Amends TCA Title 8, Chapter 27; Title 56 and Title 71.
Tennessee HB1382 requires health insurance issuers that utilize artificial intelligence or algorithms for utilization review or management to ensure that such tools adhere to specific guidelines regarding medical necessity. It affects health insurance providers, including those involved in the TennCare program and other state-managed plans. Key provisions include mandates for basing determinations on individual medical histories, compliance with state and federal laws, and prohibitions against using AI to deny or modify healthcare services based solely on group datasets.
Tennessee HB1382 requires health insurance issuers that utilize artificial intelligence or algorithms for utilization review or management to ensure that such tools adhere to specific guidelines regarding medical necessity. It affects health insurance providers, including those involved in the TennCare program and other state-managed plans. Key provisions include mandates for basing determinations on individual medical histories, compliance with state and federal laws, and prohibitions against using AI to deny or modify healthcare services based solely on group datasets.
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Harris, Torrey
114th General Assembly
February 6, 2025
February 12, 2025
Assigned to s/c Insurance Subcommittee