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 Sec. 107b. The department or a contracted health plan shall not deny, modify, or delay a claim under the medical assistance program based on a review using artificial intelligence.
Section 107b adds a single operative provision to the Social Welfare Act prohibiting the Michigan Department of Health and Human Services and any contracted health plan from using artificial intelligence to deny, modify, or delay a claim under the medical assistance (Medicaid) program. The prohibition is categorical — it does not require that AI be the sole or primary basis for the adverse determination, nor does it carve out AI use with human oversight. Any review "using" AI that results in a denial, modification, or delay is prohibited.
The bill contains no definitions of "artificial intelligence," "claim," or "contracted health plan," leaving those terms to be interpreted under existing Michigan law and administrative practice. It also contains no enforcement mechanism, penalties, or private right of action — compliance would presumably be enforced through existing Medicaid administrative processes and judicial review.