View full title
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 artificial intelligence-based algorithms in the utilization review process.
Requires insurers using AI in utilization reviews to notify insureds and submit algorithms for bias review.
If you use AI for utilization reviews in NY, you must notify insureds and submit algorithms or face fines up to $10,000/violation.
What do these statuses mean? ▼
Affected Industries
Topics
What This Means
This bill mandates that insurers in New York using AI algorithms for utilization reviews must notify insureds and submit their AI systems for bias evaluation. It aims to ensure transparency and reduce bias in AI-driven decisions affecting health insurance claims. Non-compliance can lead to significant fines or license suspension, making it crucial for insurers to align with these new requirements.
Key Provisions
- Insurers must notify insureds about AI use in utilization reviews.
- AI algorithms must be submitted for bias certification.
- Penalties include fines and potential license suspension.
Latest Legislative Action
referred to insurance
Bill Sponsors
| Name | Role | District |
|---|---|---|
| Pamela Hunter D | Sponsor | HD-128 |
Compliance Checklist
Who: Insurers, corporations, and health maintenance organizations
Deadline: Before using AI in reviews
Penalty: Fines up to $10,000 per violation
Who: Insurers, corporations, and health maintenance organizations
Deadline: Before using AI in reviews
Penalty: Fines up to $10,000 per violation
Related & Companion Bills
Full Legal Analysis
Full Analysis for Subscribers
Get the complete legal breakdown, compliance checklist, enforcement timeline, and expert commentary on A09149.
Unlock Full Analysis →Official Source
Related Topics
Affected Industries
More New York AI Legislation
More New York AI Laws
Browse all AI bills and regulations tracked for New York.