Relating to use of artificial intelligence in utilization review conducted for health benefit plans.

HB 2922 prohibits health insurance companies from using artificial intelligence algorithms as the sole basis to deny, delay, or modify health care services for plan members based on medical necessity. The bill requires that only physicians or licensed health care providers can determine if care is medically necessary or appropriate, ensuring human oversight in critical decisions. It also grants the insurance commissioner authority to audit insurers' use of AI in these reviews at any time. The law takes effect September 1, 2025, directly affecting health benefit plans, insurers, and the care decisions of plan members.