120.880        AI In Insurance Claims

MSSNY supports:(1) transparency standards which allow for the state agency auditing of AI algorithms used by New York State health insurers to approve and deny claims (2) the modification of New York statute to explicitly preempt the utilization of race and race-based proxies in the algorithmic claims processing of health insurance.

MSSNY advocates for the prohibition of the use of artificial intelligence in the denial of insurance claims.

MSSNY calls for a thorough examination and oversight of AI algorithms utilized in insurance claim processing to ensure fairness, transparency, and accountability.

MSSNY urges insurance companies to adopt policies that prioritize human review and intervention in the decision-making process for insurance claim denials.

MSSNY encourages collaboration with regulatory bodies, stakeholders, and experts in the field to establish guidelines for the ethical use of AI in insurance claim processing.

MSSNY shall communicate this resolution to relevant legislative bodies, regulatory agencies, and the public to promote awareness and action in addressing the ethical concerns associated with the use of AI in insurance claims.

MSSNY will create a task force that will further investigate the role and use of AI in health insurance plans. (HOD 2024, substitute in lieu of resolutions 256 and 257)