Texas: AI health lawsYour state

Since Sept. 1, 2025, SB 1188 has required practitioners using AI for diagnosis to disclose it and review all AI-created records; since Jan. 1, 2026, HB 149 has required providers using AI in patient care to tell the patient by the first service date. Under the Medical Records Privacy Act, since 2012, a practice feeding patient data into an AI tool needs patient authorization for each electronic disclosure outside listed exceptions. A biometric identifier law requires notice and consent before capturing fingerprints, voiceprints or face geometry for a commercial purpose; the Texas Data Privacy and Security Act exempts HIPAA covered entities. For plans issued or renewed since Jan. 1, 2026, SB 815 bars automated decision systems from making utilization review adverse determinations; a June 2026 insurance bulletin expects human review of consequential AI decisions. A proposed rule would bar behavior analysts from relying on AI alone. SB 1822, on insurer AI disclosure, died in the House in 2025.