Senate Bill 1066 aims to prohibit health insurance policies and self-insured governmental health plans in Wisconsin from using artificial intelligence to deny prior authorization for medical necessity or experimental status. The bill mandates that a licensed health care provider must review such prior authorizations before any denial can occur. This requirement is established through the creation of two new statutes: 609.825 and 632.852, which specifically address the need for human review in these cases.
The bill also outlines the initial applicability of the new provisions, stating that they will apply to policy or plan years beginning on the effective date of the legislation, with specific considerations for policies affected by collective bargaining agreements. The act is set to take effect on the first day of the fourth month following its publication.