SB586 mandates health carriers in Virginia to disclose AI usage in claims management and notify affected parties of adverse determinations made by AI.
What do these statuses mean? ▼
Affected Industries
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What This Means
Virginia's SB586 focuses on the ethical use of artificial intelligence by health carriers, requiring transparency in AI-driven claims management. The bill mandates that health carriers disclose their
Key Provisions
- Health carriers must disclose AI usage in claims management to the Bureau of Insurance.
- Carriers must notify enrollees and providers when AI is used for adverse determinations.
- A clear process for appealing AI-driven adverse determinations must be established.
- All relevant information regarding AI decision-making must be submitted upon request.
Latest Legislative Action
Continued to next session in Communications, Technology and Innovation (Voice Vote)
Compliance Checklist
Who: Health carriers
Deadline: By January 1, 2026
Penalty: Potential penalties from the Bureau of Insurance for non-compliance
Who: Health carriers
Deadline: Ongoing as determinations are made
Penalty: Potential penalties from the Bureau of Insurance for non-compliance
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