Human services: medical services; use of artificial intelligence tools to make decisions regarding claims; prohibit. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 107b.

Michigan House Bill 4537 aims to prevent the state's Department of Health and Human Services and any contracted health plans from using artificial intelligence (AI) tools to deny, modify, or delay claims under the medical assistance program. This means that decisions affecting medical claims must be made by humans, not automated systems.

Supporters of the bill argue that it safeguards patients by ensuring that medical claim decisions are made with human oversight, reducing the risk of errors or biases that can occur with AI systems. They believe this approach maintains accountability and transparency in the healthcare system.

Critics contend that prohibiting AI in claim decisions could slow down the processing time and increase administrative costs. They argue that, when properly implemented, AI can enhance efficiency and consistency in decision-making, and that outright banning its use may hinder technological progress in healthcare administration.