Healthcare
Highest priority enforcement sectorCovered AI examples: Clinical decision support, diagnostic AI, treatment planning tools, prior authorization AI, patient-facing chatbots, EHR recommendation engines
Everything you need to know about TRAIGA compliance — who must comply, the six core requirements, the compliance checklist, enforcement timeline, and how to build an audit-ready AI governance program that satisfies Texas regulators.
What is TRAIGA?
The Texas Responsible AI Governance Act (TRAIGA) is Texas state legislation that creates binding governance requirements for organizations that use artificial intelligence systems in consequential decision-making. It is one of the most comprehensive state-level AI governance laws in the United States.
TRAIGA establishes that organizations using AI to make or materially influence decisions that affect individuals — in employment, healthcare, credit, housing, insurance, or access to services — must maintain documented governance programs that demonstrate responsible AI use. The law applies to the deploying organization, not the AI vendor.
TRAIGA is documentation-driven governance law. It does not prohibit AI use or dictate specific AI model requirements. It requires organizations to document, assess, control, disclose, and certify their AI governance practices. An organization that uses AI responsibly but cannot demonstrate it through documentation is non-compliant.
The regulation is modeled partly on the EU AI Act's risk-based approach and partly on existing US sector regulations (HIPAA, FCRA, ECOA) that already require documentation of algorithmic decision-making in specific contexts. TRAIGA extends these requirements to AI systems generally.
How TRAIGA relates to other AI regulations
TRAIGA uses a risk-based classification approach similar to the EU AI Act. Organizations with strong TRAIGA programs are approximately 60–70% of the way to EU AI Act readiness. The NIST AI RMF and ISO 42001 are compatible governance frameworks that can be satisfied using the same documentation TRAIGA requires.
Applicability
TRAIGA applies to any organization operating in Texas that uses AI in consequential decision-making — regardless of where the organization is headquartered or whether the AI is built in-house or procured from a vendor.
Covered AI examples: Clinical decision support, diagnostic AI, treatment planning tools, prior authorization AI, patient-facing chatbots, EHR recommendation engines
Covered AI examples: Hiring screening algorithms, resume ranking tools, performance evaluation AI, workforce planning systems, promotion recommendation engines
Covered AI examples: Credit scoring models, loan origination AI, fraud detection systems, insurance underwriting AI, financial eligibility tools
Covered AI examples: Customer service AI making access decisions, procurement AI affecting vendors, operational AI in regulated workflows, any AI with material decision impact
Third-party AI tools are your responsibility
TRAIGA compliance obligations fall on the deploying organization, not the AI vendor. If you use a vendor's AI for clinical decision support, hiring screening, or credit scoring — you are responsible for registering it, assessing its risk, implementing governance controls, and generating the required disclosures. "We just use the vendor's tool" is not a compliance defense.
The six core obligations
TRAIGA establishes six core governance obligations for covered organizations. Each must be satisfied with documented evidence — intent and good practice are not sufficient.
Maintain a documented inventory of every AI system your organization uses in consequential decision-making.
TRAIGA requires covered organizations to maintain a structured register of all AI systems deployed in consequential decisions. The inventory must document the system's purpose, the decisions it influences, the data it processes, the vendor (if third-party), and the oversight mechanisms in place.
The inventory is the foundation of TRAIGA compliance. Without it, there is no basis for risk assessment, no disclosure to generate, and no governance program to certify. Regulators expect the inventory to be current, organized, and producible on request.
An AI system inventory is not a one-time exercise. As organizations deploy new AI tools — especially in fast-moving clinical, HR, and operational contexts — the inventory must be updated to reflect the current AI portfolio.
How TRAIGA platform covers this
AI System Registry
This TRAIGA compliance requirement is fully addressed by the AI System Registry module. Documentation is generated automatically from your governance data — no manual writing required.
Learn about AI System RegistryConduct and document a structured risk assessment for each AI system in the inventory.
TRAIGA requires a documented risk assessment for each covered AI system. The assessment must evaluate the potential harms the system could cause, the probability of those harms, the affected population, and the oversight controls that mitigate identified risks.
Risk assessments under TRAIGA are not informal reviews. They require structured documentation that can withstand regulatory scrutiny — a questionnaire-style evaluation with defined risk factors, a resulting risk classification, and a documented basis for that classification.
Risk assessments must be repeated on a defined schedule and whenever material changes are made to the AI system, its data inputs, its use case, or its deployment context. A static, one-time assessment does not satisfy TRAIGA's ongoing oversight requirements.
How TRAIGA platform covers this
Risk Scoring Engine
This TRAIGA compliance requirement is fully addressed by the Risk Scoring Engine module. Documentation is generated automatically from your governance data — no manual writing required.
Learn about Risk Scoring EngineImplement and track governance controls appropriate to the risk level of each AI system.
Based on the risk assessment, TRAIGA requires organizations to implement governance controls proportionate to the identified risks. For high-risk AI systems — particularly those making consequential decisions in healthcare, employment, credit, or housing — controls must include human oversight mechanisms, data governance procedures, and defined escalation paths.
Controls must be documented, assigned to responsible parties, and tracked for completion. TRAIGA does not accept good intentions as compliance evidence. Organizations must demonstrate that controls are actually implemented, with evidence of completion and regular review.
Controls are not static. As AI systems evolve and new risks are identified, the control framework must be updated. The ongoing control review process is itself a governance requirement under TRAIGA.
How TRAIGA platform covers this
Control Auto-Creation & Tracking
This TRAIGA compliance requirement is fully addressed by the Control Auto-Creation & Tracking module. Documentation is generated automatically from your governance data — no manual writing required.
Learn about Control Auto-Creation & TrackingGenerate and publish AI disclosure statements for covered AI systems as required by TRAIGA.
TRAIGA requires organizations to provide clear, accessible disclosures to individuals who are subject to consequential AI-driven decisions. Disclosure requirements include: notice that an AI system was used in the decision, a description of the AI system's purpose and general operation, the risk classification, the oversight mechanisms in place, and a contact point for questions or appeals.
Disclosures must be in plain language — not technical documentation. They must be proactively provided to affected individuals, not merely available on request. The format and timing of disclosures are specified by the regulation.
Disclosure obligations extend to third-party AI systems. If a vendor's AI tool is used in a consequential decision, the deploying organization — not the vendor — is responsible for providing the required disclosure to affected individuals.
How TRAIGA platform covers this
Disclosure Generator
This TRAIGA compliance requirement is fully addressed by the Disclosure Generator module. Documentation is generated automatically from your governance data — no manual writing required.
Learn about Disclosure GeneratorLog, investigate, and report AI incidents that cause or risk causing harm to individuals.
TRAIGA requires organizations to maintain a structured log of AI incidents — instances where an AI system caused or risked causing unintended harm, produced a discriminatory outcome, failed in a material way, or was used outside its approved scope.
Incidents above a defined severity threshold must be reported to the relevant regulatory authority within a specified timeframe. Internal incident logs must capture the affected system, the nature of the incident, the severity assessment, the investigation process, and the remediation actions taken.
The incident reporting requirement creates a direct organizational accountability mechanism. Undisclosed or unrecorded incidents discovered during a regulatory investigation are treated as a more serious compliance failure than the incident itself.
How TRAIGA platform covers this
Incident Log
This TRAIGA compliance requirement is fully addressed by the Incident Log module. Documentation is generated automatically from your governance data — no manual writing required.
Learn about Incident LogObtain and document formal certification from organizational leadership that the AI governance program is in place.
TRAIGA requires designated organizational leadership — typically the CEO, CISO, or a board-level AI Governance Officer — to formally certify that the organization's AI governance program is in compliance with the regulation. This certification must be documented, timestamped, and retained as a governance artifact.
Executive certifications are not symbolic. They create personal accountability for the accuracy of the compliance attestation. Leadership must have reviewed the governance program — the inventory, risk assessments, controls, and disclosures — before certifying.
Certifications must be renewed on a defined schedule, typically annually. A lapsed certification is a compliance gap regardless of how well the underlying governance program is maintained.
How TRAIGA platform covers this
Executive Certifications
This TRAIGA compliance requirement is fully addressed by the Executive Certifications module. Documentation is generated automatically from your governance data — no manual writing required.
Learn about Executive CertificationsCompliance checklist
Use this checklist to assess your current TRAIGA compliance posture. All 12 items are required for a complete TRAIGA compliance program. The TRAIGA platform handles every item automatically.
Identify all AI systems used in consequential decisions
Include internal, third-party, and vendor-provided AI tools
Document each system's purpose, data inputs, and decision scope
Assign an owner and department to every registered AI system
Complete a structured risk questionnaire for each AI system
Evaluate data sensitivity, decision impact, oversight mechanisms, and clinical/healthcare factors
Assign a risk classification (LOW / MODERATE / HIGH / CRITICAL) with documented rationale
Set a review cadence and next review date for each system
Implement governance controls proportionate to each system's risk level
Include human oversight, data governance, and documentation controls
Track control completion with evidence and assign completion targets
Generate TRAIGA-compliant AI disclosure statements for covered systems
Establish a process to provide disclosures to affected individuals at the required time
Implement an AI incident log and internal reporting workflow
Obtain and document executive certification of the AI governance program
Certify on the required schedule — typically annually
Enforcement & penalties
TRAIGA non-compliance is not a theoretical risk. Enforcement authority is active, and the documentation requirements mean the gap between a compliant and non-compliant organization is clearly visible.
TRAIGA establishes civil penalties for each covered AI system without required documentation. Organizations with large AI portfolios face compounding exposure — each unregistered system is a separate violation.
Organizations that fail to provide required AI disclosures to affected individuals face separate penalties on top of documentation failures. Disclosure obligations are independently enforced.
Regulators have authority to investigate organizations on complaint or proactively. During an investigation, organizations must produce their AI inventory, risk assessments, controls, and disclosures on request — within a defined timeframe.
Public enforcement actions are far more damaging than the direct financial penalty for most organizations. Healthcare organizations in particular face patient trust and accreditation implications from a public TRAIGA enforcement action.
Months 1–3
AI System Inventory
Identifying, documenting, and registering all covered AI systems typically takes 1–3 months for organizations with established AI portfolios. This alone requires interviewing department heads, reviewing vendor contracts, and verifying data flows.
Months 2–5
Risk Assessments & Controls
Completing structured risk questionnaires and implementing controls for every system takes additional months. Control implementation — especially human oversight mechanisms — requires operational changes, not just documentation.
Month 4+
Disclosures & Certification
Generating compliant disclosures, obtaining executive certification, and establishing ongoing governance operations requires the inventory and assessments to be complete. These cannot begin until earlier phases are done.
Bottom line: A complete TRAIGA compliance program takes 4–6 months to build from scratch. Organizations that are not already in progress are already behind. Purpose-built software compresses this timeline dramatically — but it does not eliminate the need to start.
TRAIGA compliance platform
TRAIGA platform is purpose-built for TRAIGA compliance. Every feature maps directly to a regulatory obligation — not a generic compliance framework that you need to configure for AI governance. You get a working compliance program out of the box.
Organizations that use the TRAIGA platform go from zero to audit-ready in weeks rather than months. The platform handles the documentation, the structure, and the ongoing maintenance — your team handles the governance decisions.
Inventory in hours, not weeks
Register AI systems with a guided form that captures every TRAIGA-required field. Most organizations complete their initial inventory in a single working session.
Auto-generated risk classifications
Complete the structured questionnaire and get an immediate, auditable risk classification (LOW / MODERATE / HIGH / CRITICAL) with a documented rationale that satisfies TRAIGA's assessment requirements.
Controls without manual mapping
The platform's rules engine automatically creates the applicable governance controls from your risk profile. No manual control mapping, no framework interpretation — just a pre-populated control list ready to implement.
TRAIGA-compliant disclosures in seconds
The Disclosure Generator produces TRAIGA-format disclosure statements populated from your registry data. Generate disclosures for every covered system in the time it would take to write one manually.
Governance Report Pack on demand
Produce a complete, regulator-ready documentation package — inventory, risk assessments, controls, disclosures, incident log, certifications — with one click, any time you need it.
Ongoing compliance, not a one-time snapshot
Review scheduling, control tracking, incident logging, and the governance maturity score keep your compliance program current. TRAIGA requires ongoing governance — the platform provides it.
FAQ
More questions about TRAIGA compliance? Email our compliance team →
The TRAIGA platform is purpose-built for Texas Responsible AI Governance Act compliance. Register your first AI system, run your first risk assessment, and generate your first TRAIGA-compliant disclosure — all in the same session. No credit card required.
Healthcare organizations — see our healthcare AI governance solution