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 automated decision-making tools powered by artificial intelligence. Specifically, the bill mandates that a licensed physician must supervise and meaningfully review any healthcare coverage decisions that are influenced by these automated tools, particularly when such decisions involve modifying or denying authorization requests from healthcare providers prior to or during the provision of services to insured individuals.

Additionally, the bill defines key terms related to artificial intelligence and automated decision-making tools, emphasizing that no healthcare coverage decisions can be made solely based on the results derived from these technologies. This legislative measure seeks to ensure that human oversight is maintained in critical healthcare decisions, thereby safeguarding the interests of patients and providers alike. The act will take effect upon approval by the Governor.

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