Existing law does not regulate the use of artificial intelligence in the decision-making process, or utilization review, on requests for coverage of services under a health benefit plan. This bill would prohibit health insurers from depending exclusively on artificial intelligence to determine such requests and would require the decision to deny or reduce coverage to always be made by a qualified health care professional. This bill would require health insurers to disclose to individuals enrolled in a health benefit plan that artificial intelligence is used in making coverage determinations. This bill would further authorize the Department of Insurance of the State of Alabama to take take disciplinary action against insurers for violations.

Statutes affected:
Introduced: 27-1-2