Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.
Impact
By establishing clear guidelines for the use of AI, this legislation could lead to significant changes in how health insurers evaluate claims and determine coverage for their policyholders. Insurers using these technologies must comply with comprehensive criteria that include safeguarding against discrimination and ensuring fairness in the application of AI tools. This would likely enhance the credibility of AI in the healthcare sector and align its use with existing regulations to prevent potential biases and preserve patient rights.
Summary
Bill S07896 introduced in New York aims to amend the public health law and insurance law to outline requirements and safeguards for the utilization of artificial intelligence (AI), algorithms, or other software tools in the context of health and accident insurance. The bill emphasizes incorporating specific medical criteria when AI is employed for utilization reviews, which assess the necessity of healthcare services. This initiative seeks to ensure that AI tools do not entirely replace provider decision-making nor base their determinations solely on group datasets, thereby maintaining a degree of human oversight in critical health decisions.
Contention
However, there may be contention regarding the balance between technological efficiency and the preservation of personalized healthcare. As AI becomes more ingrained in medical decision-making, concerns could arise about over-reliance on technology versus the nuanced understanding of medical professionals. Some stakeholders might argue that these regulations are either too restrictive or not sufficient enough to genuinely protect patient interests, depending on their perspectives on technology in healthcare.
Same As
Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.
Provides for notice requirements where an insurer authorized to write accident and health insurance in this state, a corporation organized pursuant to article forty-three of this chapter, or a health maintenance organization certified pursuant to article forty-four of the public health law uses artificial intelligence-based algorithms in the utilization review process.
Creates a state office of algorithmic innovation to set policies and standards to ensure algorithms are safe, effective, fair, and ethical, and that the state is conducive to promoting algorithmic innovation.
Requires state units to purchase a product or service that is or contains an algorithmic decision system that adheres to responsible artificial intelligence standards; specifies content included in responsible artificial intelligence standards; requires the commissioner of taxation and finance to adopt certain regulations; alters the definition of unlawful discriminatory practice to include acts performed through algorithmic decision systems.
Requires certification of filings produced using generative artificial intelligence; requires the brief of an appellant to contain a disclosure of the use of generative artificial intelligence in the drafting of the brief and certification that the content therein was reviewed and verified by a human.
Prohibits the use of an algorithmic device by a landlord for the purpose of determining the amount of rent to charge a residential tenant; declares that such use is an unfair or deceptive trade practice.
Prohibits the use of an algorithmic device by a landlord for the purpose of determining the amount of rent to charge a residential tenant; declares that such use is an unfair or deceptive trade practice.
Requires disclosure of the use of artificial intelligence in political communications; directs the state board of elections to create criteria for determining whether a political communication contains an image or video footage created through generative artificial intelligence and to create a definition of content generated by artificial intelligence.
Requires disclosure of the use of artificial intelligence in political communications; directs the state board of elections to create criteria for determining whether a political communication contains an image or video footage created through generative artificial intelligence and to create a definition of content generated by artificial intelligence.
Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.
Relating to the use of artificial intelligence-based algorithms by health benefit plan issuers, utilization review agents, health care providers, and physicians.