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An Illinois state legislator who's a health care regulator attorney is trying to help the state adopt rules governing how insurers in the state use artificial technology to handle health insurance claims.
State Rep. Bob Morgan, D-Deerfield, Ill., is rounding up support for the "Artificial Intelligence Systems Use in Health Insurance Act."
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The bill would put health insurers' use of AI claim review technology under the oversight of the Illinois Department of Insurance.
A live human would have to review any claim decision made by an insurer's AI system, and insurers would have to disclose use of AI claim review assistance to the coverage holders.
The bill could still come up during a short legislative session in January. The bill filing deadline for the state Illinois General Assembly session that begins in 2025 is Feb. 7, 2025.
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Morgan has been serving as an Illinois state representative since 2019.
Earlier in his career, he was deputy counsel for employee benefits for the state of Illinois and then general counsel for the Illinois Department of Public Health. He is now a partner at a law firm.
Illinois is seeing concerns about use of health insurers' claim-handling strategies pour into its courts. In the summer, for example, federal courts across the nation consolidated a big wave of claim repricing lawsuits involving many health care providers and many payers under a judge in the U.S. District for the Northern District of Illinois.
Illinois has already prohibited employers from using AI in job interviews.
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