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HB 2922

AN ACT relating to use of artificial intelligence in utilization review

House Bill
Filed

Filed

Bill introduced by legislator

Committee

Hearing

Passed Cmte

Calendar

Passed

Sent

Enrolled

Governor

Signed

89th Regular Session

Jan 14, 2025 - Jun 2, 2025 • Session ended

Awaiting Committee Assignment

Bill filed, pending referral to House committee

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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

filed

Bill filed: AN ACT relating to use of artificial intelligence in utilization review