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SC S0920: Health insurance

Introduced South Carolina · 2025–2026 session

Last verified Oct 11, 2026 · official bill text

S0920 · where it stands

1 of 5 steps complete
  1. Introduced Complete
  2. Passed first chamber
  3. Passed both chambers
  4. Enacted
  5. Effective
What do these statuses mean?
Introduced
Filed in the legislature; may be waiting for a committee hearing.
Passed a chamber
Approved by one or both chambers; awaiting further action.
Enacted
Signed into law, or became law without a signature or over a veto.
Effective date
The date the law says it takes effect. Once it has passed, the page shows "Effective" and the date. A court order can still block a law; if we know of one, the summary says so.
Dead / vetoed
Vetoed, failed, or the session ended without action.

In one paragraph

South Carolina's Bill S0920 requires health insurers to consider factors like bias and transparency when using AI, mandates disclosures about AI usage to enrollees, and details disciplinary actions such as fines or license suspensions for violations.

Plain-English summary, written with AI assistance. The official text controls.

What it means for business

If you use AI for prior authorizations, you must disclose this to enrollees or face disciplinary actions.

What this means

South Carolina's proposed legislation mandates health insurers to consider factors such as bias and transparency when using AI for prior authorizations, with fines or license suspensions for violations and required disclosures to enrollees.

Key provisions

  1. Health insurers must consider factors like bias, accuracy, and transparency when using AI for prior authorizations (Article 25, Chapter 71, Title 38).
  2. The bill provides for disciplinary actions such as fines or license suspensions for violations, with required disclosures to enrollees about AI usage.

Compliance checklist

  • Consider enrollee's medical history and clinical circumstances in AI decisions Who: Health insurers Deadline: Ongoing Penalty: Potential disciplinary actions for violations
  • Certify AI compliance to the Department of Insurance annually Who: Health insurers Deadline: Annually Penalty: Hearing and corrective measures for non-compliance
  • Disclose AI usage to enrollees Who: Health insurers Deadline: Ongoing Penalty: Potential disciplinary actions for violations

Latest legislative action

May 6, 2026. Scrivener's error corrected

Full analysis

Bill S0920 seeks to amend the South Carolina Code of Laws by adding Article 25 to Chapter 71, Title 38. This bill requires that health insurers consider factors such as bias, accuracy, and transparency when utilizing artificial intelligence (AI) to make determinations related to prior authorizations. The official description mandates disclosures to enrollees about the use of AI, including its role in decision-making processes. It provides for disciplinary actions for violations, detailing penalties such as fines or suspension of licenses.

Sponsors

NameRoleDistrict
R Sponsor SD-027
R Sponsor SD-041
D Sponsor SD-019

Related and companion bills

Topics and industries

Related topics

AI HealthcareAI in InsuranceAI Transparency

Affected industries

HealthcareFinanceConsumer Protection

This page is general information, not legal advice. Summaries are AI-assisted and may contain errors; read the statute for the controlling text and talk to a lawyer about your situation. Full disclaimer · Report an error

Related AI laws in South Carolina

All South Carolina bills →
S0443 Health Claims & AI S920 Health insurance H3401 Technology Transparency S0268 Children and Social Media S0788 Artificial Intelligence and Therapy or Psychotherapy H4660 Deceptive and fraudulent deepfake media in elections

Same topic in other states

Nebraska LB77 Adopt the Ensuring Transparency in Prior Authorization Act and provide for insur Colorado SB189 Automated Decision-Making Technology Indiana HB1620 Disclosure of artificial intelligence use in health care. New York A11048 Relates to the use of artificial intelligence by insurers and clinical peer revi Rhode Island SB2010 AN ACT RELATING TO INSURANCE -- THE TRANSPARENCY AND ACCOUNTABILITY IN ARTIFICIA Illinois HB0035 AI USE IN HEALTH INSURANCE ACT