South Carolina 2025-2026 Regular Session

South Carolina House Bill H5206

Introduced
2/18/26  

Caption

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY ADDING ARTICLE 25 TO CHAPTER 71, TITLE 38 SO AS TO PROVIDE CIRCUMSTANCES THAT MUST BE CONSIDERED WHEN A HEALTH INSURER USES ARTIFICIAL INTELLIGENCE TO MAKE DETERMINATIONS RELATING TO PRIOR AUTHORIZATIONS, TO PROVIDE CERTAIN DISCLOSURES TO ENROLLEES, AND TO PROVIDE DISCIPLINARY ACTIONS FOR VIOLATIONS.

Impact

If enacted, HB 5206 would significantly influence how health insurers operate concerning prior authorizations within the state. By requiring insurers to certify annually that their AI systems comply with fairness and anti-discrimination statutes, the bill aims to protect enrollees from potential biases in healthcare decisions. The legislation also emphasizes the importance of human oversight by stipulating that determinations to deny or modify requests must be made by licensed healthcare professionals, thus maintaining a standard of care and personalized attention in medical decisions.

Summary

House Bill 5206 aims to amend the South Carolina Code of Laws by introducing Article 25 to Chapter 71, Title 38, specifically addressing the use of artificial intelligence (AI) in health insurers' decision-making processes related to prior authorizations. The bill outlines necessary circumstances that must be considered when AI is employed to make determinations about healthcare services. This includes the enrollee's medical history, unique clinical circumstances, and additional relevant clinical information. The primary objective is to ensure that AI tools are used ethically and accurately in the healthcare review processes, thereby enhancing the quality of care provided to enrollees.

Contention

There may be points of contention surrounding the implementation of HB 5206, particularly regarding how insurance companies adapt their practices and technology to comply with the new requirements. Critics may argue about the potential for increased costs or administrative burdens that insurance companies could face as they ensure compliance with the bill's mandates. Supporters, however, will likely emphasize the need for accountability and fairness in AI utilization within healthcare, advocating for the safeguard of enrollees’ rights to receive just and reasonable treatment based on their medical needs.

Companion Bills

SC S0920

Similar To Health insurance

Previously Filed As

SC H3302

Stop Surprise Bills

SC HB197

Provides for the use of artificial intelligence by healthcare providers

SC H4135

Vision Care Plans

SC H3129

Personal Delivery Devices

SC H3249

South Carolina Dependent Maternity Coverage Act

SC H5138

Chatbot Regulation

SC H4159

South Carolina Tribal Reservation Establishment Act

SC HB114

Provides for the use of artificial intelligence by healthcare providers (OR INCREASE GF EX See Note)

SC H3342

Hearing aids

SC H4671

Protection of Rights granted by the U.S. and S.C. Constitutions

Similar Bills

GA SB602

Insurance; prior authorization and utilization review requirements for healthcare plans; reform

SC H4562

Healthcare Services

AR HB1299

To Prohibit Healthcare Insurers From Exercising Recoupment For Payment Of Healthcare Services More Than One Year After The Payment For Healthcare Services Was Made.

AR HB1301

To Amend The Prior Authorization Transparency Act.

SC S0531

Healthcare Services

KS SB330

Enacting the ensuring transparency in prior authorization act to impose requirements and limitations on the use of prior authorization in healthcare.

AR HB1297

Concerning Artificial Intelligence, Algorithms, And Other Automated Technologies; And To Regulate Certain Practices Of Healthcare Insurers.

SC S0920

Health insurance