Texas – Texas Attorney General Ken Paxton has launched an investigation into UnitedHealth Group over allegations that the company engaged in deceptive and unlawful practices that denied Texans access to medically necessary healthcare. The investigation was announced October 5, 2026.
Paxton’s office said it received reports alleging that United engaged in multiple unlawful practices while administering health insurance benefits and making decisions about patient care.
Among the allegations is that United bribed nursing homes to delay hospitalizing patients who needed medical treatment.
The attorney general’s office also highlighted a case involving a Texas patient who received a letter from United approving a prior-authorization request for a procedure at RedBud Surgery Center in Austin. After the procedure was completed, United allegedly sent a second letter withdrawing the approval, leaving the patient with a large medical bill.
Paxton’s office is also examining whether United’s coverage determinations improperly override treating physicians’ medical judgment and influence patient care.
“Alarming reports keep piling up about how United treats Texas consumers,” Paxton said, adding that his office would investigate whether Texans were denied medically necessary care, subjected to repeated appeals or left with unexpected medical bills.
The Attorney General’s Office has issued Civil Investigative Demands to United to obtain evidence as part of the investigation and determine whether the company violated the Texas Deceptive Trade Practices Act or other state laws.
