SB 815

AN ACT relating to use of artificial intelligence in utilization review

Senate Bill • Schwertner

Filed

Bill introduced by legislator

Committee

Hearing

Passed Cmte

Calendar

Passed

Sent

Enrolled

Governor

Signed

Filed

Bill introduced by legislator

In Committee

Hearing Scheduled

Passed Committee

Floor Calendar

Passed Chamber

Sent to Other Chamber

Passed Both Chambers

Sent to Governor

Signed into Law

89th Regular Session

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

Awaiting Committee Assignment

Bill filed, pending referral to Senate committee

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Committee

Not yet assigned

Fiscal Note

Not available

What This Bill Does

relating to use of artificial intelligence in utilization review

Subject Areas

Electronic Information Systems Health Care Providers COMPUTERS & SOFTWARE AUDITS & AUDITORS INSURANCE, COMMISSIONER OF Insurance--Insurers & Agents Insurance--Health & Accident PHYSICIANS Artificial Intelligence HEALTH MAINTENANCE ORGANIZATIONS

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

Nov 10, 2025

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