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California: Bill on medical treatment and AI referred to Committee

On February 21, 2024, Senate Bill 1120 to amend Section 1367.01 of the Health and Safety Code, and to amend Section 10123.135 of the Insurance Code, relating to health care coverage was referred to the Committee on Health, following its introduction by Senator Becker on February 13, 2024.

Scope of the bill

The bill, if enacted, would apply to a health care service plan and any entity with which it contracts for services that include utilization review or utilization management functions that prospectively, or concurrently reviews and approves, modifies, delays, or denies, based in whole or in part on medical necessity, requests by providers prior to, retrospectively, or concurrent with the provision of health care services to enrollees, or that delegates these functions to medical groups or independent practice associations or to other contracting providers.

Requirements under the bill

The bill would require physicians to supervise the use of artificial intelligence (AI) decision-making tools in cases where such tools are used to make decisions to approve, modify, or deny requests for the provision of healthcare services.

You can read the bill here and track its progress here.

Update: April 11, 2024

Bill unanimously approved by Senate Committee on Health

On April 10, 2024, Senator Josh Becker announced that the Senate Committee on Health unanimously approved the bill.

You can read the press release here, the bill here, and track its progress here.

 

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