This bill introduces a new section to the Managed Care Law, specifically RSA 420-J, which prohibits health carriers from using artificial intelligence (AI) to alter the clinical judgment of healthcare providers. The new section, 420-J:6-f, explicitly states that health carriers cannot use AI to conduct audits of provider codes or to make adjustments to these codes that would impact a provider's clinical judgment. Additionally, health carriers are required to maintain records of any AI tools used in claims processing and must make these records available to the insurance department during audits. Violations of this provision will be considered unfair insurance practices, subjecting the carriers to administrative fines or restitution for any resulting delays or denials of care.

The bill also establishes an effective date of January 1, 2027, for the new regulations. The language inserted into the law includes the prohibition of AI use in changing provider codes and the requirement for record-keeping, while no specific deletions from current law are noted in the text provided.