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Utah Tests Autonomous AI Medical Decision-Making Without Doctor Approval

The program operates through the Nolla Derm app, where patients complete a 10- to 15-minute questionnaire and facial scan.

Utah becomes the first U.S. state to allow AI to prescribe medication without direct doctor review. Pic via(@business)

Utah regulators have authorized New York-based startup Nolla Health to use an AI system to evaluate patients and issue initial acne prescriptions without prior human review, in a closely watched test of autonomous medical decision-making.

The program operates through the Nolla Derm app, where patients complete a 10- to 15-minute questionnaire and facial scan. It is part of Utah’s AI sandbox program, which allows regulators to temporarily waive certain requirements while testing new technologies.

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Nolla Health will initially require two physicians to approve every prescription for the first 100 patients before shifting to retrospective weekly reviews. Cases the system cannot confidently treat must be referred to a doctor.

The company says the service could make dermatology more affordable, with the app costing $4.99 per month compared with typical visits costing $150 to $300. However, American Medical Association CEO John Whyte has argued that AI tools should not practice medicine autonomously. Nolla plans to expand beyond acne treatment.

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