40 jurisdictions now regulate AI in health care and coverage decisions

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.