The bill, H.B. No. 2922, introduces new regulations regarding the use of artificial intelligence in utilization reviews for health benefit plans in Texas. It adds Section 4201.156 to the Insurance Code, which stipulates that utilization review agents are prohibited from using artificial intelligence-based algorithms as the sole basis for decisions that deny, delay, or modify health care services based on medical necessity. Instead, such determinations must be made by a physician or licensed health care provider. Additionally, the bill grants the commissioner the authority to audit and inspect the use of artificial intelligence by utilization review agents at any time.

This legislation aims to ensure that decisions affecting patient care are made by qualified health professionals rather than relying solely on automated systems, thereby enhancing the quality and appropriateness of health care services. The bill is set to take effect on September 1, 2025.

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