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SC S0920

SC S0920: Health insurance Reviewed

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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

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.

Business Impact

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

State
South Carolina
Bill Number
S0920
Status
Introduced
Risk Level
Medium
Category
Amendment
Last Action
May 6, 2026
Last Verified
May 29, 2026
Data Updated
May 29, 2026
Version
v4
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 Finance Consumer Protection

Topics How we classify →

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

Latest Legislative Action

Scrivener's error corrected

Bill Sponsors

Name Role District
Sponsor SD-027
Sponsor SD-041
Sponsor SD-019

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

Related & Companion Bills

South Carolina H5206 — State Trooper Sergeant Kenneth E. Branham II South Carolina S 920 — Health insurance

Full Legal 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.

Official Source


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