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Lawmakers Weigh Benefits & Risks of AI in Healthcare

AI on the Hill

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This week in Washington, lawmakers and health experts came together to unpack a pressing question: How should we be using AI in healthcare—and where do we draw the line?

During a House health subcommittee hearing, the conversation ranged from rural care to regulatory gaps. Here's what was on the table:

🧠 AI Could Lighten the Load for Healthcare Workers

Representative Morgan Griffith (R-VA) kicked things off by spotlighting AI’s ability to cut through red tape. He pointed to AI’s growing role in research—helping speed up drug discovery and clinical trial recruitment—as well as easing administrative headaches like claims processing and documentation.

Less paperwork = more time with patients. That’s the kind of math lawmakers say they like.

🏥 Bridging the Gap in Rural Care

AI could also help reach patients in places where the nearest specialist is hours away. Representative Nick Langworthy (R-NY) said emerging tools are bringing diagnostic support to remote communities. Representative Diana Harshbarger (R-TN) added that pharmacists—often the most accessible healthcare providers in rural areas—could better coordinate with physicians if AI helped streamline data-sharing.

⚠️ But What About Oversight?

Lawmakers across the aisle agreed: AI should assist, not replace, human clinicians. Representative Brett Guthrie (R-KY) summed it up: “Human judgment must remain at the center of care.”

There’s also growing concern that the FDA may not have the right tools to regulate AI systems that constantly evolve. Stanford’s Michelle Mello warned that without tougher post-market surveillance, we risk letting products drift from safe to sketchy after they hit the market.

🚫 AI in Prior Authorization? Lawmakers Pump the Brakes

One of the most heated topics was AI's role in prior authorization—especially in Medicare Advantage. Some insurers use AI to flag claims for denial, which can limit care access while boosting their bottom line.

Mello raised a red flag: Even when humans review AI-recommended denials, they may just rubber-stamp the algorithm’s call. Representative Greg Landsman (D-OH) slammed the current pilot program, warning it could lead to more denials—and more patients getting hurt.

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