Data Under Review
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AI Summary
This bill congratulates former State Trooper Sergeant Kenneth E. Branham II on his retirement after over 24 years of service.
Business Impact
If you use AI for prior authorizations, you must disclose this to enrollees or face disciplinary actions.
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
This South Carolina bill mandates health insurers to evaluate circumstances when employing AI for prior authorizations. Disciplinary actions and AI disclosure specifics are not confirmed.
Key Provisions
- Addition of Article 25 to Chapter 71, Title 38
- Requirement for insurers to consider specific circumstances when using AI for prior authorizations
- Mandatory disclosure of AI usage to enrollees, specifics not confirmed
- Disciplinary actions for violations, specifics not confirmed
Latest Legislative Action
Introduced, adopted, returned with concurrence
Bill Sponsors (showing 5 of 124)
| Name | Role | District |
|---|---|---|
| Alan Clemmons R | Sponsor | HD-107 |
| Andrew Patrick R | Sponsor | HD-123 |
| Anne Parks D | Sponsor | HD-012 |
| Anne Thayer R | Sponsor | HD-009 |
| B.R. Skelton R | Sponsor | HD-003 |
Compliance Checklist
Consider enrollee's medical history and clinical circumstances in AI decisions
Who: Health insurers
Deadline: Ongoing
Penalty: Disciplinary actions for violations
Who: Health insurers
Deadline: Ongoing
Penalty: Disciplinary actions for violations
Certify AI compliance annually to the Department of Insurance
Who: Health insurers
Deadline: Annually
Penalty: Potential corrective measures or penalties for non-compliance
Who: Health insurers
Deadline: Annually
Penalty: Potential corrective measures or penalties for non-compliance
Make disclosures about AI usage to enrollees
Who: Health insurers
Deadline: Ongoing
Penalty: Disciplinary actions for violations
Who: Health insurers
Deadline: Ongoing
Penalty: Disciplinary actions for violations
Related & Companion Bills
Full Legal Analysis
Bill H5206, introduced in South Carolina, proposes the addition of Article 25 to Chapter 71, Title 38 of the South Carolina Code of Laws. The bill mandates that health insurers consider specific circumstances when using artificial intelligence (AI) to make determinations related to prior authorizations. The bill emphasizes the necessity for insurers to disclose the use of AI to enrollees, but the specific nature and extent of these disclosures are not confirmed. The disciplinary actions for violations are mentioned, but specifics like fines and license suspension are not confirmed.
Official Source
Official Bill Text
View H5206 on official legislature website →
Related Topics
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