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Primary Sponsor

Last Action

Re-ref Com On Rules and Operations of the Senate2026-06-23

Vote Breakdown

Plain Language Summary

This bill prohibits the use of artificial intelligence as the sole basis for denying insurance coverage decisions and claims in North Carolina's Medicaid and commercial insurance programs. It also bars healthcare providers and AI developers from using AI systems designed to promote 'upcoding' (billing for higher-level services than actually provided), and requires healthcare providers to annually attest their compliance with these restrictions.

Arguments in Favor

• •Supporters argue this bill protects patients from AI systems making incorrect medical decisions without human review, which could result in denied necessary care.
• •They also contend it prevents fraudulent billing practices where AI systems are deliberately programmed to inflate medical claims, protecting insurance programs and ultimately consumers from higher costs.

Arguments Against

• •Opponents may argue the restrictions could slow down claims processing and increase administrative costs for insurers and healthcare providers by requiring manual review of AI-assisted decisions.
• •They might also contend that well-designed AI systems can improve accuracy and efficiency in billing and coverage decisions, and that overly broad restrictions could limit beneficial uses of the technology without effectively preventing actual harms.