Tex. Ins. Code § 4201.156 · Subchapter D. UTILIZATION REVIEW: GENERAL STANDARDS
USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(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.
Notes and commentary — not statutory text
History
Added by Acts 2025, 89th Leg., R.S., Ch. 989 (S.B. 815), Sec. 2, eff. September 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm
- Text hash
- sha256 4d631b042065896d3409c40e99006014738f29f91651b60f8645052187d73753
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.