AI Prescription Renewal Pilots

Cities and states are beginning pilot programs that let certified AI systems autonomously renew routine medical prescriptions without physician involvement. These pilots cover narrow, low‑risk formularies (chronic maintenance meds, non‑controlled classes) and are justified on efficiency and access grounds but raise concrete questions about liability, abuse‑proofing, clinical oversight, EHR integration, and auditing. — If pilots scale, they will force national debates over who legally authorizes medical decisions, how to certify and audit clinical AI, prescribing liability, and how to prevent diversion and gaming—reshaping health regulation and primary‑care delivery.