SF3984

Purpose

To prohibit health carriers in Minnesota from using algorithms or artificial intelligence (AI) when making decisions about approving or denying prior authorization requests.

Main provisions

• Adds a new subdivision (Subd. 3) to Minnesota Statutes 2024, section 62A.59.
• Provides that a health carrier is prohibited from using an algorithm or artificial intelligence program when determining whether to approve or deny a prior authorization request.

Scope and impact

• Applies specifically to health carriers operating under Minnesota law in the context of prior authorization decisions.

Changes to existing law

• Codifies a clear prohibition within the current statute, ensuring AI or algorithmic systems cannot be used to decide prior authorization outcomes.

Implementation considerations

• The text provided does not specify penalties, enforcement mechanisms, or effective dates.

Terminology used in this bill

• prior authorization request
• health carrier
• algorithm
• artificial intelligence program
• determination to approve or deny
• Minnesota Statutes 2024 section 62A.59
• Subd. 3

Relevant Terms - prior authorization - algorithm - artificial intelligence (AI) - health carrier - Minnesota Statutes 2024 - section 62A.59 - Subdivision 3 (Subd. 3)