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MD HB697

MD HB697
Health Insurance - Artificial Intelligence, Adverse Decisions, and Grievances - Reporting Requirements


summary

Introduced
01/24/2025
In Committee
01/24/2025
Crossed Over
Passed
Dead
04/08/2025

Introduced Session

2025 Regular Session

Bill Summary

Requiring a health insurance carrier to submit quarterly reports to the Maryland Insurance Commissioner on certain information related to the carrier's use of artificial intelligence or automated decision-making systems; and altering the information related to adverse decisions and grievances carriers are required to report to the Commissioner.

AI Summary

This bill requires health insurance carriers in Maryland to submit detailed quarterly reports to the Maryland Insurance Commissioner about their use of artificial intelligence (AI) and automated decision-making systems. The reports must include specifics such as the purpose of the AI system, who trained it, the data sources and methods used, how the system's recommendations align with human expectations, and steps taken to identify and address potential bias. Additionally, the bill expands existing reporting requirements for carriers, mandating more granular and comprehensive data about their operations, including the number of claims and grievances broken down by demographic categories like race, ethnicity, gender, and age. Carriers must now also report the monetary value of grievance decisions and adverse decisions, average call center hold times, and provide more detailed information about the outcomes of grievances and adverse decisions. The Insurance Commissioner will be required to compile an annual summary report of this information and provide copies to the Governor and General Assembly. The bill is set to take effect on October 1, 2025, aiming to increase transparency and accountability in health insurance decision-making processes.

Committee Categories

Health and Social Services

Sponsors (27)

Last Action

Withdrawn by Sponsor (on 02/17/2025)

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