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AI Summary
The bill mandates human evaluation by licensed health care professionals for audits and compliance reviews of AI tools used in health insurance utilization reviews.
Business Impact
If you use AI for health insurance utilization reviews, you must ensure human evaluation by licensed professionals by July 1, 2024, or face penalties.
What do these statuses mean? ▼
Introduced
— Filed in the legislature; not yet heard in committee
In Committee
— Assigned to and being reviewed by a legislative committee
Passed
— Approved by one or both chambers; awaiting further action
Signed / Enacted
— Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed
— Vetoed, failed to pass, or session expired without action
Unknown
— Status data not yet available or awaiting classification
Affected Industries
Topics How we classify →
What This Means
HB1385 requires that audits and compliance reviews of AI tools in health insurance utilization reviews include evaluations by licensed healthcare professionals, focusing on performance, use, and outcomes.
Key Provisions
- Requires audits and compliance reviews of AI tools used in health insurance utilization reviews to include evaluations by licensed healthcare professionals for performance, use, and outcomes.
- Mandates that findings from evaluations be used for the review and revision of the AI tools, as specified in the bill.
Latest Legislative Action
Hearing 3/12 at 1:00 p.m.
Bill Sponsors (showing 5 of 32)
| Name | Role |
|---|---|
| Anderson (By Request - Baltimore City Administration) | Primary |
| Baker | Primary |
| Feldmark | Primary |
| Frederick County Delegation | Primary |
| Hill | Primary |
Compliance Checklist
Conduct audits of AI tools with human evaluations
Who: Health insurance providers
Deadline: Not specified
Penalty: Potential regulatory scrutiny
Who: Health insurance providers
Deadline: Not specified
Penalty: Potential regulatory scrutiny
Use evaluation findings to revise AI performance
Who: Health insurance providers
Deadline: Not specified
Penalty: Potential regulatory scrutiny
Who: Health insurance providers
Deadline: Not specified
Penalty: Potential regulatory scrutiny
Full Legal Analysis
HB1385 introduces requirements for entities that utilize artificial intelligence, algorithms, or software tools specifically for utilization reviews. The bill mandates that human evaluations be conducted by licensed health care professionals for the performance, use, and outcomes in audits and compliance reviews. The findings from these evaluations must be used for the review and revision of the AI tools, as specified in the bill.
Official Source
Official Bill Text
View HB1385 on official legislature website →
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