Data and State Governance

Data and State Governance

As 2026 Legislative Session started on Wednesday 1/14/2026, I moved away from Ways and Means Committee to Government, Labor and Election Committee. I will put more efforts on the state agency operations.

I am starting a data and state governance series, using data to explain the issues and good governance. If you are interested in any areas in the state government, please let me know. I will cover those areas.

2025 NAIC Health Insurance Artificial Intelligence/Machine Learning Survey Results

2025 NAIC Health Insurance Artificial Intelligence/Machine Learning Survey Results

EXECUTIVE SUMMARY

The Health Insurance Artificial Intelligence/Machine Learning Survey Results report aims to provide a
comprehensive understanding of the use of AI/ML by health insurers, the role of third-party
components, AI governance frameworks, and the alignment with NAIC AI Principles. The survey,
conducted by 16 states, gathered responses from 93 companies, indicating that 84% of health insurers use AI/ML across various product lines, including Individual Major Medical, Group Major Medical, and Student Health Plans.


Companies selling individual major medical health insurance are currently using or exploring the use of AI/ML primarily for utilization management practices (71%), disease management programs (61%), prior authorization for approval processes (68%), claims fraud detection (50%), for medical provider fraud detection (51%), and sales and marketing solutions (45%) for enhancing online sales, quoting, or
shopping experiences. Only about 4% of health insurers are using AI/ML to detect smoking and even
fewer insurers use facial recognition or behavior models to detect fraud. 12% of companies use AI for
denying prior authorizations and 14% of companies use AI to infer sensitive data, such as race or other
data values. 55% of health insurers use third-party components in their AI/ML Systems, 15% rely entirely on third-party AI/ML solutions, 13% use a combination of internal and third-party data and/or AI/ML components, and 10% develop AI/ML solutions internally.


Many companies have adopted principles focusing on accountability, transparency, security, and
privacy. The survey shows that many companies employ various methods to test for drift, bias, and
unfair discrimination in AI to include cross validation for accuracy, exploratory data analysis (EDA), to
analyze data for completeness and consistency, tracking performance metrics such as AUC, F-score,
confusion matrix, conducting equity audits, compliance audits, performance audits, and human
intervention in AI-driven decisions. Overall, while health insurers are taking steps to govern AI usage,
further analysis of this survey may provide insight into the next steps for regulatory frameworks and
industry practices to ensure that AI/ML technologies are used responsibly and ethically.

AI hiring disclaimer from ADP, Part 1/2

AI hiring disclaimer from ADP, Part 1/2

This is the first time I am seeing a company discloses this information. This is great.

The file is here:

A quick summary (using ChatGPT):

1. Artificial Intelligence Transparency Notice

Summary:
ADP uses AI systems—including generative and traditional machine learning—to provide insights, generate responses, draft job descriptions, and make predictions based on both company-specific and general knowledge. These AI systems are constrained to defined use cases, operate in a non-public environment, and are subject to human oversight to ensure privacy, security, bias mitigation, and result accuracy. AI is not universally deployed to all customers. Employers must validate AI-generated content for accuracy and completeness before use.

Pros:

  • Clear disclosure of AI involvement and its scope.
  • Emphasis on privacy, security, and bias safeguards.
  • Requires human validation before application.

Cons:

  • No technical detail on bias mitigation methods.
  • Lack of transparency about AI model architecture or data sources.

Flaws/Challenges:

Does not address potential AI hallucinations or outdated data risks.

“Rigorous methods” for safeguarding privacy are vaguely described.

No quantitative bias audit details here (only in later sections).

2. Candidate Relevancy Overview & Scoring Method

Summary:
Candidate Relevancy and Profile Relevance tools use AI/ML to match candidate resumes with job descriptions based on education, skills, and experience. They produce three weighted sub-scores aggregated into a final score (1–100) or category (High/Medium/Low). Weights vary by job sector and are empirically derived. The system is meant to be one of many hiring tools, without cut-off scores, and does not use demographic or protected information. Employers see all applications regardless of score.

Pros:

  • Transparent on matching methodology (three-component model).
  • Excludes demographic/protected data from scoring.
  • Allows all applicants visibility to employers.

Cons:

  • Weights are proprietary, with no clear rationale per job beyond “empirical” determination.
  • Limited explanation of sector-specific variation.

Flaws/Challenges:

  • Potential misalignment if job descriptions are poorly written or incomplete.
  • Reliance on historical data could encode past biases indirectly.
  • No disclosure on algorithm retraining frequency.

3. Compliance with NYC Local Law 144

Summary:
The FAQ states ADP does not believe Candidate Relevancy qualifies as an “automated employment decision tool” under NYC’s Local Law 144, as it is not intended to substantially assist or replace human decision-making, is not weighted more than other factors, and does not overrule human conclusions. Employers are instructed to use it only as one source of information, not as the sole hiring criterion.

Pros:

  • Clear legal positioning to avoid regulatory classification.
  • Explicitly prevents over-reliance on the tool.

Cons:

  • “Intended use” may differ from real-world employer practice.
  • Relies on employer compliance with intended usage.

Flaws/Challenges:

  • No enforcement mechanism to ensure employers don’t misuse scores.
  • Risk that some users may unintentionally give disproportionate weight to scores.
  • Lacks clarity on handling regulatory changes or broader legal definitions.

4. Bias Audit Results – Candidate Relevancy

Summary:
Independent auditors (BLDS, LLC) in April 2024 found no statistically valid evidence of bias by sex, race/ethnicity, or intersectional categories. Data tables show scoring rates and impact ratios, with small-population categories excluded per NYC Ordinance. Adjustments for Simpson’s Paradox were made.

Pros:

  • Independent third-party audit increases credibility.
  • Transparent publication of demographic scoring data.

Cons:

  • Limited explanation of audit methodology and statistical thresholds.
  • Exclusion of <1% groups could hide biases affecting small communities.

Flaws/Challenges:

  • “No valid statistical evidence” does not mean no bias exists—small effect sizes may be present.
  • Potential year-to-year variation not addressed.
  • Does not test bias in real-world hiring outcomes, only in scoring outputs.

5. Bias Audit Results – Profile Relevance

Summary:
Similar to Candidate Relevancy but displays categorical ratings instead of numeric scores. BLDS audit also found no statistical evidence of bias. Selection rates and impact ratios are provided for “High” and “High or Medium” classifications by demographic group. Small groups (<1% of applicants) excluded from impact ratio calculations.

Pros:

  • Consistent independent review approach.
  • Publishes detailed demographic breakdowns.

Cons:

  • Same methodological gaps as Candidate Relevancy audit.
  • Category thresholds (“High/Medium”) are not transparently defined.

Flaws/Challenges:

  • Translation of numeric to categorical scores could introduce hidden bias.
  • Risk that “Medium” candidates may be deprioritized despite lack of bias evidence in “High” group.

6. Opt-Out Policy

Summary:
Applicants may opt out of AI scoring for a specific job, in which case their score is listed as “Not Available.” This also occurs if technical issues prevent scoring. All applicants remain visible to recruiters.

Pros:

  • Preserves applicant choice.
  • Ensures no one is excluded from visibility due to opting out.

Cons:

  • Opt-out is job-specific, requiring multiple actions for multi-application seekers.
  • No transparency on whether opting out impacts recruiter behavior.

Flaws/Challenges:

  • Potential recruiter bias against “Not Available” scores.
  • Ambiguity on how technical issues are communicated to applicants.

In part 2, I am going to dive into those numbers and have some analysis.

2023 National AI Scholarship for Howard County Public Schools Students!

2023 National AI Scholarship for Howard County Public Schools Students!

The 2023 National AI Scholarship is alive! Encourage your students to apply!

Hi Chao,   We are excited to announce our 2023 National AI Scholarship Application is now LIVE! Share this email with your students and encourage them to apply! This is quite a time-sensitive opportunity as the deadline for the scholarship is 11/29/2022 (in 10 days)!   With instructors from Stanford, MIT, and Carnegie Mellon University, Howard County Public Schools students can jump into the world of AI, gain real hands-on experience, develop creative projects and boost their competitiveness on their college applications and on the job market! I chatted with 20 school districts last few weeks, and this scholarship opportunity is the number one request from the educators and administrators!   I myself am from a low-income family, and I know how much this can help. So far AI Camp has given away almost $1 million in scholarships to students. Please let your students and faculty know about this. They will thank you.   Click here to access the application form! Oh also, here is a flyer for you to share with your students. Please let me know if you have any questions. Happy to answer them.   Best,   Michael   Michael Ke Zhang (Linkedin Profile) Co-founder and Chief Instructor at AI Camp AI Camp – learn AI with zero coding experience Read about our latest blog posts about AI on Medium Watch our Intro to AI at Youtube. (626)688-7921   AI Camp, 2627 Hanover Street, Palo Alto, California 94304, USA, 650-436-4477 Unsubscribe Manage preferences

Delayed reward

The  algorithm backing Google’s AlphaGo which beat all top human “Go” players is called reinforcement learning.  There is a concept called “delayed reward”. This idea is very interesting and shares some analogy with human’s intelligence handling process.

Delayed reward asks the agent/action to think about the objective in a little longer (at least not the next step) term, not instantaneous. Thinking about today’s social media,  which is a a quite contradictory. The social media is a great way to communicate and gather information. At the same time, it puts a lot pressure for a quick response and a fast judgement. There is no much time thinking of delayed , but more accurate response in some cases even before all the facts are gathered or the truth is known.

For a normal human who always looks for a short term, instantaneous reward will have difficulty handing failures, barriers and hardships. It takes courage and persistence to prevail under hardship since reward probably is not at the near horizon for a long time. We need always stay optimistic and put our hope and faith high.

In the algorithm, it is always consistently monitoring the output, computing the reward, thinking of the next action. Constant feedback into the system will help the system to gather information and improve the decision making process.

alphaGo