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Bill

Bill

A 3991

Establishes requirements for the use of artificial intelligence, algorithm, or other software tools in utilization review and management

2025 Regular Session Introduced by Phara Souffrant Forrest

Bill A 3991 mandates transparency, data protection, and bias audits for AI in healthcare, ensuring fair practices and safeguarding patient rights in decision-making.

REFERRED TO INSURANCE
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Bill Summary · A 3991

Summary of Bill A 3991

Bill Overview

  • Bill Number: A 3991
  • Title: Establishes requirements for the use of artificial intelligence, algorithm, or other software tools in utilization review and management
  • Status: Referred to Insurance Committee
  • Introduced Date: January 30, 2025
  • Classification: Bill

Purpose and Intent

Bill A 3991 aims to regulate the use of artificial intelligence (AI), algorithms, and other software tools in the processes of utilization review and management within the healthcare sector. The bill seeks to ensure that these technologies are used responsibly and transparently, safeguarding patient rights and promoting fair practices in healthcare decision-making.

Key Provisions

The bill outlines several critical requirements for the implementation of AI and software tools in utilization review, including:

  1. Transparency Requirements:

    • Entities utilizing AI must disclose the algorithms and methodologies used in decision-making processes.
    • Clear communication to patients regarding how AI influences their care decisions.

  2. Data Privacy and Security:

    • Establishes guidelines for the protection of patient data used in AI systems.
    • Mandates compliance with existing data protection laws to ensure patient confidentiality.

  3. Bias Mitigation:

    • Requires regular audits of AI systems to identify and mitigate biases that may affect patient care.
    • Implementation of corrective measures if biases are detected.

  4. Oversight and Accountability:

    • Designates a regulatory body to oversee the use of AI in healthcare, ensuring adherence to established guidelines.
    • Establishes penalties for non-compliance with the provisions of the bill.

Affected Parties

The bill will impact various stakeholders in the healthcare industry, including:

  • Healthcare Providers: Hospitals, clinics, and other medical facilities that utilize AI in patient care decisions.
  • Insurance Companies: Entities involved in utilization review processes that may rely on AI tools for decision-making.
  • Patients: Individuals receiving healthcare services who will benefit from increased transparency and fairness in AI-driven decisions.

Procedural Aspects

  • The bill was introduced on January 30, 2025, and has been referred to the Insurance Committee for further consideration.
  • The timeline for further legislative action is not specified, but the referral indicates that the bill will undergo review and potential amendments before any voting occurs.

Conclusion

Bill A 3991 represents a significant step towards regulating the integration of AI in healthcare utilization review. By establishing clear requirements for transparency, data protection, and bias mitigation, the bill aims to enhance patient trust and ensure equitable healthcare practices in an increasingly technology-driven environment.

Compiled from official sources — confirm details with the bill’s official record.

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