The bill S. 443 introduced in the South Carolina General Assembly aims to amend the state's Code of Laws by adding Section 38-59-23, which establishes requirements for healthcare coverage decisions made using automated decision-making tools that utilize artificial intelligence. The bill defines "artificial intelligence" and "automated decision-making tool," emphasizing that no healthcare coverage decisions can be made solely based on the results from these tools.

Furthermore, the bill mandates that a licensed physician must supervise and meaningfully review any coverage decisions that are informed by these automated tools, particularly when such decisions involve modifying or denying requests for authorization prior to or during the provision of healthcare services. This legislation seeks to ensure that human oversight is maintained in the decision-making process regarding healthcare coverage, thereby protecting the interests of insured individuals. The act will take effect upon approval by the Governor.

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