Bill S 920 amends South Carolina law to regulate AI use in health insurance prior authorizations, requiring specific circumstance consideration, disclosures, and disciplinary actions.
If you use AI for prior authorizations in SC, you must consider specific circumstances and disclose usage or face disciplinary actions.
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What This Means
South Carolina Bill S 920 aims to regulate the use of artificial intelligence by health insurers in making prior authorization decisions. It mandates consideration of patient-specific medical history and current health status, requires disclosures about AI usage to enrollees, and outlines potential disciplinary actions for non-compliance.
Key Provisions
- Health insurers must consider specific circumstances, including patient medical history and current health status, when using AI for prior authorizations (Article 25, Chapter 71, Title 38).
- Insurers are required to disclose AI usage, including its role and limitations, to enrollees (Article 25, Chapter 71, Title 38).
- Disciplinary actions, such as fines or suspension of licenses, may be enforced for violations (Article 25, Chapter 71, Title 38).
Latest Legislative Action
Scrivener's error corrected
Bill Sponsors
| Name | Role |
|---|---|
| Blackmon | Primary |
| Devine | Primary |
| Leber | Primary |
Compliance Checklist
Who: Health insurers
Penalty: Disciplinary actions for non-compliance.
Who: Health insurers
Penalty: Disciplinary actions for non-compliance.
Related & Companion Bills
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