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Bill would require disclosure and audits when insurers use AI in utilization review; sponsor frames measure as first step
Summary
Delegate Terri Hill introduced House Bill 820 to require insurers to disclose and audit use of artificial intelligence and machine‑learning systems in utilization management. The measure would require documentation that automated tools rely on a patient's clinical history, bar AI from making final determinations without human review, and ask the
Delegate Terri Hill described House Bill 820 as a targeted response to growing use of artificial intelligence in utilization review. ‘‘When insurance carriers use automated tools to make coverage decisions, we need transparency, human oversight, and regular audits to ensure those systems do not deny care arbitrarily or embed bias,’’ Hill said.
Nut graf: HB 820 would require…
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