Oklahoma SB1967 mandates health benefit plans to inform enrollees about AI use in utilization review and restricts AI from making certain.
Oklahoma SB1967 amends the Hospital and Medical Services Utilization Review Act to require health benefit plans to notify enrollees about the use of artificial intelligence tools in the utilization review process. The bill mandates that any utilization review organization or insurer using AI must ensure the tool adheres to specific requirements, including not using patient data beyond its intended purpose and requiring periodic review of performance and outcomes. It prohibits AI from denying, delaying, or modifying health care services based on medical necessity.
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