Bill > SB2010

This bill, known as the "Regulate Artificial Intelligence (AI) in Health Care Act," aims to establish guidelines for the use of AI in health insurance decisions within Tennessee. It defines "artificial intelligence" broadly as a machine-based system capable of making predictions, recommendations, or decisions, influencing environments, or learning from experience, or systems that solve tasks requiring human-like perception, cognition, or action. The bill mandates that health insurance issuers, which include entities like insurance companies, health maintenance organizations, and pharmacy benefits managers, cannot deny, delay, or modify healthcare services based on medical necessity, or through the use of AI or similar software tools, unless the request for prior authorization is reviewed by a licensed healthcare professional competent to assess the specific clinical issues involved, considering the provider's recommendation, the patient's history, and individual circumstances. Violations of this act are considered unfair claims practices, subject to penalties, and aggrieved individuals can pursue private legal action to recover actual and punitive damages, along with court costs and attorney fees. The Department of Commerce and Insurance is empowered to create rules to implement this act, which will take effect for rule-making purposes upon becoming law and for all other purposes on July 1, 2026, applying to conduct on or after that date.

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https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=SB2010&ga=114