Orwall bill to improve prior authorization transparency signed into law

OLYMPIA — A bipartisan bill restricting the use of artificial intelligence (AI) in making prior authorization determinations was signed into law Monday. Senate Bill 5395, sponsored by Sen. Tina Orwall (D-Des Moines), prohibits private insurance companies and Washington’s public employee health programs from using AI as the only means to deny, delay, or modify health care services for patients. Under the new law, health plans may use AI to process and approve prior authorization requests under certain conditions, but a licensed provider must review them to deny care based on a determination of medical necessity. “When it comes to denying care, only physicians should have the power to make these determinations because they’ve taken an oath to do no harm — and ...

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