HB 2922
Spiller Bill Bars Insurers From Denying Care On AI Alone
Died in committee
Verdict: No flags
Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade
Caption
relating to use of artificial intelligence in utilization review conducted for health benefit plans.
Caption from analyzed text · version I.
Summary
Only a physician or licensed provider decides medical necessity. The commissioner can audit AI use anytime.
The bill bars insurance utilization review agents from using an artificial intelligence algorithm as the only basis for denying, delaying, or changing a patient's care on medical-necessity grounds. It covers utilization review agents working for health benefit plans and their enrollees, and it says only a physician or licensed health care provider may decide medical necessity. The insurance commissioner may audit and inspect an agent's use of AI at any time, starting September 1, 2025.
Labels
Labels:
Receipt
The receipt
89R-HB2922 · 2025-02-18
SOLD BY
+ 1 coauthor
ITEM
relating to use of artificial intelligence in utilization review conducted for health benefit plans.
WHAT IT DOES
Only a physician or licensed provider decides medical necessity. The commissioner can audit AI use anytime.
The bill bars insurance utilization review agents from using an artificial intelligence algorithm as the only basis for denying, delaying, or changing a patient's care on medical-necessity grounds. It covers utilization review agents working for health benefit plans and their enrollees, and it says only a physician or licensed health care provider may decide medical necessity. The insurance commissioner may audit and inspect an agent's use of AI at any time, starting September 1, 2025.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Filed
- Read first time
- Referred to Insurance
FILED UNDER
THE TEXT
“The commissioner may audit and inspect at any time a utilization review agent's use of artificial intelligence for utilization review.”
Bill text, introduced version (I)
The bill lets the state insurance regulator inspect how private review agents use AI systems on patient care decisions.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
Not tied to this bill.
Sources
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Oct 28, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Texans for Lawsuit Reform PAC$40,000.00
Texans for Lawsuit Reform PAC
$40,000.00
- Cash
- $40,000.00
- Paid by others
- $0.00
- Total
- $40,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Jun 24, 2025 to Oct 18, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101009978, 101031338, 101071836.
Texas REALTORS Political Action Committee$10,000.00
Texas REALTORS Political Action Committee
$10,000.00
- Cash
- $10,000.00
- Paid by others
- $0.00
- Total
- $10,000.00
Also funds 140 other sitting lawmakers.
Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Dec 12, 2024 to Jun 30, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 100987103, 101057871.
Missing data does not establish zero giving. Display amounts are rounded.
Texans for Lawsuit Reform PAC
$40,000.00
- Cash
- $40,000.00
- Paid by others
- $0.00
- Total
- $40,000.00
Also funds 124 other sitting lawmakers.
Derived recipient stock · Jul 10, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Jun 24, 2025 to Oct 18, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101009978, 101031338, 101071836.
Texas REALTORS Political Action Committee
$10,000.00
- Cash
- $10,000.00
- Paid by others
- $0.00
- Total
- $10,000.00
Also funds 140 other sitting lawmakers.
Derived recipient stock · Jul 2, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Dec 12, 2024 to Jun 30, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 100987103, 101057871.
Votes
No floor vote loaded for this bill.
Fiscal
No fiscal note in the loaded record.
How this was graded
Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.
Sources
Texas House · Filed Feb 18, 2025
03/19/2025 H Referred to Insurance: Mar 19 2025 12:35PM
Texas Legislature Online · Introduced
Data snapshot Oct 26, 2026 at 4:19 AM CDT. Grades, charges, quotes and corrections follow the published record.
House committee · Insurance · Final status: Died in committee
Companion
SB 815 by Schwertner (identical)
Subjects
Artificial Intelligence (IQ7C5)
Electronic Information Systems
Health Care Providers
Insurance--Health & Accident
Insurance--Insurers & Agents
PHYSICIANS
INSURANCE, COMMISSIONER OF
Text
The text as introduced · 167 words
89R5922 SCL-F By: Spiller H.B. No. 2922 A BILL TO BE ENTITLED AN ACT relating to use of artificial intelligence in utilization review conducted for health benefit plans. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter D, Chapter 4201, Insurance Code, is amended by adding Section 4201.156 to read as follows: Sec. 4201.156. USE OF ARTIFICIAL INTELLIGENCE-BASED ALGORITHMS. (a) A utilization review agent may not use an artificial intelligence-based algorithm as the sole basis of a decision to wholly or partly deny, delay, or modify health care services for an enrollee on the basis of medical necessity or appropriateness of health care items and services. Only a physician or licensed health care provider acting in accordance with this chapter may determine medical necessity or appropriateness of health care items and services. (b) The commissioner may audit and inspect at any time a utilization review agent's use of artificial intelligence for utilization review. SECTION 2. This Act takes effect September 1, 2025.