Health insurance bill regulates use of artificial intelligence in prior authorization decisions.

This bill amends South Carolina's health insurance regulations to include specific guidelines for insurers using artificial intelligence in prior authorization decisions. Insurers must consider an enrollee's medical history and clinical circumstances, and disclose the use of AI tools. The Department of Insurance can review insurer practices and impose corrective actions or disciplinary measures for violations. Insurers must also report statistics on denials and modifications of treatment requests. The bill takes effect upon approval by the Governor.

Health insurance bill regulates use of artificial intelligence in prior authorization decisions.

This bill amends South Carolina's health insurance regulations to include specific guidelines for insurers using artificial intelligence in prior authorization decisions. Insurers must consider an enrollee's medical history and clinical circumstances, and disclose the use of AI tools. The Department of Insurance can review insurer practices and impose corrective actions or disciplinary measures for violations. Insurers must also report statistics on denials and modifications of treatment requests. The bill takes effect upon approval by the Governor.