40 jurisdictions now regulate AI in health care and coverage decisions

According to the ALT AI-law corpus, 40 jurisdictions have at least one instrument regulating AI in health care and coverage decisions, with 137 distinct instruments total and 18 already enacted across 9 jurisdictions. Enacted measures include Rhode Island HB 7538, Colorado HB 1139, Georgia SB 444, Alabama SB 63, Maine LD 2082, California AB 489, Nevada AB 406, and federal HIPAA Privacy Rule and CMS Coverage with Evidence Development for AI-Based Diagnostics. The tracker, counted on 2026-08-08, notes that 'enacted' means signed or in force, not necessarily binding immediately.

Where is clinical or coverage-decision AI already regulated? 40 jurisdictions have at least one instrument on the books; 18 of 137 are already enacted. 40 jurisdictions in our tracker have at least one instrument on AI in health care and coverage decisions — 137 distinct instruments in total, of which 18 are already enacted across 9 jurisdictions. The rest are still moving. Already enacted - Rhode Island HB 7538 — AN ACT RELATING TO HEALTH AND SAFETY -- USE OF ARTIFICIAL INTELLIGENCE BY HEALTHCARE PROVIDERS NOTIFICATION ACT source https://openstates.org/ri/bills/2026/HB7538/ - Rhode Island HB 7349 — AN ACT RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND HOSPITALS -- OVERSIGHT OF ARTIFICIAL INTELLI… source https://openstates.org/ri/bills/2026/HB7349/ - Rhode Island SB 2197 — AN ACT RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND HOSPITALS -- OVERSIGHT OF ARTIFICIAL INTELLI… source https://openstates.org/ri/bills/2026/SB2197/ - Rhode Island SB 2570 — AN ACT RELATING TO HEALTH AND SAFETY -- USE OF ARTIFICIAL INTELLIGENCE BY HEALTHCARE PROVIDERS NOTIFICATION ACT source https://openstates.org/ri/bills/2026/SB2570/ - Colorado HB 1139 — Use of Artificial Intelligence in Health Care source https://leg.colorado.gov/bills/HB26-1139 - Georgia SB 444 — Private Review Agents; certain decisions with regard to the provision of insurance coverage for healthcare services s… source https://www.legis.ga.gov/legislation/72666 - Alabama SB 63 — Health care plans; to regulate the use of artificial intelligence in determinations of coverage source https://alison.legislature.state.al.us/bill-search - Maine LD 2082 — An Act To Regulate The Use Of Artificial Intelligence In Providing Certain Mental Health Services source https://legislature.maine.gov/LawMakerWeb/summary.asp?ID=280101134 - California AB 489 — Health care professions: deceptive terms or letters: artificial intelligence. source https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill id=202520260AB489 - Nevada AB 406 — AN ACT relating to health; prohibiting certain uses of artificial intelligence in public schools; requiring the Depar… source https://archive.leg.state.nv.us/Session/83rd2025/Bills/AB/AB406 EN.pdf - United States Federal — HIPAA Privacy Rule source https://www.hhs.gov/hipaa/ - United States Federal — CMS Coverage with Evidence Development CED for AI-Based Diagnostics source https://www.cms.gov/coverage …and 6 more enacted instruments in the tracker. Every jurisdiction with something on the books New York 12 · Hawaii 7 · Rhode Island 7 · Texas 7 · California 6 · Illinois 6 · Iowa 6 · Massachusetts 6 · Missouri 6 · Oklahoma 5 · United States Federal 5 · Alabama 4 · Maryland 4 · Minnesota 4 · Vermont 4 · +25 more How this count is built Counted from the ALT AI-law corpus on 2026-08-08: records classified AI-specific or AI-relevant, not marked duplicates, whose own title or summary matches this topic, and which deep-link to an official source. "Enacted" means the tracker records the instrument as signed or in force — a signed act may still carry a later effective date, so do not read this as "already binding on you today." Topic matching is by subject-matter keyword over the instrument's own text, so this is a coverage floor, not a legal opinion about what any instrument requires. Sources & citations - Rhode Island HB 7538 is recorded in the ALT AI-law corpus openstates.org https://openstates.org/ri/bills/2026/HB7538/ - Rhode Island HB 7349 is recorded in the ALT AI-law corpus openstates.org https://openstates.org/ri/bills/2026/HB7349/ - Rhode Island SB 2197 is recorded in the ALT AI-law corpus openstates.org https://openstates.org/ri/bills/2026/SB2197/ - Rhode Island SB 2570 is recorded in the ALT AI-law corpus openstates.org https://openstates.org/ri/bills/2026/SB2570/ - Colorado HB 1139 is recorded in the ALT AI-law corpus leg.colorado.gov https://leg.colorado.gov/bills/HB26-1139 - Georgia SB 444 is recorded in the ALT AI-law corpus www.legis.ga.gov https://www.legis.ga.gov/legislation/72666 - Alabama SB 63 is recorded in the ALT AI-law corpus alison.legislature.state.al.us https://alison.legislature.state.al.us/bill-search - Maine LD 2082 is recorded in the ALT AI-law corpus legislature.maine.gov https://legislature.maine.gov/LawMakerWeb/summary.asp?ID=280101134 - California AB 489 is recorded in the ALT AI-law corpus leginfo.legislature.ca.gov https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill id=202520260AB489 - Nevada AB 406 is recorded in the ALT AI-law corpus archive.leg.state.nv.us https://archive.leg.state.nv.us/Session/83rd2025/Bills/AB/AB406 EN.pdf - United States Federal HIPAA Privacy Rule is recorded in the ALT AI-law corpus www.hhs.gov https://www.hhs.gov/hipaa/ - United States Federal CMS Coverage with Evidence Development CED for AI-Based Diagnostics is recorded in the ALT AI-law corpus www.cms.gov https://www.cms.gov/coverage Browse AI laws by jurisdiction Statuses, deadlines, penalties, and primary sources — kept current on AI Law Tracker. How this was made. This story is drafted by an automated pipeline from the primary sources cited above, then checked against those sources before it is published. Nothing is published as raw machine output, and no claim here is stronger than the source it links to. Full methodology /methodology · our own data & AI practices /compliance .