Private Review Agents; certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems; provide

A BILL to be entitled an Act to amend Chapter 46 of Title 33 of the Official Code of Georgia Annotated, relating to certification of private review agents, so as to provide that certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools; to provide for definitions; to provide for related matters; to provide for an effective date; to repeal conflicting l…

Source: OpenStates · fetched April 10, 2026

• Medicaid / public insuranceindirectModerate impactHigh certainty

  Decisions regarding insurance coverage for healthcare services will not be based solely on artificial intelligence systems, artificial intelligence, or other software tools, potentially leading to more human oversight and consideration in coverage determinations.

  “certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools”· 1

• Low-income / working-classindirectModerate impactMedium certainty

  Individuals with lower incomes who rely on insurance for healthcare services may benefit from a more thorough review process for coverage decisions, as AI-only decision-making is restricted.

  “certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools”· 1

• Person with a disabilityindirectModerate impactMedium certainty

  Individuals with disabilities, who may require specific healthcare services, could see improved outcomes in insurance coverage decisions due to the prohibition of sole reliance on AI.

  “certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools”· 1

• Senior (65+, Medicare/SS)indirectModerate impactMedium certainty

  Seniors who depend on insurance for healthcare may experience more equitable coverage decisions as the bill restricts the sole use of AI in these processes.

  “certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools”· 1

• Reproductive-age personindirectModerate impactMedium certainty

  Individuals of reproductive age seeking insurance coverage for healthcare services may benefit from human oversight in decisions, rather than solely AI-driven processes.

  “certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools”· 1

• Mental health service userindirectModerate impactHigh certainty

  Decisions regarding insurance coverage for mental health services will not be based solely on artificial intelligence systems, artificial intelligence, or other software tools, potentially ensuring more nuanced and appropriate care.

  “certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems, artificial intelligence, or other software tools”· 1