Orwall prior authorization bill heard in House committee

OLYMPIA — A bipartisan bill restricting the use of artificial intelligence (AI) in making prior authorization determinations was heard in the House Health Care & Wellness Committee Wednesday. 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 bill, which passed nearly unanimously in the Senate, 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 insurers are slammed with a massive of volume of prior authorization requests, AI has ...

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