HB515 Alabama 2025 Session

Summary

Primary Sponsor

Mark Shirey Representative

Republican

Session

2025 Regular Session

Title

Artificial intelligence; regulate use in health coverage decisions

Description

Existing law regulates "utilization review," the process by which health care insurers determine whether a medical treatment requested by a health care professional is covered under the health benefit plan.

This bill would impose limitations on how health insurers employ artificial intelligence in utilization review. The decision to cover or deny a treatment would always be made by a competent health care professional, who may consult with or consider a recommendation by artificial intelligence, but must also consider the particular circumstances of the insured as assessed by the attending health care provider.

Health insurers would also be required by this bill to disclose to individuals enrolled in the health benefit plan, and to network health care providers, that artificial intelligence is used in making coverage determinations.

This bill would further provide that persons who claim to be injured as a result of a health insurer's use of artificial intelligence may have a civil action for damages.

Show more Show less

Subjects

Insurance