Creating what critics are equating to “AI death panels” elderly Americans in need of care, the Trump administration is launching a pilot program in six states that will use artificial intelligence to determine whether Medicare recipients should qualify for certain procedures.

As reported by The New York Times on Thursday, the pilot program will hire private firms to deploy AI to make what are known as “prior authorization” decisions regarding whether Medicare should pay for certain procedures, including spinal surgeries and steroid injections. The program is set to run first in Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington.

The reported pilot program also drew harsh reviews from the American Federation of Teachers (AFT), as president Randi Weingarten and the union’s Retirees Program and Policy Council co-chair Tom Murphy issued a joint statement accusing the Trump administration of “attempting to transform Medicare into the very worst of private insurance.”