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NY S07896

NY S07896: Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization re… Reviewed

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Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.

AI Summary

The bill mandates transparency and accountability in AI use for utilization reviews in New York, requiring insurers to comply with new standards and altering healthcare provider processes.

Business Impact

If you operate in health insurance in New York, you must implement AI safeguards by January 1, 2025, or face penalties.

State
New York
Bill Number
S07896
Status
Introduced
Risk Level
Medium
Category
Comprehensive
Last Action
Jan 7, 2026
Last Verified
May 4, 2026
Data Updated
May 4, 2026
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

Healthcare Health Insurance Technology Finance

Topics How we classify →

What This Means

This New York bill mandates transparency and accountability in AI and algorithm use in utilization reviews, requiring insurers to meet new standards and altering healthcare provider processes.

Key Provisions

Latest Legislative Action

REFERRED TO HEALTH

Bill Sponsors (showing 5 of 11)

Name Role
Primary
Primary
Primary
Primary
Primary

Related & Companion Bills

New York A08556 — Prescribes requirements and safeguards for the use of an ar…

Full Legal Analysis

Bill S07896 mandates specific requirements and safeguards for the use of artificial intelligence, algorithms, or other software tools in utilization reviews for health and accident insurance in New York. These provisions include ensuring transparency by requiring detailed documentation of AI decision-making processes and accountability through regular audits. Insurers must comply with new standards, such as providing clear explanations of AI determinations to policyholders and maintaining data privacy. Healthcare providers are affected as the bill alters review processes by necessitating more detailed reporting and potentially changing the criteria for service approvals.

Official Source


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