Duty LXD-6840

Handles health records, in Georgia

1 law 3 lines Entry current, revision 1 of 10 November 2026 About this activity

Private Review Agent Artificial Intelligence Coverage Determinations Act (SB 444)from 1 Jan 2027, in 7 weeks3 lines

O.C.G.A. § 33-46-7.1, enacted by Ga. SB 444 (2025-2026 session) · Read the law's page

If you are a private review agent or utilization review entity making coverage determinations for healthcare services in Georgia, you may use artificial intelligence systems, artificial intelligence, or other software tools as part of a utilization review plan meeting the Insurance Commissioner's standards.
Do not let such a system issue an adverse coverage determination on its own; have a natural person qualifying as a private review agent or utilization review entity conduct the utilization review, with a clinical peer participating, before any adverse determination issues.
Do not let the system supersede the clinical peer's judgment.

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