Texas § IN.4201.156 - USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS

Full text of Texas The Texas Constitution § IN.4201.156 — USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS, with citation guidance and answers to common questions.

§ IN.4201.156. USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS

USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS. (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. Added by Acts 2025, 89th Leg., R.S., Ch. 989 (S.B. 815 ), Sec. 2, eff. September 1, 2025. SUBCHAPTER E. UTILIZATION REVIEW: RELATIONS WITH PATIENTS AND HEALTH CARE PROVIDERS

Source: official Texas text · Last verified 2026-08-27

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Frequently Asked Questions About Texas § IN.4201.156

What does The Texas Constitution § IN.4201.156 cover?

Section IN.4201.156 ("USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS") is part of the The Texas Constitution, the codified statutory law of Texas. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite Texas § IN.4201.156?

A common citation format is "The Texas Constitution § IN.4201.156" (Texas). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of Texas law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the Texas official source linked on this page or consult a licensed Texas attorney.

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Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Texas can advise on how this section applies to you. Contact your state or local bar association for a referral.

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