Protecting Patients From AI Insurance Denials

When you’re sick or facing a serious medical condition, you should be able to trust that a real doctor is making decisions about your care — not some algorithm on a computer. Artificial intelligence can be a useful tool in health care, but it should never replace a doctor’s judgment, especially when an insurance company is deciding whether you receive the care your doctor believes you need.

That’s why I helped introduce the bipartisan Doctors Not AI Act. This bill would require a qualified, licensed health care professional to make any determination that a treatment, procedure, or prescription is not medically necessary.

It would also give patients greater transparency when AI is involved in their care decisions. Insurers would have to disclose when AI is used in claims reviews and provide patients with the AI-generated information used in making a decision. It would also make sure patients seeking mental health and substance use disorder treatment get a fair review from their insurance company.

An insurance company’s decision about what care a patient receives can mean the difference between getting the care they need on time and allowing their condition to get worse. That’s why I’m fighting to ensure all patients have a clear path to understand and challenge those decisions — and confidence that a qualified medical professional is ultimately accountable for them.

In Congress, I’ve consistently stood up for patients and taken on big insurance companies. Earlier this year, I introduced the Care Over Profits Act to require insurance companies to use more of the money paid in premiums to cover medical claims, not overhead and corporate profits. I’ll keep fighting to put patients first and make health care more affordable for Michigan families.