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Charleston senator introduces bill to require human review when insurers use AI for prior authorization

South Carolina Senate · February 11, 2026
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Summary

Senator Lieber introduced legislation to require human involvement and additional disclosures when health insurers use artificial intelligence in prior-authorization decisions; the measure was referred to the Banking and Insurance Committee.

Senator Lieber (Charleston) introduced a bill to add an article to state law requiring circumstances be considered when health insurers rely on artificial intelligence for prior-authorization determinations.

Lieber said the measure is intended to ensure that "a human will actually take part in that decision making process" and to avoid allowing automated systems to make critical medical decisions without human oversight. The reading clerk described the bill as providing disclosure requirements to enrollees and potential disciplinary actions for noncompliance.

The Senate referred the bill to the Banking and Insurance Committee for further review. Senators on the floor expressed support for discussion and the committee referral.

What happens next: The bill will be considered in committee, where members can request hearings, stakeholder testimony, and draft technical changes.