Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 4201.156: USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS.

Where this section sits in the code

INSURANCE CODE
TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
CHAPTER 4201. UTILIZATION REVIEW AGENTS
SUBCHAPTER D. UTILIZATION REVIEW: GENERAL STANDARDS

(a) A utilization review agent may not use an automated decision system to make, wholly or partly, an adverse determination.

(b) The commissioner may audit and inspect at any time a utilization review agent's use of an automated decision system for utilization review.

(c) This section does not prohibit the use of an algorithm, artificial intelligence system, or automated decision system for administrative support or fraud-detection functions.

Added by Acts 2025, 89th Leg., R.S., Ch. 989 (S.B. 815), Sec. 2, eff. September 1, 2025.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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