using artificial intelligence-based algorithms as the sole basis for denying, delaying, or modifying healthcare services. It also mandates that the State Treasurer review all practices of the State Health Plan and any third-party contracts to ensure compliance with these provisions. This act becomes effective 30 days after it is enacted.