South Carolina S0920 regulates the use of artificial intelligence in health insurance prior authorization decisions.

South Carolina S0920 amends the state code to establish rules for health insurers using artificial intelligence in prior authorization decisions. Insurers must consider an enrollee's medical history and unique clinical circumstances, and ensure the software is reviewed for accuracy. The Department of Insurance can intervene if an insurer's use of AI violates the law, including by imposing corrective plans or disciplinary measures. Insurers must also disclose the percentage of denied or modified treatment requests and ensure patient data is not misused.

South Carolina S0920 regulates the use of artificial intelligence in health insurance prior authorization decisions.

South Carolina S0920 amends the state code to establish rules for health insurers using artificial intelligence in prior authorization decisions. Insurers must consider an enrollee's medical history and unique clinical circumstances, and ensure the software is reviewed for accuracy. The Department of Insurance can intervene if an insurer's use of AI violates the law, including by imposing corrective plans or disciplinary measures. Insurers must also disclose the percentage of denied or modified treatment requests and ensure patient data is not misused.