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Provides for notice requirements where an insurer authorized to write accident and health insurance in this state, a corporation organized pursuant to article forty-three of this chapter, or a health maintenance organization certified pursuant to article forty-four of the public health law uses…
The bill requires insurers, corporations, and health maintenance organizations using AI in utilization reviews to provide written notice detailing the AI's role, data used, and decision criteria, with no exceptions, at the start of the review process.
If you use AI in health insurance utilization reviews in New York, you must notify insureds and submit AI data by the effective date or face penalties.
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Affected Industries
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What This Means
This New York bill mandates that insurers authorized to write accident and health insurance, corporations organized under article forty-three, and health maintenance organizations certified under article forty-four using AI algorithms in utilization reviews must provide written notice to policyholders and patients about the AI's role, data used, and decision criteria, with no exceptions, at the start of the review process.
Key Provisions
- Insurers, corporations, and health maintenance organizations must provide written notice to policyholders and patients about the use of AI algorithms in utilization reviews, detailing the AI's role, data used, and decision criteria, with no exceptions, at the start of the review process.
Latest Legislative Action
referred to insurance
Bill Sponsors (showing 5 of 7)
| Name | Role |
|---|---|
| BYRNE | Primary |
| Jeffrion Aubry | Primary |
| Pamela J. Hunter D | Primary |
| SANTABARBARA | Primary |
| ZEBROWSKI O | Primary |
Compliance Checklist
Who: Insurers authorized to write accident and health insurance.
Deadline: By the effective date of the bill.
Penalty: Fines up to $10,000 for willful violations.
Who: Insurers and health maintenance organizations.
Deadline: By the effective date of the bill.
Penalty: Fines and potential license suspension.
Related & Companion Bills
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