About This Registry
A curated, source-linked registry of U.S. state and federal laws regulating the use of artificial intelligence in healthcare. Covers state legislation (payer utilization review, provider disclosure, claims downcoding, mental health AI, consumer chatbots, comprehensive AI acts) plus federal executive orders, agency final rules (FDA, CMS, ONC, HHS), and pending congressional bills. Each entry links to official legislative text and secondary analysis sources.
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58
Total Laws
53
Enacted
27
Jurisdictions
| Jurisdiction ↑ ↓ | Bill # ↑ ↓ | Title ↑ ↓ | Year ↑ ↓ | Status ↑ ↓ | Categories | Effective Date ↑ ↓ |
|---|---|---|---|---|---|---|
| AL Alabama | SB 63 | An Act relating to health insurance; to impose limitations on the use of artificial intelligence by insurers in making determinations of coverage (Act 2026-589) | 2026 | Enacted | Payer Utilization Review Provider Disclosure & Consent | Oct 1, 2026 |
| CO Colorado | HB 26-1263 | Conversational AI Service Operator Requirements (Chapter 208, 2026) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jan 1, 2027 |
| CO Colorado | SB 26-189 | Automated Decision-Making Technology (Chapter 131, 2026) | 2026 | Enacted | Comprehensive AI Act | May 14, 2026 |
| CO Colorado | HB 26-1195 | Psychotherapy Artificial Intelligence Restrictions | 2026 | Enacted | Mental Health & Psychotherapy Provider Disclosure & Consent | Aug 12, 2026 |
| CO Colorado | HB 26-1139 | Use of Artificial Intelligence in Health Care | 2026 | Enacted | Payer Utilization Review Mental Health & Psychotherapy | Jan 1, 2027 |
| CT Connecticut | SB 5 (Public Act 26-15) | An Act Concerning Online Safety (Public Act 26-15) | 2026 | Enacted | Comprehensive AI Act Consumer Chatbots | - |
| GA Georgia | SB 444 | An Act to amend Chapter 46 of Title 33 (certification of private review agents) so that certain insurance coverage decisions shall not be based solely on artificial intelligence | 2026 | Enacted | Payer Utilization Review | Jan 1, 2027 |
| GA Georgia | SB 540 | An Act to amend Chapter 5 of Title 39 relating to online internet safety, to require certain disclosures related to AI companion chatbots (reported as the Conversational AI Safety Act) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jul 1, 2027 |
| HI Hawaii | SB 3001 | Artificial Intelligence Disclosure and Safety Act (Act 248, 2026) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jul 14, 2026 |
| ID Idaho | S 1297 | Conversational AI Safety Act (Session Law Chapter 249, 2026) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jul 1, 2027 |
| IL Illinois | SB 3114 | Transparency in Downcoding Act (Public Act 104-0568) | 2026 | Enacted | Claims Downcoding | Jan 1, 2028 |
| IN Indiana | HB 1271 (HEA 1271) | Payment of health claims (Public Law 88-2026) | 2026 | Enacted | Claims Downcoding Payer Utilization Review Provider Clinical Use | Jul 1, 2026 |
| IA Iowa | SF 2417 | An Act relating to conversational artificial intelligence services (Acts Chapter 1068, 2026) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jul 1, 2026 |
| IA Iowa | HF 2635 | An Act relating to health carriers' standards of conduct, utilization review organizations, artificial intelligence, audits, prior authorizations and certificate of need processes (Acts Chapter 1087, 2026) | 2026 | Enacted | Payer Utilization Review | Jul 1, 2026 |
| LA Louisiana | HB 475 | Act No. 649 — enacting R.S. 37:22.1, 'Recordings; artificial intelligence; disclosure' (health care providers: consent prior to recording a medical visit) | 2026 | Enacted | Provider Disclosure & Consent | Aug 1, 2026 |
| ME Maine | LD 2082 (HP 1397) | An Act to Regulate the Use of Artificial Intelligence in Providing Certain Mental Health Services (Chapter 687, Public Law) | 2026 | Enacted | Mental Health & Psychotherapy Provider Disclosure & Consent | Jul 29, 2026 |
| MN Minnesota | HF 4188 | Commerce policy omnibus bill (2026) — utilization review / automated processing provisions amending Minn. Stat. 62M | 2026 | Enacted | Payer Utilization Review | Aug 25, 2026 |
| NE Nebraska | LB 525 | Adopt the Agricultural Data Privacy Act and the Conversational Artificial Intelligence Safety Act (2026) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jul 1, 2027 |
| NY New York | A 10008 (Chapter 58 of 2026) | Safe by Design Act (Part Y of Chapter 58 of the Laws of 2026) | 2026 | Enacted | Consumer Chatbots | Jan 1, 2027 |
| OR Oregon | SB 1546 | An Act relating to artificial intelligence companions (Oregon Laws 2026, Chapter 85) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jan 1, 2027 |
| RI Rhode Island | S 2570 / H 7538 | Use of Artificial Intelligence by Healthcare Providers Notification Act | 2026 | Enacted | Provider Disclosure & Consent | Jun 22, 2026 |
| RI Rhode Island | S 2195 / H 7350 | Artificial Intelligence Companion Models Act (Public Law 2026 ch. 376) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jan 1, 2027 |
| RI Rhode Island | S 2197 / H 7349 | Oversight of Artificial Intelligence Technology in Mental Health Care Act | 2026 | Enacted | Mental Health & Psychotherapy Provider Disclosure & Consent | Jun 22, 2026 |
| UT Utah | SB 319 | Health Insurance Preauthorization Amendments (2026) | 2026 | Enacted | Payer Utilization Review Provider Disclosure & Consent | Jan 1, 2027 |
| VT Vermont | H.816 | An act relating to regulating the use of artificial intelligence in the provision of mental health services (Act No. 156) | 2026 | Enacted | Mental Health & Psychotherapy Provider Clinical Use | Jun 17, 2026 |
| WA Washington | SB 5395 | Making improvements to transparency and accountability in the prior authorization determination process (Chapter 157, Laws of 2026) | 2026 | Enacted | Payer Utilization Review | Jun 11, 2026 |
| WA Washington | HB 2225 | Regulating artificial intelligence companion chatbots (Chapter 168, Laws of 2026) | 2026 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jan 1, 2027 |
| AZ Arizona | HB 2175 | Prior authorization; claims (Chapter 165, 2025) | 2025 | Enacted | Payer Utilization Review | Jul 1, 2026 |
| CA California | SB 243 | Companion chatbots (Chapter 677, Statutes of 2025) | 2025 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Jan 1, 2026 |
| CA California | AB 489 | Health care professions: deceptive terms or letters: artificial intelligence (Chapter 615, Statutes of 2025) | 2025 | Enacted | Consumer Chatbots Provider Clinical Use | Jan 1, 2026 |
| IL Illinois | HB 1806 | Wellness and Oversight for Psychological Resources Act (Public Act 104-0054) | 2025 | Enacted | Mental Health & Psychotherapy Provider Clinical Use | Aug 1, 2025 |
| MD Maryland | HB 820 | Health Insurance - Utilization Review - Use of Artificial Intelligence (Chapter 747, 2025) | 2025 | Enacted | Payer Utilization Review | Oct 1, 2025 |
| NE Nebraska | LB 77 | Ensuring Transparency in Prior Authorization Act (2025) | 2025 | Enacted | Payer Utilization Review | Jan 1, 2026 |
| NV Nevada | AB 406 | An Act relating to health (limits on AI in mental and behavioral health care), 2025 | 2025 | Enacted | Mental Health & Psychotherapy Consumer Chatbots | Jul 1, 2025 |
| NY New York | FY2026 Enacted Budget (General Business Law Article 47) | AI companion safeguards, General Business Law Article 47 (enacted as part of the FY26 budget) | 2025 | Enacted | Consumer Chatbots Mental Health & Psychotherapy | Nov 5, 2025 |
| TX Texas | SB 815 | An Act relating to the use of certain automated systems in, and certain adverse determinations made in connection with, the health benefit claims process | 2025 | Enacted | Payer Utilization Review | Sep 1, 2025 |
| TX Texas | HB 149 | Texas Responsible Artificial Intelligence Governance Act (TRAIGA) | 2025 | Enacted | Comprehensive AI Act Provider Disclosure & Consent | Jan 1, 2026 |
| US United States (Federal) | HIPAA Security Rule NPRM (RIN 0945-AA22) | HIPAA Security Rule Update — Proposed Rule with AI Provisions | 2025 | Pending | Other | - |
| US United States (Federal) | S. 2164 (119th Congress) | Algorithmic Accountability Act of 2025 | 2025 | Pending | Comprehensive AI Act Payer Utilization Review Provider Clinical Use | - |
| US United States (Federal) | E.O. 14179 | Removing Barriers to American Leadership in Artificial Intelligence | 2025 | Enacted | Comprehensive AI Act | Jan 23, 2025 |
| US United States (Federal) | E.O. 14148 | Initial Rescissions of Harmful Executive Orders and Actions | 2025 | Enacted | Comprehensive AI Act | Jan 20, 2025 |
| UT Utah | HB 452 | Artificial Intelligence Amendments — Utah Code Ch. 72a, Artificial Intelligence Applications Relating to Mental Health (2025) | 2025 | Enacted | Mental Health & Psychotherapy Consumer Chatbots | May 7, 2025 |
| CA California | SB 1120 | Health care coverage: utilization review (Chapter 879, Statutes of 2024) — 'Physicians Make Decisions Act' | 2024 | Enacted | Payer Utilization Review | Jan 1, 2025 |
| CA California | AB 3030 | Health care services: artificial intelligence (Chapter 848, Statutes of 2024) | 2024 | Enacted | Provider Disclosure & Consent | Jan 1, 2025 |
| CO Colorado | SB 24-205 | Consumer Protections for Artificial Intelligence (Chapter 198, 2024) | 2024 | Enacted (Stayed) | Comprehensive AI Act | May 17, 2024 |
| US United States (Federal) | 89 FR 37522 (RIN 0945-AA17) | ACA Section 1557 — Nondiscrimination in AI-Assisted Patient Care Decisions | 2024 | Enacted (Stayed) | Provider Clinical Use Provider Disclosure & Consent | Jul 5, 2024 |
| US United States (Federal) | FDA-2023-D-1214 (Final Guidance) | FDA Final Guidance — Predetermined Change Control Plans for AI-Enabled Device Software | 2024 | Enacted | Provider Clinical Use | Dec 3, 2024 |
| US United States (Federal) | CMS-0057-F | CMS Interoperability and Prior Authorization Final Rule | 2024 | Enacted | Payer Utilization Review Other | Jan 1, 2026 |
| US United States (Federal) | 89 FR 1192 (ONC HTI-1 Final Rule) | Health Data, Technology, and Interoperability: Algorithm Transparency (HTI-1) | 2024 | Enacted | Provider Clinical Use Provider Disclosure & Consent | Mar 11, 2024 |
| US United States (Federal) | CMS-4201-F | 2024 Medicare Advantage Final Rule — AI in Coverage Determinations | 2023 | Enacted | Payer Utilization Review Claims Downcoding | Jan 1, 2024 |
| US United States (Federal) | FTC Consent Order (December 2023) | FTC v. Rite Aid — Enforcement Against Biased AI Facial Recognition in Pharmacy Setting | 2023 | Enacted | Other | Dec 19, 2023 |
| US United States (Federal) | E.O. 14110 | Executive Order on the Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence | 2023 | Rescinded | Comprehensive AI Act Provider Clinical Use | Oct 30, 2023 |
| US United States (Federal) | H.R. 2617 (Pub. L. 117-328), Div. FF, Title III, Section 3308 | FDORA — Predetermined Change Control Plans for AI/ML Medical Devices | 2022 | Enacted | Provider Clinical Use Other | Dec 29, 2022 |
| US United States (Federal) | FDA AI/ML Action Plan (2021) | FDA Artificial Intelligence/Machine Learning-Based Software as a Medical Device Action Plan | 2021 | Enacted | Provider Clinical Use | Jan 12, 2021 |
| US United States (Federal) | H.R. 6395 (Pub. L. 116-283), Division E | National Artificial Intelligence Initiative Act of 2020 | 2021 | Enacted | Comprehensive AI Act | Jan 1, 2021 |
| US United States (Federal) | H.R. 34 (Pub. L. 114-255), Section 3060 | 21st Century Cures Act — Clarifying Medical Software Regulation | 2016 | Enacted | Provider Clinical Use Other | Dec 13, 2016 |
| FL Florida | HB 1555 / CS/SB 794 | Insurers' Liabilities and Responsibilities (HB 1555); Mandatory Human Reviews of Insurance Claim Denials (CS/SB 794) | 0 | Not Enacted | Payer Utilization Review | - |
| MS Mississippi | HB 1535 | Artificial Intelligence Regulation (AIR) Task Force (2025) | 0 | Not Enacted | Other | - |
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