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TX HB2922
Bill
Status
2/18/2025
Primary Sponsor
David Spiller
Click for details
AI Summary
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Prohibits utilization review agents from using artificial intelligence-based algorithms as the sole basis for decisions to deny, delay, or modify health care services based on medical necessity or appropriateness
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Requires that only a physician or licensed health care provider may make determinations about medical necessity or appropriateness of health care items and services
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Grants the Insurance Commissioner authority to audit and inspect a utilization review agent's use of artificial intelligence for utilization review at any time
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Effective date: September 1, 2025
Legislative Description
Relating to use of artificial intelligence in utilization review conducted for health benefit plans.
Electronic Information Systems
Last Action
Referred to Insurance
3/19/2025