Bill > SB1967

This bill, titled the Hospital and Medical Services Utilization Review Act, aims to regulate the use of artificial intelligence (AI) by utilization review organizations, which are entities that review the necessity and appropriateness of medical services. The bill defines "artificial intelligence" as computer systems capable of tasks mimicking human intelligence and an "artificial intelligence tool" as one using AI or algorithms for utilization review based on medical necessity. Key provisions include requiring that any AI tool used for utilization review must base its decisions on an individual's medical history and circumstances, not solely on group data, and must not replace healthcare provider judgment or discriminate against patients. Furthermore, AI tools are prohibited from denying, delaying, or modifying healthcare services based on medical necessity; such determinations must be made by a licensed physician or qualified healthcare professional. Health benefit plans must inform enrollees about their use of AI tools, and clinical peer reviewers must document their review of individual records before issuing adverse determinations. The bill also establishes penalties for violations, including fines and license suspension, and requires the Insurance Commissioner to create rules and regulations for its implementation, with an effective date of November 1, 2026.

Transportation and Infrastructure

http://www.oklegislature.gov/BillInfo.aspx?Bill=sb1967&Session=2600