Promotes transparency and accountability in the use of artificial intelligence by health insurers to manage coverage and claims.

This bill mandates that health insurers disclose to the Office of the Health Insurance Commissioner and the Department of Business Regulation how they use artificial intelligence in managing healthcare claims and coverage. Insurers must maintain documentation of AI decisions for five years, including adverse benefit determinations. The Department of Business Regulation and the Office of the Health Insurance Commissioner must report annually on AI use by insurers, detailing the types of AI models used, their role in decision-making, training data, performance metrics, governance, risk.

Promotes transparency and accountability in the use of artificial intelligence by health insurers to manage coverage and claims.

This bill mandates that health insurers disclose to the Office of the Health Insurance Commissioner and the Department of Business Regulation how they use artificial intelligence in managing healthcare claims and coverage. Insurers must maintain documentation of AI decisions for five years, including adverse benefit determinations. The Department of Business Regulation and the Office of the Health Insurance Commissioner must report annually on AI use by insurers, detailing the types of AI models used, their role in decision-making, training data, performance metrics, governance, risk.