Assembly Bill A9149

2023-2024 Legislative Session

Relates to the use of artificial intelligence for utilization review

download bill text pdf

Sponsored By

Current Bill Status - In Assembly Committee


  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2023-A9149 (ACTIVE) - Details

Current Committee:
Assembly Insurance
Law Section:
Insurance Law
Laws Affected:
Add §338, Ins L

2023-A9149 (ACTIVE) - Summary

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.

2023-A9149 (ACTIVE) - Bill Text download pdf

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   9149
 
                           I N  A S S E M B L Y
 
                             February 8, 2024
                                ___________
 
 Introduced by M. of A. HUNTER -- read once and referred to the Committee
   on Insurance
 
 AN  ACT to amend the insurance law, in relation to the use of artificial
   intelligence for utilization review
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The insurance law is amended by adding a new section 338 to
 read as follows:
   §  338.  NOTIFICATION REGARDING THE USE OF ARTIFICIAL INTELLIGENCE FOR
 UTILIZATION REVIEW. (A) AS USED IN THIS  SECTION,  THE  FOLLOWING  TERMS
 SHALL HAVE THE FOLLOWING MEANINGS:
   (1)  "ADVERSE  DETERMINATION" SHALL HAVE THE SAME MEANING AS SUCH TERM
 IS DEFINED IN SECTION FOUR THOUSAND NINE HUNDRED OF  THE  PUBLIC  HEALTH
 LAW.
   (2)  "ARTIFICIAL  INTELLIGENCE-BASED  ALGORITHM"  MEANS ANY ARTIFICIAL
 SYSTEM THAT PERFORMS TASKS UNDER VARYING AND UNPREDICTABLE CIRCUMSTANCES
 WITHOUT SIGNIFICANT HUMAN OVERSIGHT OR THAT CAN  LEARN  FROM  EXPERIENCE
 AND IMPROVE PERFORMANCE WHEN EXPOSED TO DATA SETS.
   (3)  "CLINICAL PEER REVIEWER" SHALL HAVE THE SAME MEANING AS SUCH TERM
 IS DEFINED IN SECTION FOUR THOUSAND NINE HUNDRED OF  THE  PUBLIC  HEALTH
 LAW.
   (4)  "UTILIZATION  REVIEW" SHALL HAVE THE SAME MEANING AS SUCH TERM IS
 DEFINED IN SECTION FORTY-NINE HUNDRED OF THE PUBLIC HEALTH LAW.
   (B) THE SUPERINTENDENT SHALL REQUIRE ALL INSURERS AUTHORIZED TO  WRITE
 ACCIDENT  AND  HEALTH  INSURANCE  IN  THIS STATE, CORPORATIONS ORGANIZED
 PURSUANT TO ARTICLE FORTY-THREE OF THIS CHAPTER, AND  A  HEALTH  MAINTE-
 NANCE  ORGANIZATION  CERTIFIED  PURSUANT  TO  ARTICLE  FORTY-FOUR OF THE
 PUBLIC HEALTH LAW TO NOTIFY INSUREDS AND ENROLLEES ABOUT THE USE OR LACK
 OF USE OF ARTIFICIAL INTELLIGENCE-BASED ALGORITHMS  IN  THE  UTILIZATION
 REVIEW  PROCESS  ON  THE  ACCESSIBLE  INTERNET  WEBSITE  OF SUCH INSURER
 AUTHORIZED TO WRITE ACCIDENT AND HEALTH INSURANCE IN THIS STATE,  CORPO-
 RATION  ORGANIZED  PURSUANT  TO  ARTICLE FORTY-THREE OF THIS CHAPTER, OR
 HEALTH MAINTENANCE ORGANIZATION CERTIFIED PURSUANT TO ARTICLE FORTY-FOUR
 OF THE PUBLIC HEALTH LAW.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
              

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