Politico December 3, 2024
Chelsea Cirruzzo, Erin Schumaker and Carmen Paun

POLICY PUZZLE

A new California law requiring insurers to oversee how artificial intelligence is used when granting prior authorization requests for treatments has captured Capitol Hill’s attention, our Chelsea Cirruzzo reports.

Rep. Ami Bera (D-Calif.) told POLITICO the House Task Force on AI he sits on has discussed the law, which goes into effect in January, along with doctors who’ve met with the group.

Why it matters: Health plans have used AI in recent years to streamline processing claims and prior authorization requests, but concerns have arisen about wrongful denials. Last year, insurers like United Healthcare and Cigna were hit by class-action lawsuits claiming they were using AI without doctor oversight, leading to improper denials of medical coverage.

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Topics: AI (Artificial Intelligence), Govt Agencies, Insurance, Payer, Physician, Provider, States, Technology
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