Bill > HB05587

This bill aims to prohibit health insurance companies from using artificial intelligence (AI) as the primary method for denying health insurance claims. The proposed legislation specifically targets the practice of relying predominantly on AI algorithms to make claim determination decisions, with the intent of ensuring that human judgment and review play a critical role in the claims process. By preventing insurers from using AI as the primary mechanism for claim denials, the bill seeks to protect consumers from potentially arbitrary or algorithmic-based decisions that may not fully consider the nuanced medical circumstances of individual claims. The proposed change would require health insurers to incorporate more comprehensive and human-centered approaches when evaluating whether to approve or deny insurance claims, thereby potentially reducing the risk of automated systems making potentially unfair or overly strict determinations about patients' healthcare needs.

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https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=HB05587&which_year=2025