Alabama

Can my health plan deny care using AI alone?

No — and the human who decides must be competent to judge what the model concluded.

a determination to deny, delay, or modify a request for prior authorization based on medical necessity shall always be made by a licensed physician or other health care professional who is competent to evaluate any recommendation or conclusion of artificial intelligence

Source: Section 1(b)(3) · read 2026-09-17 · byte-tested against the retained file

Scope of the quotation: The registry stores one sentence per obligation, chosen to prove the duty. What is quoted here is the clause of Section 1(b)(3) that carries it; the subsection around it is longer.

Most instruments here stop at “a human must decide”. Alabama adds a qualification almost no other statute makes: the reviewer has to be competent to evaluate the recommendation or conclusion of the artificial intelligence. A human signature from someone who cannot judge the model does not satisfy this provision.

Who does the law hold responsible?

The health benefit plan provider — and it answers to the regulator, annually.

A health benefit plan provider shall certify annually to the department that the artificial intelligence used to make determinations of medical necessity on requests for prior authorization complies with all of the following

Source: Section 1(b)(2) · read 2026-09-17 · byte-tested against the retained file

Four duties in this act, one bearer in all four. Nothing here reaches the developer of the model or the vendor that sells it — a scan of the whole act returns zero for vendor, developer, deployer, supplier and contractor. Where the model comes from is not this statute’s question.

Can a chatbot be my therapist?

Not checked in this state.

Must my clinician tell me AI wrote the note?

Not checked in this state.