Summary
Narrows prior-authorization and claim-review requirements by requiring appropriate medical review for adverse determinations involving medical judgment. The enacted version does not contain the earlier explicit AI-prohibition language or classify AI-only denials as unprofessional conduct.
Healthcare Implications
AI relevance is indirect: the law reinforces human medical-review expectations for adverse utilization-management decisions, but it does not explicitly regulate AI or automated decision systems in its enacted form.
Operational Implications
- None