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AI Summary
House Bill 527, titled 'Mandatory Human Reviews of Insurance Claim Denials', mandates human review for insurance claim denials by workers' compensation carriers, insurers, and HMOs, prohibiting AI as
Business Impact
If you operate in insurance, you must ensure human reviews for claim denials and not rely solely on AI to avoid penalties.
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
Topics
What This Means
House Bill 527, titled 'Mandatory Human Reviews of Insurance Claim Denials', enacted in Florida, allows workers' compensation carriers, insurers, and health maintenance organizations (HMOs) to utilize
Key Provisions
- Artificial intelligence systems and machine learning systems can assist in processing claims.
- Artificial intelligence or machine learning systems cannot be the sole basis for determining whether to deny or reduce a claim.
- Decisions to deny a claim or reduce a claim must be made by qualified human professionals.
- The Office of Insurance Regulation (OIR) is authorized to conduct market conduct examinations and investigations.
Latest Legislative Action
Died in Rules
Related & Companion Bills
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Official Bill Text
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Related Topics
Affected Industries
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