Tennessee SB2010 mandates that health insurance issuers using AI for medical necessity decisions must have a licensed professional review prior.
Tennessee SB2010 amends the state's health insurance regulations to ensure that any entity using artificial intelligence, algorithms, or software tools for utilization review or management must have a licensed healthcare professional review prior authorization requests for healthcare services. This requirement applies to all health insurance issuers, including TennCare and other state-managed programs. Violations of this provision are considered unfair claims practices, with potential for punitive damages, court costs, and attorney fees for affected individuals.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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