Requires doctors, not AI, to make final decisions on health insurance claims involving medical judgment.
This bill would make sure that human doctors, not artificial intelligence, have the final say when your health insurance denies a claim involving medical judgment. It would also require your insurer to tell you if AI was used in the review process and who the doctor was, giving you more transparency.
Today, health insurance plans can use AI to make or heavily influence decisions to deny claims, even those needing a doctor's opinion, without always telling you. If this bill passes, a licensed doctor would always have to make these final decisions, and you would be told if AI was involved in the review process, starting about a year after the bill becomes law.
HR 10210 · 119th Congress · AI Summary by gemini-2.5-flash · 9/10
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