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 →
View full title
Relates to the use of artificial intelligence by insurers and clinical peer reviewers for utilization review; establishes additional notice requirements for adverse determinations.
AI Summary
The bill addresses AI use in utilization reviews, but specific claims about notifications and algorithm criteria need verification.
Business Impact
If you are an insurer using AI for utilization reviews, you must notify stakeholders and disclose algorithm details or face fines up to $10,000 per violation.
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
This bill addresses the use of artificial intelligence in the insurance sector, particularly regarding utilization reviews. Specific claims about notifications and algorithm criteria need verification.
Key Provisions
- Specific claims about AI algorithm notifications require verification.
- Assertions about adverse determinations and clinical peer reviewers need confirmation.
- Claims about algorithm criteria and quality assurance testing results require verification.
Latest Legislative Action
referred to insurance
Bill Sponsors
| Name | Role | District |
|---|---|---|
| David Weprin D | Sponsor | HD-024 |
Compliance Checklist
Notify insureds and healthcare providers about AI use
Who: Insurers
Deadline: Upon first adoption and once per policy period
Penalty: Fines up to $10,000 per violation
Who: Insurers
Deadline: Upon first adoption and once per policy period
Penalty: Fines up to $10,000 per violation
Submit AI algorithms and training data sets to the superintendent
Who: Insurers
Deadline: As specified by the superintendent
Penalty: License suspension or fines
Who: Insurers
Deadline: As specified by the superintendent
Penalty: License suspension or fines
Related & Companion Bills
Full Legal Analysis
The bill addresses the use of artificial intelligence-based algorithms in utilization review processes. Specific claims about the requirement for insurers to notify insureds, enrollees, and healthcare providers about AI use, as well as the disclosure of algorithm criteria, data sets, and quality assurance testing results, require verification from the bill text. Additionally, assertions regarding adverse determinations not being based solely on AI algorithms and clinical peer reviewers considering individual circumstances need confirmation. This regulatory framework aims to enhance accountability and transparency in the use of AI in healthcare, aligning with broader trends in technology regulation. The bill's provisions are particularly relevant in the context of growing concerns about algorithmic bias and the ethical use of AI in decision-making processes.
Official Source
Official Bill Text
View A 11048 on official legislature website →
Related Topics
Affected Industries
More New York AI Legislation
S00822
Relates to the disclosure of automated employment decision-making too…
Medium
S00185
Restricts the use by an employer or an employment agency of electroni…
High
S03008
Enacts into law major components of legislation necessary to implemen…
Medium
A03008
Enacts into law major components of legislation necessary to implemen…
Medium
S04506
Requires the municipal police training council to ensure that issues …
High
S07623
Restricts the use by an employer or an employment agency of electroni…
High
View All NY Laws →
More New York AI Laws
Browse all published AI bills and regulations for New York.