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AI Summary
HB1382 requires health insurance issuers using AI for utilization review to adhere to specific standards, including compliance with state laws.
Business Impact
If you use AI for health insurance reviews, ensure compliance with legal standards to avoid unfair claims practice violations.
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
HB1382 mandates that health insurance issuers in Tennessee using AI for utilization review must ensure compliance with legal standards, non-discrimination, and protection against harm.
Key Provisions
- Requires AI tools to base determinations on enrollee's clinical history and circumstances.
- Prohibits AI tools from making determinations solely on group datasets.
- Mandates compliance with state insurance laws.
- Prohibits discrimination and harm to enrollees.
- Requires disclosure of AI usage in policies and periodic review of AI performance.
Latest Legislative Action
Assigned to s/c Insurance Subcommittee
Bill Sponsors (showing 5 of 7)
| Name | Role |
|---|---|
| Bailey | Primary |
| Haile | Primary |
| Harris | Primary |
| Jernigan | Primary |
| Ragan | Primary |
Compliance Checklist
Ensure compliance with AI usage requirements in utilization management.
Who: Health insurance issuers
Deadline: Upon enactment
Penalty: To be determined based on non-compliance provisions.
Who: Health insurance issuers
Deadline: Upon enactment
Penalty: To be determined based on non-compliance provisions.
Related & Companion Bills
Full Legal Analysis
HB1382 amends Tennessee Code Annotated Titles 8, 56, and 71 to impose requirements on health insurance issuers using AI, algorithms, or software for utilization review or management. The bill mandates that such tools base determinations on relevant clinical information and not solely on group datasets. It prohibits these tools from supplanting healthcare provider decision-making or discriminating against enrollees. Health insurance issuers must disclose AI usage in their policies and periodically review AI performance. Violations are considered unfair claims practices.
Official Source
Official Bill Text
View HB1382 on official legislature website →
Related Topics
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