South Carolina legislation · 126th General Assembly
South Carolina S920: Health insurance
Status: In committee, May 6, 2026
What the bill says
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. B e it enacted by the General Assembly of the State of South Carolina: S ECTION 1. C hapter 71, Title 38 of the S.C. Code is amended by adding: A rticle 25 P rior Authorization Determinations with Artificial Intelligence S ection 38-71-2510. A s u.
From the engrossed text, May 6, 2026:
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. B e it enacted by the General Assembly of the State of South Carolina: S ECTION 1. C hapter 71, Title 38 of the S.C. Code is amended by adding: A rticle 25 P rior Authorization Determinations with Artificial Intelligence S ection 38-71-2510. A s used in this article: ( 1) "Artificial intelligence" means a machine-based system that may include software or physical hardware that performs tasks, based upon dataset inputs, which require human like perception, cognition, planning, learning, communication, or physical action and which is capable of improving performance based upon learned experience without significant human oversight toward influencing real or virtual environments. ( 2) "Department" means the Department of Insurance. ( 3) "Enrollee" means an individual who contracts for, subscribes to, or participates as a dependent under a health benefit plan. ( 4) "Health benefit plan" means any individual, blanket, or group plan, policy, or contract for healthcare services issued or delivered by: ( a) a healthcare insurer in this State as defined …