Texas SB815 prohibits the use of artificial intelligence-based algorithms as the sole basis for denying, delaying, or modifying health care services.

Texas SB815 amends the Insurance Code to restrict utilization review agents from using artificial intelligence-based algorithms as the sole basis for decisions on medical necessity or appropriateness of health care services. Only physicians or licensed health care providers can make such determinations. The commissioner is authorized to audit and inspect the use of artificial intelligence in utilization review. This Act takes effect September 1, 2025.

Texas SB815 prohibits the use of artificial intelligence-based algorithms as the sole basis for denying, delaying, or modifying health care services.

Texas SB815 amends the Insurance Code to restrict utilization review agents from using artificial intelligence-based algorithms as the sole basis for decisions on medical necessity or appropriateness of health care services. Only physicians or licensed health care providers can make such determinations. The commissioner is authorized to audit and inspect the use of artificial intelligence in utilization review. This Act takes effect September 1, 2025.