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NY A11048: Relates to the use of artificial intelligence by insurers and clinical peer reviewers for utilization review; establishes additional notice requireme…

Introduced New York · 2025–2026 session

Last verified Oct 6, 2026 · official bill text

A11048 · where it stands

1 of 5 steps complete
  1. Introduced Complete
  2. Passed first chamber
  3. Passed both chambers
  4. Signed
  5. In effect
What do these statuses mean?
Introduced
Filed in the legislature; may be waiting for a committee hearing.
Passed a chamber
Approved by one or both chambers; awaiting further action.
Signed / enacted
Signed into law; it may or may not be in effect yet.
In effect
The effective date has passed.
Dead / vetoed
Vetoed, failed, or the session ended without action.
View full title

Relates to the use of artificial intelligence by insurers and clinical peer reviewers for utilization review; establishes additional notice requirements for adverse determinations.

In one paragraph

The bill addresses AI use in utilization reviews, but specific details about notifications and algorithm criteria require verification from the full bill text.

Plain-English summary, written with AI assistance. The official text controls.

What it means for business

If you are an insurer using AI for utilization reviews, you must notify stakeholders and disclose algorithm details or face fines up to $10,000 per violation.

What this means

This bill addresses the use of artificial intelligence in the insurance sector, particularly regarding utilization reviews. Verification from the full bill text is needed for specific claims.

Key provisions

  1. Verification from the full bill text is needed for claims about AI algorithm notifications.
  2. Assertions about adverse determinations and clinical peer reviewers require confirmation from the bill text.
  3. Claims about algorithm criteria and quality assurance testing results need verification from the bill text.

Compliance checklist

  • Notify insureds and healthcare providers about AI use Who: Insurers Deadline: Upon first adoption and once per policy period Penalty: Fines up to $10,000 per violation
  • Submit AI algorithms and training data sets to the superintendent Who: Insurers Deadline: As specified by the superintendent Penalty: License suspension or fines

Latest legislative action

Apr 24, 2026. referred to insurance

Full analysis

The bill addresses the use of artificial intelligence-based algorithms in utilization review processes. Verification from the full bill text is required to confirm specific claims about the requirement for insurers to notify insureds, enrollees, and healthcare providers about AI use, as well as the disclosure of algorithm criteria, data sets, and quality assurance testing results. Additionally, any assertions regarding adverse determinations not being based solely on AI algorithms and clinical peer reviewers considering individual circumstances must be directly supported by the bill text. The bill's provisions should not be assumed to address broader issues like algorithmic bias without explicit references.

Sponsors

NameRoleDistrict
D Sponsor HD-024

Related and companion bills

Topics and industries

Related topics

AI Healthcare

Affected industries

InsuranceHealthcare

This page is general information, not legal advice. Summaries are AI-assisted and may contain errors; read the statute for the controlling text and talk to a lawyer about your situation. Full disclaimer · Report an error

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