HB 2922
AN ACT relating to use of artificial intelligence in utilization review
89th Regular Session
Jan 14, 2025 - Jun 2, 2025 • Session ended
Awaiting Committee Assignment
Bill filed, pending referral to House committee
Committee
Not yet assigned
Fiscal Note
Not available
What This Bill Does
Prohibits health insurance utilization review agents from using artificial intelligence (AI) as the sole basis for denying, delaying, or modifying healthcare services for patients. Only licensed physicians or healthcare providers can make final determinations about medical necessity and appropriateness of health services. The Texas insurance commissioner will have the authority to audit and inspect how utilization review agents use AI in their decision-making processes, with the law taking effect on September 1, 2025.
Subject Areas
Bill Text
relating to use of artificial intelligence in utilization review conducted for health benefit plans. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter D, Chapter 4201, Insurance Code, is amended by adding Section 4201.156 to read as follows: Sec. 4201.156. USE OF ARTIFICIAL INTELLIGENCE-BASED ALGORITHMS. (a) A utilization review agent may not use an artificial intelligence-based algorithm as the sole basis of a decision to wholly or partly deny, delay, or modify health care services for an enrollee on the basis of medical necessity or appropriateness of health care items and services. Only a physician or licensed health care provider acting in accordance with this chapter may determine medical necessity or appropriateness of health care items and services. (b) The commissioner may audit and inspect at any time a utilization review agent's use of artificial intelligence for SECTION 2. This Act takes effect September 1, 2025.
Bill History
Bill filed: AN ACT relating to use of artificial intelligence in utilization review
Related Guides
Learn more about tracking Texas legislation and working with lobbyists.
How to Read & Track Texas Bills
Master bill numbering, understand legislative language, and learn effective tracking strategies.
Understanding Texas Legislative Deadlines
Navigate the 140-day session with critical calendar dates and filing deadlines.
How Laws Get Made in Texas
Follow a bill's journey from filing to the governor's desk through committees and floor votes.
When Should Your Business Hire a Lobbyist?
Discover the signs that your business needs professional advocacy at the Texas Capitol.