New York S 7896: Relates to providing accidental disability retirement benefits for deputy sheriffs in Suffolk county

Bill Text

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S07896 Summary:

BILL NOS07896 

&nbsp

SAME ASSAME AS A08556

&nbsp

SPONSORGONZALEZ

&nbsp

COSPNSR

&nbsp

MLTSPNSR

&nbsp

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

&nbsp

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 S07896 Actions:

BILL NOS07896 

&nbsp

05/13/2025REFERRED TO HEALTH

01/07/2026REFERRED TO HEALTH

Go to topS07896 Committee&nbspVotes:

Go to topS07896 Floor&nbspVotes:

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

Go to topS07896 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 7896

 2025-2026 Regular Sessions

 IN SENATE

 May 13, 2025
 ___________

 Introduced by Sen. GONZALEZ -- read twice and ordered printed, and when
 printed to be committed to the Committee on Health

 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

 S. 7896 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