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Another area in which the use of AI systems deserves special consideration is
the access to and enjoyment of certain essential private and public services and benefits
necessary for people to fully participate in society or to improve one’s standard of living. In
particular, natural persons applying for or receiving essential public assistance benefits and
services from public authorities namely healthcare services, social security benefits, social
services providing protection in cases such as maternity, illness, industrial accidents,
dependency or old age and loss of employment and social and housing assistance, are typically
dependent on those benefits and services and in a vulnerable position in relation to the
responsible authorities. If AI systems are used for determining whether such benefits and
services should be granted, denied, reduced, revoked or reclaimed by authorities, including
whether beneficiaries are legitimately entitled to such benefits or services, those systems may
have a significant impact on persons’ livelihood and may infringe their fundamental rights,
such as the right to social protection, non-discrimination, human dignity or an effective remedy
and should therefore be classified as high-risk. Nonetheless, this Regulation should not hamper
the development and use of innovative approaches in the public administration, which would stand
to benefit from a wider use of compliant and safe AI systems, provided that those systems
do not entail a high risk to legal and natural persons. In addition, AI systems used to
evaluate the credit score or creditworthiness of natural persons should be classified as
high-risk AI systems, since they determine those persons’ access to financial resources or
essential services such as housing, electricity, and telecommunication services. AI systems used
for those purposes may lead to discrimination between persons or groups and may perpetuate
historical patterns of discrimination, such as that based on racial or ethnic origins, gender,
disabilities, age or sexual orientation, or may create new forms of discriminatory impacts.
However, AI systems provided for by Union law for the purpose of detecting fraud in the offering
of financial services and for prudential purposes to calculate credit institutions’ and
insurance undertakings’ capital requirements should not be considered to be high-risk under this
Regulation. Moreover, AI systems intended to be used for risk assessment and pricing in relation
to natural persons for health and life insurance can also have a significant impact on
persons’ livelihood and if not duly designed, developed and used, can infringe their fundamental
rights and can lead to serious consequences for people’s life and health, including financial
exclusion and discrimination. Finally, AI systems used to evaluate and classify emergency calls
by natural persons or to dispatch or establish priority in the dispatching of emergency first
response services, including by police, firefighters and medical aid, as well as of emergency
healthcare patient triage systems, should also be classified as high-risk since they make
decisions in very critical situations for the life and health of persons and their property.
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