Issued2026-06-12

Commissioner's Bulletin B-0003-26 – Use of Artificial Intelligence

Commissioner's BulletinSector

Summary

Sets TDI expectations for regulated entities and their third parties using AI, including compliance with insurance and anti-discrimination law, controls against inaccurate or unfair outcomes, human review of consequential decisions, governance and risk management, testing, privacy protections, internal audit, and production of documentation during examinations or investigations.

Healthcare Implications

Health insurers and utilization-review vendors should maintain human-review, governance, testing, privacy, and third-party controls and be prepared to produce supporting documentation to TDI. The bulletin supplements Texas's separate statutory prohibition on using AI to make adverse utilization-review determinations.

Impact Level

Medium

Keywords

Transparency & Governance; Safety & Risk; Equity & Bias; Privacy & Data

Stakeholders

Payers & Purchasers; Patients & Public; Developers & Vendors; Regulators & Government