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

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Senate Bill 444 (Act 411) became law on May 5, 2026, and takes effect January 1, 2027. It adds new Code section 33-46-7.1 to Georgia's chapter on certification of private review agents (Chapter 46 of Title 33). Section 33-46-7.1(a) defines "artificial intelligence" and "artificial intelligence system." Under 33-46-7.1(b), private review agents and utilization review entities may use AI systems, AI, or other software tools, but only as part of a utilization review plan that meets the chapter's standards and the Commissioner's rules and regulations. Under 33-46-7.1(c), these tools may automate tasks, reduce administrative burdens, participate in decision-making, and perform other lawful functions. They may not issue an adverse determination to a patient until a natural person who qualifies as a private review agent or utilization review entity has conducted a utilization review in which a clinical peer participates. These tools may never supersede the clinical peer's judgment. Section 3 repeals conflicting laws.

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