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Artificial intelligence-based algorithm; use; restrictions; automated utilization management system; audit.

Neb. Rev. Stat. § 44-5443
in effect
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44-5443. Artificial intelligence-based algorithm; use; restrictions; automated utilization management system; audit. (1) An artificial intelligence-based algorithm shall not be the sole basis of a utilization review agent's decision to deny, delay, or modify health care services based, in whole or in part, on medical necessity. (2) A utilization review agent shall disclose to the department, to each health care provider in its network, to each enrollee, and on its public website if artificial intelligence-based algorithms are used or will be used in the utilization review process. (3) The department may, at any time, audit a utilization review agent's automated utilization management system. The department may contract with a third-party entity to perform an audit pursuant to this section. Laws 2025, LB77, § 12.
Source: Nebraska Legislature (nebraskalegislature.gov)URL: https://nebraskalegislature.gov/laws/statutes.php?statute=44-5443Fetched: 10/20/2026

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Neb. Rev. Stat. § 44-5443 — Artificial intelligence-based algorithm; use; restrictions; automated utilization management system; audit | Nebraska Revised Statutes (through Laws 2026) | Corpus