Tennessee SB1261 regulates the use of artificial intelligence in health insurance utilization review and management.
Tennessee SB1261 amends the state's health insurance regulations to govern the use of artificial intelligence, algorithms, or software tools in utilization review and management. These tools must base their decisions on individual clinical information and not solely on group data. They must comply with state and federal laws, avoid supplanting healthcare provider decision-making, and not discriminate against enrollees. Health insurance issuers must ensure patient data is used appropriately and not cause harm.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.