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Senate passes bill requiring human clinical review before AI-only denials by private review agents
Summary
S.B. 444, aiming to prevent healthcare denials made solely by artificial intelligence, passed the Georgia Senate unanimously (49–0). The bill requires that an adverse determination by a private review agent include review by a human clinical peer.
The Georgia Senate on Feb. 11 unanimously approved S.B. 444, a bill intended to limit the sole use of artificial intelligence in private review agent determinations related to health care coverage.
Senator (District 32), speaking on the bill, said S.B. 444 “protects patients” by ensuring that an adverse determination cannot be based solely on AI or automated systems. The sponsor emphasized that the measure preserves a role for a human clinical peer in the determination process before insurers or review agents issue an adverse decision.
The bill’s caption as read on the floor amends Chapter 46 of Title 33 of the Official Code of Georgia Annotated and explicitly provides that certain coverage decisions shall not be based solely on artificial intelligence systems. Committee reports recommending the bill were accepted, the previous question was ordered, and the Senate recorded a 49–0 vote in favor of passage.
Supporters framed the measure as an update to prior-authorization processes that acknowledges both the utility of AI tools and the need for clinician oversight. No floor opposition was recorded during the session.
