| JurisdictionFederal | StatusIn effect or in useMoving in the last 12 months | Key detail6 rows on record. Show all and sourcesONC HTI-1 certified health IT algorithm transparencyEffective, Implementation Jan 1, 2026 The HTI-1 final rule adds transparency expectations for predictive decision-support interventions in certified health IT and moves certified products toward USCDI v3 as the baseline standard. Who it affects: patients, family caregivers, clinicians, health IT vendors, care organizations Why it matters: Caregivers often see downstream effects of clinical tools without knowing what influenced a recommendation; transparency requirements can shape what care teams can explain about software-supported decisions. Last reviewed Jun 18, 2026 Federal H.R.6489 SAFE BOTs ActProposed, No date set Federal proposal including chatbot crisis-resource disclosures and a four-year longitudinal study of chatbot mental-health risks and benefits for minors. Who it affects: family caregivers, care recipients, technology vendors, care organizations Why it matters: Federal movement can shape baseline expectations for care-adjacent AI, health data, minor safety, and clinical transparency even before one comprehensive standard exists. Last reviewed Sep 25, 2026 Federal HIPAA Security Rule cybersecurity NPRMProposed, No date set Proposed federal rule to strengthen cybersecurity requirements for electronic protected health information. Who it affects: family caregivers, care recipients, technology vendors, care organizations Why it matters: Federal movement can shape baseline expectations for care-adjacent AI, health data, minor safety, and clinical transparency even before one comprehensive standard exists. Last reviewed Sep 25, 2026 Federal S.2714 CHAT ActProposed, No date set Federal proposal targeting companion AI chatbots used by minors, including restrictions on access and harmful dialogue. Who it affects: family caregivers, care recipients, technology vendors, care organizations Why it matters: Federal movement can shape baseline expectations for care-adjacent AI, health data, minor safety, and clinical transparency even before one comprehensive standard exists. Last reviewed Sep 25, 2026 Federal S.3062 GUARD ActProposed, No date set Federal proposal defining AI companions and focusing on minors, non-human disclosure, age verification, and sexual-content harms. Who it affects: family caregivers, care recipients, technology vendors, care organizations Why it matters: Federal movement can shape baseline expectations for care-adjacent AI, health data, minor safety, and clinical transparency even before one comprehensive standard exists. Last reviewed Sep 25, 2026 Federal Stopping Illegal Minor Simulations ActProposed, No date set Federal proposal to prohibit covered chatbot operators from making available minor-simulating chatbots that engage in sexually explicit conduct or conversation. Who it affects: family caregivers, care recipients, technology vendors, care organizations Why it matters: Federal movement can shape baseline expectations for care-adjacent AI, health data, minor safety, and clinical transparency even before one comprehensive standard exists. Last reviewed Sep 25, 2026
| DateImplementationJan 1, 2026 |
| JurisdictionAlabama | StatusLaw, not yet in effectMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesAlabama SB 63 health care plan AI determinationsEnacted, No date set Regulates the use of artificial intelligence by health care plans in coverage or care-service determinations. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Alabama HB 324 chatbot and therapy-chatbot requirementsProposed, No date set Would require chatbot age verification, safeguard protocols, therapy-chatbot requirements, and enforcement paths. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionArizona | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesArizona HB 2311 AI service disclosuresProposed, No date set Would require disclosures and related requirements for artificial intelligence services. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Arizona HB 2737 chatbot regulationsProposed, No date set Would regulate chatbot personal-data practices and requirements for consumer-facing chatbot systems. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionCalifornia | StatusIn effect or in useMoving in the last 12 months | Key detail4 rows on record. Show all and sourcesCalifornia CCPA ADMT, risk assessment, and cybersecurity regulationsEffective, Effective Jan 1, 2026 California's privacy regulator finalized rules that affect automated decisionmaking, privacy risk assessment, and cybersecurity audit obligations. Who it affects: care recipients using digital services, family caregivers, consumer health app users, technology vendors, privacy teams Why it matters: Caregiving tools that use profiling, automation, sensitive data, or digital health workflows may need stronger notices, rights handling, and risk governance. Last reviewed Jun 19, 2026 California AB 489 artificial intelligence health-care title protectionEnacted, Effective Jan 1, 2026 Restricts AI systems from representing themselves with licensed health-care titles or implying licensed clinical authority. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 California SB 243 companion chatbot safety lawEnacted, Effective Jan 1, 2026 Requires companion chatbot disclosures, suicide and self-harm safeguards, protections for minors, and reporting obligations for operators. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 California AB 3030 healthcare GenAI communication disclosureEnacted, Effective Jan 1, 2025 Requires health facilities and clinics to include a GenAI disclaimer for patient health-status communications unless reviewed by a licensed or certified provider. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateEffectiveJan 1, 2026 |
| JurisdictionColorado | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJan 1, 2027 |
| JurisdictionConnecticut | StatusLaw, not yet in effectMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesConnecticut SB 5 artificial intelligence omnibus lawEffective Soon, Effective Jan 1, 2027 Includes companion chatbot duties, including notice, protections around sustained engagement, and safety expectations for vulnerable users. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Connecticut SB 86 companion chatbot bill analysisProposed, No date set 2026 bill analysis describes disclosure duties and restrictions for operators that make companion chatbots available to certain minors. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateEffectiveJan 1, 2027 |
| JurisdictionFlorida | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionGeorgia | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJul 1, 2027 |
| JurisdictionHawaii | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionIdaho | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJul 1, 2027 |
| JurisdictionIllinois | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveAug 1, 2025 |
| JurisdictionIndiana | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionIowa | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateImplementationJul 1, 2027 |
| JurisdictionKansas | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionKentucky | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionLouisiana | StatusProposed or pendingMoving in the last 12 months | Key detail3 rows on record. Show all and sourcesLouisiana HB 1188 chatbot protections for minorsProposed, No date set Would provide protections for minors regarding use of chatbots. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Louisiana HB 197 AI use by health care providersProposed, No date set Would regulate the use of artificial intelligence by health care providers. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Louisiana SB 5 mental health chatbot proposalProposed, No date set Would regulate mental health chatbots that use artificial intelligence technology. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionMaine | StatusLaw, not yet in effectMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesMaine AI chatbot disclosure in consumer transactionsEnacted, No date set Requires clear and conspicuous notice when an AI chatbot may mislead a reasonable consumer into believing they are engaging with a human. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Maine LD 2082 AI in mental health servicesEnacted, No date set Public Law Chapter 687 regulates the use of AI in providing certain mental health services and limits therapy or psychotherapy use to licensed professional oversight. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionMaryland | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionMassachusetts | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesMassachusetts S2632 AI in healthcare decision-makingProposed, No date set Would regulate the use of AI and other software tools in healthcare decision-making. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Massachusetts S264 AI chatbot consumer protectionsProposed, No date set Would establish protections for consumers interacting with artificial intelligence chatbots. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionMichigan | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionMinnesota | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesMinnesota HF3893 AI psychotherapy regulationProposed, No date set Would regulate use of artificial intelligence in psychotherapy services and provide civil penalties. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Minnesota SF4997 AI chatbot technology requirementsProposed, No date set Would establish requirements for artificial intelligence chatbot technology. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionMississippi | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionMissouri | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionNebraska | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJul 1, 2027 |
| JurisdictionNevada | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJun 29, 2025 |
| JurisdictionNew Hampshire | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJan 1, 2026 |
| JurisdictionNew Jersey | StatusIn effect or in useMoving in the last 12 months | Key detail3 rows on record. Show all and sourcesNew Jersey Data Privacy Act proposed regulationsActive, Comments due Aug 1, 2025 The Division of Consumer Affairs proposed N.J.A.C. 13:45L to implement P.L. 2023, c. 266, the New Jersey Data Privacy Act, including definitions, exemptions, consumer-rights notices, universal opt-out mechanisms, and limits around using internal-research data to train artificial intelligence without affirmative consent. Who it affects: New Jersey residents, family caregivers, care recipients, digital health users, care technology vendors, privacy teams Why it matters: Caregiver-facing tools can hold personal, household, health-adjacent, location, and support-needs data; the proposed rules are the regulatory layer beneath New Jersey privacy-rights operations. Last reviewed Jul 4, 2026 New Jersey A4732 companion chatbot proposalProposed, No date set Would regulate companion chatbots and establish user notice and safety expectations for AI systems that simulate relationship-like engagement. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 New Jersey S735 therapeutic chatbots and social AI companionsProposed, No date set Proposed bill regulating therapeutic chatbots and social AI companions. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateComments dueAug 1, 2025 |
| JurisdictionNew Mexico | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionNew York | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveNov 5, 2025 |
| JurisdictionNorth Carolina | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionOhio | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesOhio HB 525 AI in therapy servicesProposed, No date set Would regulate the use of artificial intelligence in therapy services. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Ohio SB 164 AI use by health insurersProposed, No date set Would regulate the use of artificial intelligence by health insurers. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionOklahoma | StatusProposed or pendingMoving in the last 12 months | Key detail3 rows on record. Show all and sourcesOklahoma HB 3544 AI companions and minorsProposed, No date set Would regulate artificial intelligence companions, minors, safety requirements, and civil penalties. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Oklahoma SB 1521 AI minor safeguards and disclosureProposed, No date set Would require AI operator disclosures, preventive measures for minor account holders, prohibitions, attorney general enforcement, and civil penalties. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Oklahoma SB 2037 AI informed consent in health careProposed, No date set Would require informed consent for AI use by licensed mental health professionals or health care providers and define authorized and prohibited uses. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionOregon | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJan 1, 2027 |
| JurisdictionPennsylvania | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesPennsylvania HB 2006 chatbot use in consumer transactionsProposed, No date set Proposed chatbot disclosure bill in consumer transactions. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Pennsylvania SAFECHAT ActProposed, No date set Minor-focused AI chatbot safeguard proposal advanced by the Pennsylvania Senate in 2026. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionRhode Island | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesRhode Island H7350 companion AI chatbot proposalProposed, No date set House companion proposal covering AI chatbots used for companionship or relationship-like engagement. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Rhode Island S2195 companion AI chatbot proposalProposed, No date set Would regulate companion AI chatbot operators, including disclosure, minor-safety, and crisis-response obligations. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionSouth Carolina | StatusProposed or pendingMoving in the last 12 months | Key detail3 rows on record. Show all and sourcesSouth Carolina S0788 artificial intelligence and therapy or psychotherapyProposed, No date set Would regulate artificial intelligence in therapy or psychotherapy contexts. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 South Carolina S0896 chatbot regulationProposed, No date set Would regulate chatbot systems and related consumer protections. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 South Carolina S1037 protecting children from chatbotsProposed, No date set Would establish protections for children from chatbot harms. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionSouth Dakota | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesSouth Dakota SB 168 chatbot use by minorsActive, No date set Would have regulated chatbot use by minors; deferred to the 41st legislative day. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 South Dakota SB 170 chatbot consumer noticeActive, No date set Would have required notice to consumers interacting with human-simulating chatbots or computer technologies. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
| JurisdictionTennessee | StatusIn effect or in use | Key detailShow details and sources | DateEffectiveJul 1, 2026 |
| JurisdictionTexas | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJan 1, 2026 |
| JurisdictionUtah | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionVermont | StatusIn effect or in use | Key detailShow details and sources | DateEffectiveJul 1, 2026 |
| JurisdictionVirginia | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionWashington | StatusLaw, not yet in effectMoving in the last 12 months | Key detailShow details and sources | DateEffectiveJan 1, 2027 |
| JurisdictionWest Virginia | StatusProposed or pendingMoving in the last 12 months | Key detailShow details and sources | DateNo date set |
| JurisdictionWisconsin | StatusProposed or pendingMoving in the last 12 months | Key detail2 rows on record. Show all and sourcesWisconsin AB 965 child relationship-AI billActive, No date set Would have regulated AI systems that simulate humanlike relationships with children; failed to pass in 2026. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026 Wisconsin SB 1066 AI prior authorization proposalProposed, No date set Would regulate use of AI to deny prior authorization for medical necessity or experimental status. Who it affects: family caregivers, care recipients, care technology users Why it matters: Digital support tools for caregivers may need to explain their role, data use, safety boundaries, or escalation limits differently in this jurisdiction. Last reviewed Sep 25, 2026
| DateNo date set |
