SB-2259
IL · State · USA
IL
USA
● Pending
Proposed Effective Date
2026-01-01
Illinois SB 2259 — Health Care Generative AI Use (amending 225 ILCS 60 by adding Section 67)
Requires health facilities, clinics, physician's offices, and group practices that use generative AI to generate patient communications about clinical information to include a disclaimer that the communication was AI-generated and clear instructions on how to contact a human provider. The disclaimer requirements vary by communication medium — written, chat-based, audio, and video — with specific placement and duration rules for each. An exemption applies when a licensed or certified health care provider has read and reviewed the AI-generated communication before it is sent. Enforcement is through the Department of Financial and Professional Regulation for facilities and clinics, and the Illinois State Medical Board for physicians. No private right of action is created.
Summary

Requires health facilities, clinics, physician's offices, and group practices that use generative AI to generate patient communications about clinical information to include a disclaimer that the communication was AI-generated and clear instructions on how to contact a human provider. The disclaimer requirements vary by communication medium — written, chat-based, audio, and video — with specific placement and duration rules for each. An exemption applies when a licensed or certified health care provider has read and reviewed the AI-generated communication before it is sent. Enforcement is through the Department of Financial and Professional Regulation for facilities and clinics, and the Illinois State Medical Board for physicians. No private right of action is created.

Enforcement & Penalties
Enforcement Authority
Enforcement is split by entity type. For licensed health facilities and licensed clinics, the Department of Financial and Professional Regulation enforces through penalties implemented by rule. For physicians, the Illinois State Medical Board determines and imposes penalties. Enforcement is agency-initiated through existing regulatory and licensing authority. No private right of action is created.
Penalties
Penalties for licensed health facilities and licensed clinics are to be implemented by the Department of Financial and Professional Regulation by rule. Penalties for physicians are to be determined by the Illinois State Medical Board. No statutory minimum, private damages, or attorney fee provisions are specified in the bill text; penalty amounts and types are delegated to the respective regulatory bodies.
Who Is Covered
Compliance Obligations 2 obligations · click obligation ID to open requirement page
T-01 AI Identity Disclosure · T-01.1 · Deployer · Healthcare
225 ILCS 60/67(b)(1)-(2), (c)
Plain Language
Health facilities, clinics, physician's offices, and group practices that use generative AI to create patient communications about clinical information must include two things: (1) a prominent disclaimer that the communication was AI-generated, with format-specific requirements — at the beginning for letters/emails, displayed throughout for chat-based telehealth and video, and verbally at the start and end for audio; and (2) clear instructions on how to reach a human provider. Critically, these requirements do not apply if a licensed or certified health care provider has read and reviewed the AI-generated communication before it reaches the patient — this human-in-the-loop exemption is the key safe harbor. Administrative communications (scheduling, billing) are excluded because they fall outside the definition of patient clinical information.
Statutory Text
(b) A health facility, clinic, physician's office, or office of a group practice that uses generative artificial intelligence to generate written or verbal patient communications pertaining to patient clinical information shall ensure that the communications include both of the following: (1) A disclaimer that indicates to the patient that the communication was generated by generative artificial intelligence and that is provided in the following manner: (A) for written communications involving physical and digital media, including letters, emails, and other occasional messages, the disclaimer shall appear prominently at the beginning of each communication; (B) for written communications involving continuous online interactions, including chat-based telehealth, the disclaimer shall be prominently displayed throughout the interaction; (C) for audio communications, the disclaimer shall be provided verbally at the start and the end of the interaction; or (D) for video communications, the disclaimer shall be prominently displayed throughout the interaction. (2) Clear instructions describing how a patient may contact a human health care provider, employee of the health facility, clinic, physician's office, or office of a group provider, or other appropriate person. (c) If a communication is generated by generative artificial intelligence and read and reviewed by a human licensed or certified health care provider, the requirements of subdivision (b) do not apply.
Other · Healthcare
225 ILCS 60/67(d)-(e)
Plain Language
These provisions assign enforcement authority but do not create any new compliance obligation. Violations by licensed health facilities or licensed clinics are subject to penalties the Department of Financial and Professional Regulation will establish through rulemaking. Violations by physicians are subject to penalties determined by the Illinois State Medical Board. No specific penalty amounts or types are set in the statute itself — they are entirely delegated to the respective regulatory bodies.
Statutory Text
(d) A violation of this Section by a licensed health facility or a licensed clinic is subject to penalties as implemented by the Department by rule. (e) A violation of this Section by a physician is subject to penalties as determined by the Medical Board.