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SC S0443

SC S0443: Health Claims & AI Verified

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Disclaimer: This page provides general informational summaries only and does not constitute legal advice. AI-generated content may contain errors. Always consult a qualified attorney for guidance specific to your situation. Read full disclaimer →
AI Summary

This bill mandates that a health care professional, as defined in Section 44-30-20, supervise and review healthcare coverage decisions made using automated decision-making tools.

Business Impact

If you use AI for healthcare coverage decisions in South Carolina, you must have a licensed physician review those decisions or face potential legal issues.

State
South Carolina
Bill Number
S0443
Status
Introduced
Risk Level
Medium
Category
Amendment
Last Action
Mar 11, 2025
Last Verified
May 23, 2026
Data Updated
May 23, 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

Insurance Healthcare

Topics How we classify →

What This Means

The proposed legislation in South Carolina aims to ensure that healthcare coverage decisions influenced by automated decision-making tools are supervised by a health care professional. This requirement seeks to enhance accountability and oversight in the use of AI in healthcare. Stakeholders involved in coverage decisions using AI tools should prepare for compliance with this new supervisory mandate.

Key Provisions

Latest Legislative Action

Referred to Committee on Banking and Insurance

Bill Sponsors (showing 5 of 12)

Name Role
Primary
Primary
Primary
Primary
Primary

Compliance Checklist

Ensure a licensed physician reviews AI-influenced healthcare coverage decisions.
Who: Healthcare providers and professionals.
Penalty: Potential legal challenges for non-compliance.

Full Legal Analysis

The bill requires that any healthcare coverage decisions made using automated decision-making tools must be supervised and reviewed by a health care professional, as defined in Section 44-30-20. This means that healthcare providers will need to ensure that a qualified professional is involved in the decision-making process to prevent reliance solely on AI-generated outcomes. The bill prohibits actions based solely on AI-derived decisions without human review. Compliance is necessary for those involved in coverage decisions using AI tools, and the bill does not specify a compliance deadline, indicating that it will take effect upon approval by the Governor. There are no stated penalties for non-compliance within the text, but the implications of making decisions without proper oversight could lead to legal challenges. Key definitions include 'artificial intelligence' and 'automated decision-making tool,' which clarify the scope of the bill. This legislation aligns with growing trends in other states to regulate AI use in healthcare, emphasizing the need for human oversight in critical decision-making processes.

Official Source


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