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Bill > S0443


SC S0443

SC S0443
Health Claims & AI


summary

Introduced
03/11/2025
In Committee
03/11/2025
Crossed Over
Passed
Dead

Introduced Session

126th General Assembly

Bill Summary

Amend The South Carolina Code Of Laws By Adding Section 38-59-23 So As To Require A Licensed Physician To Supervise And Review Healthcare Coverage Decisions Derived From The Use Of An Automated-decision Making Tool.

AI Summary

This bill proposes to add a new section to South Carolina's legal code that regulates the use of artificial intelligence (AI) and automated decision-making tools in healthcare coverage decisions. The bill defines AI as a machine-based system that can make predictions or decisions influencing an environment, and an automated decision-making tool as a system specifically developed to make consequential decisions. It prohibits healthcare coverage decisions from being made solely based on AI or automated tools. Instead, the bill requires that a licensed healthcare professional must supervise and meaningfully review any coverage decisions generated by these tools, particularly when they are used to modify or deny healthcare service authorization requests. The key purpose of this legislation appears to be ensuring human oversight and preventing fully automated systems from making critical healthcare coverage determinations without professional medical review. The bill would take effect upon the Governor's approval, adding an important layer of human judgment to potentially impactful healthcare coverage decisions that might otherwise be made by artificial intelligence systems.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Referred to Committee on Banking and Insurance (on 03/11/2025)

bill text


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