AI Frontier Institute

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

View primary source →

Senate Bill 444, signed May 5, 2026 as Act 411, adds Code section 33-46-7.1 to Chapter 46 of Title 33 of the Official Code of Georgia Annotated, which governs the certification of private review agents. The act permits private review agents and utilization review entities to use artificial intelligence, artificial intelligence systems and other software tools, provided those tools are part of a utilization review plan meeting the chapter's standards and the Insurance Commissioner's rules, and it expressly allows them to automate tasks, reduce administrative burdens and participate in decision-making. The limit falls on the denial itself: such a system "shall not issue an adverse determination to a patient until a natural person qualifying as a private review agent or a utilization review entity conducts a utilization review in which a clinical peer participates," and "in no event shall artificial intelligence systems, artificial intelligence, or other software tools supersede the judgment of such clinical peer." The act defines artificial intelligence as a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations or decisions influencing real or virtual environments, and an artificial intelligence system as an engineered or machine-based system that emulates a human cognitive process such as learning, generalizing, reasoning, planning or predicting. It becomes effective January 1, 2027.

← Back to the tracker