The bill S. 443 aims to amend the South Carolina Code of Laws by adding Section 38-59-23, which establishes requirements for healthcare coverage decisions that utilize artificial intelligence (AI) and automated decision-making tools. Specifically, the bill defines "artificial intelligence" and "automated decision-making tool," and stipulates that no healthcare coverage decisions can be made solely based on the results from these AI systems.

Furthermore, the bill mandates that a licensed physician must supervise and meaningfully review any coverage decisions made with the assistance of automated decision-making tools, particularly when these tools are used to modify or deny authorization requests from healthcare providers prior to or during the provision of services to insured individuals. This legislation is designed to ensure that human oversight is maintained in critical healthcare decisions influenced by technology. The act will take effect upon approval by the Governor.

Statutes affected:
03/11/2025: 38-59-23
Latest Version: 38-59-23