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CA Urges Insurers to Make Things Easier for LA Wildfire Victims California Insurance Commissioner Ricardo Lara (D) issued a notice to residential property insurance companies in the state urging them...
Legislative Backlash Against AI Regulation A bill introduced in Montana ( SB 212 ) and a proposed constitutional amendment in New Hampshire ( CACR 6 ) would establish a right to compute, guaranteeing...
More PBM Regulation Under Consideration in IA After passing pharmacy benefit manager regulations last year, Iowa lawmakers are considering a pair of bills ( HSB 99 and SSB 1074 ) that would require all...
In late September, California became one of the first states to establish some ground rules for the use of artificial intelligence in healthcare when Gov. Gavin Newsom (D) signed into law AB 3030 and SB...
Bipartisan Bill to Ban Noncompete Clauses Introduced in OH Ohio Sens. Bill Blessing (R) and Bill DeMora (D) have introduced legislation ( SB 11 ) that would ban employers from enforcing noncompete clauses...
California could soon establish new guardrails for the use of artificial intelligence in healthcare with a pair of bills awaiting action by Gov. Gavin Newsom (D). One of the measures (SB 1120) would set requirements for the use of AI by insurers for utilization review or utilization management. The other (AB 3030) would require healthcare providers to disclose when they use generative AI in patient communications.
Although there were broad AI bills passed in Colorado (SB 205) and Utah (SB 149) with implications for healthcare providers, only a handful of the bills introduced this year focused on AI in healthcare specifically, which was somewhat of a surprise to Randi Seigel, a partner at Manatt Health.
“We actually expected more laws like this to be introduced this year and think it’s likely we will see a few other states introduce similar bills next year,” she said.
She added: “However, it may be another few years before we see mass adoption of these types of laws as many states will still be studying how they want to legislate AI through their task forces and councils that were created under this years’ laws.” (PLURIBUS NEWS, LEXISNEXIS STATE NET)
The New Jersey Assembly’s Financial Institutions and Insurance Committee heard testimony on pending legislation (AB 3858) that would strengthen oversight of claims denied by health insurers. The measure would require insurers to submit a variety of information, including the number of claims they receive, the number they deny, the number appealed, the number approved and denied during the prior authorization process, and the procedures for which claims are most frequently denied. It would also require insurers that are unable to justify at least 20% of their denied claims to reimburse customers 100% of what they were charged for the services that were denied coverage. (NEW JERSEY MONITOR)
After working for over a year on how to implement payment limits for the drugs state and local governments buy, Maryland’s Prescription Drug Affordability Board approved an upper payment limit plan. The plan still has to be approved by the General Assembly’s Legislative Policy Committee, which has 45 days to do so. (WYPR)
—By SNCJ Correspondent BRIAN JOSEPH
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