Texas 2025 - 89th Regular

Texas Senate Bill SB1411

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the use of artificial intelligence-based algorithms by health benefit plan issuers, utilization review agents, health care providers, and physicians.

Impact

Upon enactment, SB1411 would address the implications of using AI in health decisions, emphasizing non-discrimination and fairness. Health benefit plan issuers would be required to disclose if AI algorithms are employed during the decision-making process. The bill also mandates that any artificial intelligence-based algorithm and its training data must be submitted to a designated department for certification, ensuring that these algorithms adhere to evidence-based clinical guidelines and minimize discriminatory risks. These measures aim to enhance accountability and foster trust in healthcare services.

Summary

SB1411 aims to regulate the use of artificial intelligence-based algorithms in the healthcare sector, specifically by health benefit plan issuers, utilization review agents, and healthcare providers. The bill defines what constitutes an 'artificial intelligence-based algorithm' and specifies that these algorithms must not be used to discriminate against individuals based on characteristics such as race, gender, age, or vaccination status. This legislative move is intended to create a fairer and more transparent healthcare environment, especially as the use of AI in healthcare decisions increases.

Contention

There might be significant debate around the balance of innovation and regulation in healthcare due to SB1411. Proponents of the bill assert that these regulations are necessary to protect patients from potential biases present in AI algorithms, while opponents may argue that they could stifle technological advancements in healthcare. Additionally, questions may arise regarding how strictly these algorithms are regulated and who is responsible for ensuring compliance, which could influence their overall effectiveness in providing equitable healthcare solutions.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 544. Prohibited Discrimination
    • Section: New Section

Companion Bills

No companion bills found.

Previously Filed As

TX HB4500

Relating to electronic verification of health benefits by health benefit plan issuers for certain physicians and health care providers.

TX SB863

Relating to electronic verification of health benefits by health benefit plan issuers for certain physicians and health care providers.

TX HB1128

Relating to availability of and benefits provided under health benefit plan coverage.

TX HB4912

Relating to availability of and benefits provided under health benefit plan coverage.

TX HB5113

Relating to utilization review requirements for a health care service provided by a network physician or provider.

TX SB622

Relating to the disclosure of certain prescription drug information by a health benefit plan.

TX HB3351

Relating to standards required for certain rankings of physicians by health benefit plan issuers.

TX HB1754

Relating to the disclosure of certain prescription drug information by a health benefit plan.

TX HB4343

Relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.

TX HB1647

Relating to health benefit plan coverage of clinician-administered drugs.

Similar Bills

CA SB1120

Health care coverage: utilization review.

CA AB512

Health care coverage: prior authorization.

NY S07896

Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.

NY A08556

Prescribes requirements and safeguards for the use of an artificial intelligence, algorithm, or other software tool for the purpose of utilization review for health and accident insurance.

MT HB556

Generally revise usage of artificial intelligence in certain health insurance

TX SB1822

Relating to the use of artificial intelligence-based algorithms in utilization review conducted for certain health benefit plans.

MA S46

Relative to the use of artificial intelligence and other software tools in healthcare decision-making

TX HB4018

Relating to use of artificial intelligence in utilization review conducted for health benefit plans.