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Rep. Jean Schmidt proposes oversight for insurers' use of AI in coverage reviews
Summary
Representative Jean Schmidt told the House Insurance Committee she introduced House Bill 579 to require human review and insurer reporting when artificial intelligence is used in utilization review, citing a personal denial that produced a $17,000 bill and arguing patients deserve meaningful human oversight.
Representative Jean Schmidt testified in the House Insurance Committee that House Bill 579 would not ban the use of artificial intelligence by insurers but would require that AI not be the sole determining factor in medical necessity determinations and that licensed medical professionals participate in reviews.
"When that happens, care is delayed or denied without meaningful human review," Representative…
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