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AI Summary
The bill restricts AI use in health insurance reviews and mandates licensed provider reviews of adverse actions by carriers.
Business Impact
If you operate in health insurance, you must comply with AI utilization review regulations by January 1, 2025, or face 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 How we classify →
What This Means
SB2768 introduces specific restrictions on AI use in health insurance utilization reviews. It mandates licensed provider reviews of adverse actions by health carriers.
Key Provisions
- Mandates review of adverse actions taken by health carriers by licensed health care providers.
Latest Legislative Action
Referred to HHS/LBT, CPN.
Bill Sponsors (showing 5 of 20)
| Name | Role |
|---|---|
| ACASIO | Primary |
| CHANG | Primary |
| GABBARD | Primary |
| Ihara | Primary |
| INOUYE | Primary |
Compliance Checklist
Ensure AI decisions are based on individual medical histories and not solely on group datasets.
Who: Health carriers and utilization review organizations
Deadline: Ongoing compliance required upon enactment
Penalty: Potential fines or sanctions from the insurance commissioner
Who: Health carriers and utilization review organizations
Deadline: Ongoing compliance required upon enactment
Penalty: Potential fines or sanctions from the insurance commissioner
Conduct independent reviews of all adverse actions by licensed health care providers.
Who: Health carriers
Deadline: Before issuing any adverse action
Penalty: Invalidation of adverse actions and potential regulatory penalties
Who: Health carriers
Deadline: Before issuing any adverse action
Penalty: Invalidation of adverse actions and potential regulatory penalties
Related & Companion Bills
Full Legal Analysis
SB2768 establishes specific restrictions on the use of artificial intelligence, algorithms, and other software tools in health insurance utilization reviews. It requires that a licensed health care provider must review adverse actions taken by the health carrier.
Official Source
Official Bill Text
View SB2768 on official legislature website →
Related Topics
Affected Industries
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