Coverage Review

"Coverage review" is a tag for news about examinations of whether an insurance policy actually responds to losses from AI systems, such as model failures, data leaks, or harmful outputs that a company's current policies may or may not pay for. Insurers are increasingly adding AI-specific exclusions or sublimits, so reviewing coverage is becoming a routine part of enterprise risk management. For general counsel and risk managers, these reviews show where gaps exist between what the business assumes is insured and what the policy language will in fact cover when an AI incident occurs.

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EnforcementUS2026-11-11

Congress Targets Medicare AI Coverage Pilot for Repeal in First 100 Hours

A Democratic-controlled Congress is expected to move within its first 100 hours to repeal the Medicare WISeR model. WISeR is a Centers for Medicare and Medicaid Services pilot that uses AI to support coverage review decisions. The Seniors Deserve SMARTER Care Act, which would ban the pilot outright, has bipartisan support and already cleared the House Appropriations Committee unanimously. Separately, Democrats are pushing to delay Medicaid work requirements while calling for increased oversight of the technology vendors helping states implement eligibility systems.

Medicare AI pilot CMS Medicaid congressional oversight healthcare AI coverage review federal AI governance