Bill > SB586

This bill requires health carriers, which are entities that provide health insurance plans, to be more transparent and fair in their use of artificial intelligence (AI), defined as computer systems that perform functions associated with human intelligence like reasoning and learning. Specifically, carriers must publicly disclose their use of AI in managing insurance claims and coverage, including details about the underlying algorithms and data used. They must also provide all necessary information to the State Corporation Commission (the "Bureau" in the bill) upon request to ensure compliance. The bill prohibits carriers from solely relying on AI for adverse determinations, which are decisions to deny coverage or benefits, and mandates that they offer an expedited external review process for appealing such AI-driven decisions. Furthermore, it grants individuals covered by these health plans a private right of action to enforce these provisions and establishes penalties for violations, including fines of up to $50,000, license suspension or revocation, and compensation for affected individuals and healthcare providers.

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https://lis.virginia.gov/bill-details/20261/SB586