Relating to the regulation of certain compensation, contracting, employment, and performance criteria in connection with utilization review of health benefits.

HB 3845 prohibits health insurance companies and their utilization review agents from basing employee compensation, contracts, or performance evaluations on the volume of denied health care claims, reduced coverage, or limited care. It specifically bans financial incentives tied to denying services, pressuring employees to limit care, or retaliating against staff who refuse to deny coverage or report violations. The bill aims to prevent conflicts of interest that could lead to inappropriate denials of medically necessary care. This legislation directly affects insurance companies, their utilization review staff, and the health care claims review process in Texas.