Chatbot Laws Which laws apply?

AI therapy and mental health chatbot laws

These laws limit what AI can do in mental health care, or bar AI from presenting itself as a licensed professional such as a therapist, nurse or doctor. Some ban AI from making therapeutic decisions; others set rules for mental health chatbots offered to the public.

20 enacted laws in 16 states, plus 14 bills and actions, as of November 4, 2026.

Enacted laws

  • California AB 1979Health care services: artificial intelligence
    Takes effect Jan. 1, 2027
  • Takes effect Jan. 1, 2027
  • California AB 489AI posing as a licensed health professional
    In effect since Jan. 1, 2026
  • Colorado HB 26-1195AI in psychotherapy
    In effect since Aug. 12, 2026
  • Colorado HB 26-1263Conversational AI service operators
    In effect since Aug. 12, 2026; more from Jan. 1, 2027
  • Connecticut SB 5An Act Concerning Online Safety
    Takes effect Jan. 1, 2027
  • Georgia SB 540AI companion chatbots
    Takes effect July 1, 2027
  • Hawaii SB 3001Artificial Intelligence Disclosure and Safety Act
    In effect since July 14, 2026; more from Jan. 1, 2028
  • Idaho S 1297Conversational AI Safety Act
    Takes effect July 1, 2027
  • Illinois HB 1806Wellness and Oversight for Psychological Resources Act
    In effect since Aug. 1, 2025
  • Iowa SF 2417Conversational AI services
    In effect since July 1, 2026; more from July 1, 2027
  • Maine LD 2082AI in mental health services
    In effect since July 29, 2026
  • Nebraska LB 525Conversational Artificial Intelligence Safety Act
    Takes effect July 1, 2027
  • Nevada AB 406Makes various changes relating to health
    In effect since June 5, 2025
  • Oregon HB 2748Relating to the use of nursing titles
    In effect since Jan. 1, 2026
  • Rhode Island H 7349 / S 2197Oversight of Artificial Intelligence Technology in Mental Health Care Act
    In effect since June 22, 2026
  • Tennessee SB 1580 (HB 1470)AI advertised as a mental health professional
    In effect since July 1, 2026
  • Utah SB 226Artificial Intelligence Consumer Protection Amendments
    In effect since May 7, 2025
  • Utah HB 452Artificial Intelligence Amendments
    In effect since May 7, 2025
  • Vermont H.816AI in mental health services
    In effect since June 17, 2026

How the laws compare

LawWhat it requiresSection
California AB 1979Businesses offering a health care chatbot for managing a consumer's information, or for diagnosis, treatment or management of a medical condition, are deemed a provider of health care under the Confidentiality of Medical Information Act, but not for any other law.Civ. Code § 56.06(f); definition at § 56.05(i)
California SB 1119A chatbot may not attempt to diagnose or treat a child's health condition unless it is FDA-regulated as a medical device and HIPAA-compliant.§ 21812(d)(5)(A)
California AB 489Using a term, letter or phrase in an AI system's advertising or functionality that indicates or implies the care, advice, reports or assessments come from a natural person with the appropriate health care license or certificate is prohibited. Existing laws barring unlicensed people from using licensed-profession titles can be enforced against anyone who develops or deploys AI that uses those terms.§ 4999.9(b)-(c)
Colorado HB 26-1195A provider may not allow an AI system to engage in therapeutic communication with clients without synchronous, real-time involvement of the provider, or generate therapeutic recommendations or treatment plans without the provider's review and approval; AI may not be used to provide, direct or guide psychotherapy outside those conditions. Providers must give clients written notice of these limits at first contact and get advance written notice and written consent before AI records or transcribes a session. AI may support administrative and supplementary tasks under the provider's review.C.R.S. § 12-245-224.5(2), (4)-(6)
Colorado HB 26-1263Operator may not state in advertising, interface or outputs that the service's output is provided by, endorsed by or equivalent to services of a licensed health-care, legal or mental health professional or a qualified dietitian.§ 6-1-1708(5)
Connecticut SB 5For known or suspected minors, mental health services may be offered only if the companion is built for them, uses clinical best practices, shows at the start of each interaction that it is not a licensed mental health professional, and is not marketed as a substitute.§ 6(a)(1)(B)
Georgia SB 540Operator may not knowingly and intentionally cause or program the chatbot to represent that it is licensed, certified or otherwise authorized to provide mental health, behavioral health, medical or counseling services, unless the operator is lawfully authorized to provide them.§ 39-5-6(h)
Hawaii SB 3001Operator may not cause or program an AI companion to indicate it is designed to provide professional mental or behavioral health care.§ 481B-__(c)(3)
Idaho S 1297Operator may not knowingly and intentionally program the service to state or represent that it is designed to provide professional mental or behavioral health care.§ 48-2103(3)
Illinois HB 1806Only a licensed professional may provide, advertise or offer therapy or psychotherapy services to the public, including through Internet-based AI. A licensed professional may use AI only for administrative or supplementary support, and may not allow AI to make independent therapeutic decisions, directly interact with clients in any form of therapeutic communication, generate treatment recommendations or plans without the professional's review and approval, or detect emotions or mental states.Sec. 15 and Sec. 20(a)-(b)
Iowa SF 2417Operators may not knowingly and intentionally cause or program a conversational AI service to make a statement that would lead a reasonable person to believe it is designed to provide professional psychology or behavioral health services that require a license under chapter 154B or 154D.§ 554J.5
Maine LD 2082Only licensed professionals may provide or advertise therapy to the public, including via AI. Licensees may not allow AI to make independent therapeutic decisions, engage clients directly in therapeutic communication, or generate treatment plans without their review; supplementary AI support needs recording, written notice and client consent.10 M.R.S. § 1500-EE; 32 M.R.S. § 2113 and parallel sections
Nebraska LB 525Operators may not knowingly and intentionally cause or program the service to make a representation or statement that explicitly indicates it is designed to provide professional mental or behavioral health care.§ 86-1806 (LB 525 Sec. 17)
Nevada AB 406AI provider may not represent that an AI system can provide professional mental or behavioral health care or is a therapist, counselor, psychiatrist or doctor, nor make available an AI system specifically programmed to provide such care. Licensed providers may not use AI in connection with providing care directly to a patient, but may use it for administrative support.NRS 433.567(1)-(3), (6); NRS 629.610(1)-(2)
Oregon HB 2748Bars use of the titles APRN, CRNA, CNS, LPN, RN, NP, CMA and CNA (and their spelled-out forms) by a nonhuman entity such as an AI agent.ORS 678.027 (Sec. 2)
Rhode Island H 7349 / S 2197No one may offer therapy to the public, including through internet-based AI, unless a licensed professional conducts it. Providers may not let AI make independent therapeutic decisions, determine treatment plans, or interact therapeutically with clients outside an established, consented treatment relationship.§ 40.1-5.5-3(b)-(c)
Tennessee SB 1580 (HB 1470)A person who develops or deploys an AI system may not advertise or represent to the public that the system is or can act as a qualified mental health professional.§ 33-1-205(a), (c)
Utah SB 226Regulated-occupation providers using generative AI must follow their occupation's requirements and disclose high-risk AI interactions.§ 13-77-103(2)
Utah HB 452A supplier that files a written safety policy with the Division of Professional Licensing, documents the chatbot's development and follows the policy has an affirmative defense to unlicensed-practice claims; the law does not recognize a chatbot as a licensed therapist.§ 58-60-118
Vermont H.816Entities may not offer mental health services, including through AI, unless provided by a mental health professional; professionals acting within scope may use HIPAA-compliant AI tools if they review and approve all services. Misuse is unprofessional conduct.18 V.S.A. § 7115; 3 V.S.A. § 129a(a)(30); 26 V.S.A. § 1354

Bills, vetoes and actions

Questions

Which states have ai therapy limits laws?

California, Colorado, Connecticut, Georgia, Hawaii, Idaho, Illinois, Iowa, Maine, Nebraska, Nevada, Oregon, Rhode Island, Tennessee, Utah and Vermont have enacted 20 laws in this group, as of November 4, 2026.