WHAT THIS BILL REGULATES · 1 REQUIREMENT TYPE
How Is This Bill Enforced
Verbatim statutory text on the left; plain-language analysis and a per-section checklist on the right. Numbered markers cross-link to the matching checklist row.
1 That the general statutes be amended to prohibit any health insurer from using artificial intelligence as the primary method to deny health insurance claims.
The bill's sole operative section directs that the Connecticut general statutes be amended to prohibit health insurers from using artificial intelligence as the primary method to deny health insurance claims. This is a concept bill — it contains no specific statutory language, definitions, enforcement provisions, or penalties. The operative effect, if enacted in its current form, would be a prohibition analogous to HC-01.1 requirements seen in other states: AI may not serve as the primary basis for adverse claim determinations without human clinical review.
The use of "primary method" rather than "sole basis" suggests a stricter standard than some comparable state bills, which prohibit AI only as the sole basis for denial. Under this framing, even a denial process where AI plays the dominant but not exclusive role could be prohibited.