Hospital and Medical Services Utilization Review Act; requiring utilization review organization that uses AI to adhere to requirements; prohibiting AI from making certain determinations. Effective date.

Oklahoma's SB 1967 regulates how health insurance companies use artificial intelligence (AI) in reviewing medical care requests. The bill prohibits AI tools from denying, delaying, or modifying care based on medical necessity - requiring licensed physicians or healthcare professionals to make these final decisions instead. It also mandates that AI tools must base reviews on individual patient records (not group data), be transparent to enrollees, and undergo regular accuracy checks. This directly affects health insurers using AI for coverage decisions and ensures patients receive human-reviewed care determinations.