New York A 8556: Relates to equine drug testing regulations and prohibiting striking a horse during a race

Bill Text

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A08556 Summary:

BILL NOA08556 

&nbsp

SAME ASSAME AS S07896

&nbsp

SPONSORHunter

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COSPNSR

&nbsp

MLTSPNSR

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Add §4905-a, Pub Health L; add §4905-a, Ins L

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Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.

Go to top A08556 Actions:

BILL NOA08556 

&nbsp

05/20/2025referred to insurance

01/07/2026referred to insurance

Go to topA08556 Committee&nbspVotes:

Go to topA08556 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topA08556 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 8556

 2025-2026 Regular Sessions

 IN ASSEMBLY

 May 20, 2025
 ___________

 Introduced by M. of A. HUNTER -- read once and referred to the Committee
 on Insurance

 AN ACT to amend the public health law and the insurance law, in relation
 to the use of an artificial intelligence, algorithm, or other software
 tool for the purpose of utilization review

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. The public health law is amended by adding a new section
 2 4905-a to read as follows:
 3 § 4905-a. Use of artificial intelligence, algorithm, or other soft-
 4 ware tool for the purpose of utilization review. 1. A utilization review
 5 agent that uses an artificial intelligence, algorithm, or other software
 6 tool for the purpose of utilization review, based in whole or in part on
 7 medical necessity, or that contracts with or otherwise works through an
 8 entity that uses an artificial intelligence, algorithm, or other soft-
 9 ware tool for the purpose of utilization review, based in whole or in
 10 part on medical necessity, shall comply with this section and shall
 11 ensure all of the following:
 12 (a) The artificial intelligence, algorithm, or other software tool
 13 bases its determination on the following information, as applicable:
 14 (i) an enrollee's medical or other clinical history;
 15 (ii) individual clinical circumstances as presented by the requesting
 16 provider; and
 17 (iii) other relevant clinical information contained in the enrollee's
 18 medical or other clinical record.
 19 (b) The artificial intelligence, algorithm, or other software tool
 20 does not base its determination solely on a group dataset.
 21 (c) The artificial intelligence, algorithm, or other software tool's
 22 criteria and guidelines complies with this article, including, but not
 23 limited to any other applicable state and federal law.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD08449-01-5

 A. 8556 2

 1 (d) The artificial intelligence, algorithm, or other software tool
 2 does not supplant health care provider decision-making.
 3 (e) The use of the artificial intelligence, algorithm, or other soft-
 4 ware tool does not discriminate, directly or indirectly, against enrol-
 5 lees in violation of state or federal law.
 6 (f) The artificial intelligence, algorithm, or other software tool is
 7 fairly and equitably applied, including in accordance with any applica-
 8 ble regulations and guidance issued by the federal department of health
 9 and human services.
 10 (g) The artificial intelligence, algorithm, or other software tool is
 11 open to inspection for audit or compliance reviews by the department.
 12 (h) Disclosures pertaining to the use and oversight of the artificial
 13 intelligence, algorithm, or other software tool are contained in the
 14 written policies and procedures, as required by section forty-nine
 15 hundred two of this title.
 16 (i) The artificial intelligence, algorithm, or other software tool's
 17 performance, use, and outcomes are periodically reviewed and revised to
 18 maximize accuracy and reliability.
 19 (j) Patient data is not used beyond its intended and stated purpose,
 20 consistent with this section and the federal Health Insurance Portabil-
 21 ity and Accountability Act of 1996 (Public Law 104-191), as applicable.
 22 (k) The artificial intelligence, algorithm, or other software tool
 23 does not directly or indirectly cause harm to the enrollee.
 24 2. Notwithsta