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Tex. Ins. Code § 4201.156

USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS

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

(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.

Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.