Rhode Island · House Bill · January Session, A.D. 2026
HB7349
An Act Relating to Behavioral Healthcare, Developmental Disabilities and Hospitals — Oversight of Artificial Intelligence Technology in Mental Health Care Act (2026 H 7349 Substitute A)

Status ● Enacted Effective Jun 22, 2026 Passage Likelihood N/A

WHAT THIS BILL REGULATES · 1 REQUIREMENT TYPE

How Is This Bill Enforced

Enforcement Authority
The Executive Office of Health and Human Services has authority to investigate any actual, alleged, or suspected violation of the chapter. Penalties under R.I. Gen. Laws § 5-37.3-9 apply to violations of the confidentiality provisions. No private right of action is created. The Executive Office is authorized to promulgate implementing rules and regulations.
Private Right of Action
No private right of action. Enforcement is exclusive to the designated authority.
Penalties
Penalties under R.I. Gen. Laws § 5-37.3-9 (the Confidentiality of Health Care Communications and Information Act) apply to violations of the chapter's confidentiality provisions. The bill itself specifies no independent statutory damages, civil penalty amounts, or fee-shifting for the AI use-restriction provisions.

What This Bill Requires

Verbatim statutory text on the left; plain-language analysis and a per-section checklist on the right. Numbered markers cross-link to the matching checklist row.

Statutory Text
Analysis & Obligations
R.I. Gen. Laws § 40.1-5.5-1
Short title

This chapter shall be known and may be cited as the "Oversight of Artificial IntelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) Technology in Mental Health Care Act".

Establishes the chapter's citation as the "Oversight of Artificial Intelligence Technology in Mental Health Care Act." Creates no compliance obligation.

R.I. Gen. Laws § 40.1-5.5-2
Definitions

(1) "Administrative supportAdministrative support"Administrative support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication. "Administrative support" includes, but is not limited to, the following: (i) Managing appointment scheduling and reminders; (ii) Processing billing and insurance claims; and (iii) Drafting general communications related to therapy logistics that do not include therapeutic advice.R.I. Gen. Laws § 40.1-5.5-2(1)" means tasks performed to assist a licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) in the delivery of therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) that do not involve therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9). "Administrative supportAdministrative support"Administrative support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication. "Administrative support" includes, but is not limited to, the following: (i) Managing appointment scheduling and reminders; (ii) Processing billing and insurance claims; and (iii) Drafting general communications related to therapy logistics that do not include therapeutic advice.R.I. Gen. Laws § 40.1-5.5-2(1)" includes, but is not limited to, the following: (i) Managing appointment scheduling and reminders; (ii) Processing billing and insurance claims; and (iii) Drafting general communications related to therapy logistics that do not include therapeutic advice.

(2) "Artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2)", "artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.

(3) "ConsentConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3)" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "ConsentConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3)" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.

(4) "Licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4)" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10).

(5) "Peer supportPeer support"Peer support" means services provided by individuals with lived experience of mental health conditions or recovery from substance use or gambling that are intended to offer encouragement, understanding, and guidance without clinical intervention.R.I. Gen. Laws § 40.1-5.5-2(5)" means services provided by individuals with lived experience of mental health conditions or recovery from substance use or gambling that are intended to offer encouragement, understanding, and guidance without clinical intervention.

(6) "Permitted use of artificial intelligencePermitted use of artificial intelligence"Permitted use of artificial intelligence" means the use of artificial intelligence tools or systems by a licensed professional or provider to assist in providing administrative support or supplementary support in therapy or psychotherapy services where the licensed professional or provider maintains responsibility for clinical judgement and reasonable therapeutic oversight of the patient's use of the system, but not for vendor-controlled system design, algorithms, or outputs.R.I. Gen. Laws § 40.1-5.5-2(6)" means the use of artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) tools or systems by a licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) to assist in providing administrative supportAdministrative support"Administrative support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication. "Administrative support" includes, but is not limited to, the following: (i) Managing appointment scheduling and reminders; (ii) Processing billing and insurance claims; and (iii) Drafting general communications related to therapy logistics that do not include therapeutic advice.R.I. Gen. Laws § 40.1-5.5-2(1) or supplementary supportSupplementary support"Supplementary support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication and that are not administrative support. "Supplementary support" includes, but is not limited to, the following: (i) Preparing and maintaining client records, including therapy notes; (ii) Analyzing data to track client progress or identify trends, subject to review by a licensed, credentialed, or certified professional; and (iii) Identifying and organizing external resources or referrals for client use.R.I. Gen. Laws § 40.1-5.5-2(8) in therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) where the licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) maintains responsibility for clinical judgement and reasonable therapeutic oversight of the patient's use of the system, but not for vendor-controlled system design, algorithms, or outputs.

(7) "Religious counselingReligious counseling"Religious counseling" means counseling provided by clergy members, pastoral counselors, or other religious leaders acting within the scope of their religious duties if the services are explicitly faith-based and are not represented as clinical mental health services or therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(7)" means counseling provided by clergy members, pastoral counselors, or other religious leaders acting within the scope of their religious duties if the services are explicitly faith-based and are not represented as clinical mental health services or therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10).

(8) "Supplementary supportSupplementary support"Supplementary support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication and that are not administrative support. "Supplementary support" includes, but is not limited to, the following: (i) Preparing and maintaining client records, including therapy notes; (ii) Analyzing data to track client progress or identify trends, subject to review by a licensed, credentialed, or certified professional; and (iii) Identifying and organizing external resources or referrals for client use.R.I. Gen. Laws § 40.1-5.5-2(8)" means tasks performed to assist a licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) in the delivery of therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) that do not involve therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9) and that are not administrative supportAdministrative support"Administrative support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication. "Administrative support" includes, but is not limited to, the following: (i) Managing appointment scheduling and reminders; (ii) Processing billing and insurance claims; and (iii) Drafting general communications related to therapy logistics that do not include therapeutic advice.R.I. Gen. Laws § 40.1-5.5-2(1). "Supplementary supportSupplementary support"Supplementary support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication and that are not administrative support. "Supplementary support" includes, but is not limited to, the following: (i) Preparing and maintaining client records, including therapy notes; (ii) Analyzing data to track client progress or identify trends, subject to review by a licensed, credentialed, or certified professional; and (iii) Identifying and organizing external resources or referrals for client use.R.I. Gen. Laws § 40.1-5.5-2(8)" includes, but is not limited to, the following: (i) Preparing and maintaining client records, including therapy notes; (ii) Analyzing data to track client progress or identify trends, subject to review by a licensed, credentialed, or certified professional; and (iii) Identifying and organizing external resources or referrals for client use.

(9) "Therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9)" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9)" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.

(10) "Therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10)" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10)" does not include religious counselingReligious counseling"Religious counseling" means counseling provided by clergy members, pastoral counselors, or other religious leaders acting within the scope of their religious duties if the services are explicitly faith-based and are not represented as clinical mental health services or therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(7) or peer supportPeer support"Peer support" means services provided by individuals with lived experience of mental health conditions or recovery from substance use or gambling that are intended to offer encouragement, understanding, and guidance without clinical intervention.R.I. Gen. Laws § 40.1-5.5-2(5).

Defines the operative terms for the chapter, including a broad definition of artificial intelligence as any machine-based system that makes predictions, recommendations, or decisions; a rigorous consent standard that excludes broad terms-of-use acceptance and dark-pattern tactics; and a layered taxonomy of permissible AI uses (administrative support, supplementary support, and permitted use) distinguished from therapeutic communication. The licensed professional or provider definition anchors the actor on whom the chapter's duties fall.

R.I. Gen. Laws § 40.1-5.5-3
Artificial intelligence in mental health care: use restrictions and permissions
DeployerProfessional

(a) 1 No licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) shall be permitted to use artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2), designed to simulate emotional attachment, bonding, or dependency or artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) companions for mental health or emotional support, to assist in supplementary supportSupplementary support"Supplementary support" means tasks performed to assist a licensed professional or provider in the delivery of therapy or psychotherapy services that do not involve therapeutic communication and that are not administrative support. "Supplementary support" includes, but is not limited to, the following: (i) Preparing and maintaining client records, including therapy notes; (ii) Analyzing data to track client progress or identify trends, subject to review by a licensed, credentialed, or certified professional; and (iii) Identifying and organizing external resources or referrals for client use.R.I. Gen. Laws § 40.1-5.5-2(8) or therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9) in therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) where the client's therapeutic session is recorded or transcribed unless the patient or the patient's parent, guardian or other legally authorized representative is informed in writing of the following and provides consentConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3) as defined in § 40.1-5.5-2: (1) That artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) will be used; (2) The specific purpose of the artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) tool or system that will be used; and (3) The patient or the patient's parents, or other legally authorized representative, provides consentConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3) to the use of artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2).

(b) 2 An individual, corporation, or entity may not provide, advertise, or otherwise offer therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10), including through the use of Internet-based artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2), to the public in this state unless the therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) are conducted by an individual who is a licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4).

(c) 3 A licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) may use artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) only to the extent that such use meets the requirements of subsection (a) of this section. A licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) may not allow or otherwise use artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) to do any of the following: (1) Make independent therapeutic decisions; (2) Directly interact with clients in any form of therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9) without an established relationship when the licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) agrees to undertake diagnosis and treatment of the patient and the patient consentsConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3) under this section, whether or not there has been an in-person encounter between the licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) and the patient. The provider retains responsibility for clinical judgement and reasonable therapeutic oversight of the patient's use of the system, but not for vendor-controlled system design, algorithms, or outputs; or (3) Determine therapeutic recommendations or treatment plans.

(d) 4 If a client discloses that they are using software that includes AI features on their own initiative, the licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) may discuss the client's use of the software and offer guidance about the client's use of the software. The licensed professional is responsible for maintaining confidentiality and monitoring the safety of the client, intervening when necessary to protect the safety of the client, and to discuss limitations and risks using the software poses to the patient.

This is the operative heart of the chapter. It imposes a written-consent gate on any use of emotional-attachment-simulating AI or AI companions during recorded or transcribed therapy sessions, requiring written disclosure that AI will be used, its specific purpose, and affirmative consent from the patient or representative. It bars any individual, corporation, or entity from offering therapy or psychotherapy services to the public — including through internet-based AI — unless the services are conducted by a licensed professional or provider.

It also constrains how a licensed professional may use AI: AI may not make independent therapeutic decisions, directly conduct therapeutic communication with clients absent an established professional relationship, or determine therapeutic recommendations or treatment plans. The provider retains responsibility for clinical judgment but not for vendor-controlled system design. A final subsection clarifies the provider's duties when a client independently uses AI software.

Compliance actions 4 items
1
Licensed professionals must obtain written, informed, revocable consentConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3) before using emotional-attachment-simulating AI or AI companions in a recorded or transcribed therapy session, after disclosing in writing that AI will be used and its specific purpose.
HC-02.4
2
No individual, corporation, or entity may provide, advertise, or offer therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) to the public — including through internet-based AI — unless those services are conducted by a state-licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4).
HC-02.3
3
Licensed professionals must retain full responsibility for AI use and must not allow AI to make independent therapeutic decisions, directly conduct therapeutic communicationTherapeutic communication"Therapeutic communication" means any verbal, non-verbal, or written interaction conducted in a clinical or professional setting that is intended to diagnose or treat an individual's mental, emotional, or behavioral health concerns. "Therapeutic communication" includes, but is not limited to: (i) Direct interactions with clients for the purpose of understanding or reflecting their thoughts, emotions, or experiences; (ii) Providing guidance, therapeutic strategies, or interventions designed to achieve mental health outcomes; (iii) Offering emotional support, reassurance, or empathy in response to psychological or emotional distress; (iv) Collaborating with clients to develop or modify therapeutic goals or treatment plans; and (v) Offering behavioral feedback intended to promote psychological growth or address mental health conditions.R.I. Gen. Laws § 40.1-5.5-2(9) absent an established professional relationship, or determine therapeutic recommendations or treatment plans.
HC-02.1
4
When a client independently discloses use of AI-enabled software, the licensed professional must maintain confidentiality, monitor and protect client safety, intervene when necessary, and discuss the software's limitations and risks with the patient.
HC-02.1
R.I. Gen. Laws § 40.1-5.5-4
Confidentiality of records

All records kept by a licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) and all communications between an individual seeking therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10) and a licensed professional or providerLicensed professional or provider"Licensed professional or provider" means an individual who holds a valid license, credential, or certification issued by this state to provide therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(4) shall be confidential and shall not be disclosed except as provided pursuant to the provisions of § 40.1-5-26.

Requires that all records and communications between an individual seeking therapy or psychotherapy services and a licensed professional remain confidential except as permitted under existing state law (§ 40.1-5-26). This restates an existing confidentiality framework rather than imposing a novel AI-specific duty, though it backstops the AI provisions by ensuring AI-assisted records remain protected.

R.I. Gen. Laws § 40.1-5.5-5
Penalties and exemptions

(a) The penalties pursuant to § 5-37.3-9 shall apply to any violation of the confidentiality provisions of this chapter.

(b) The executive office of health and human services shall have authority to investigate any actual, alleged, or suspected violation of this chapter.

(c) This chapter shall not apply to the following: (1) Religious counselingReligious counseling"Religious counseling" means counseling provided by clergy members, pastoral counselors, or other religious leaders acting within the scope of their religious duties if the services are explicitly faith-based and are not represented as clinical mental health services or therapy or psychotherapy services.R.I. Gen. Laws § 40.1-5.5-2(7); (2) Peer supportPeer support"Peer support" means services provided by individuals with lived experience of mental health conditions or recovery from substance use or gambling that are intended to offer encouragement, understanding, and guidance without clinical intervention.R.I. Gen. Laws § 40.1-5.5-2(5); and (3) Self-help materials and educational resources that are available to the public and do not purport to offer therapy or psychotherapy servicesTherapy or psychotherapy services"Therapy or psychotherapy services" means services provided to diagnose or treat an individual's mental health or behavioral health. "Therapy or psychotherapy services" does not include religious counseling or peer support.R.I. Gen. Laws § 40.1-5.5-2(10). (4) Any artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) tool or system that has been reviewed and cleared for use by the federal Food and Drug Administration, or another federal agency tasked with approving artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) and artificial intelligenceArtificial intelligence"Artificial intelligence", "artificial intelligence technology", or "AI" means a machine-based system that can, for a given set of human-defined objectives, make predictions, recommendations, or decisions influencing real or virtual environments.R.I. Gen. Laws § 40.1-5.5-2(2) algorithms for use in health care. (5) Research pursuant to the patient consentConsent"Consent" means an affirmative written agreement, including by electronic means, which unambiguously communicates the individual's explicit, express, freely given, informed, voluntary, and specific agreement, and which is revocable by the individual. "Consent" does not include an agreement that is obtained by the following: (i) The acceptance of a general or broad terms of use, agreement, or a similar document that contains descriptions of artificial intelligence along with other unrelated information; (ii) An individual hovering over, muting, pausing, or closing a given piece of digital content; or (iii) Using deceptive actions.R.I. Gen. Laws § 40.1-5.5-2(3) and/or de-identification requirements of 21 C.F.R. Pt. 50 and/or 45 C.F.R. Pt. 46 approved by a healthcare facility's institutional review board pursuant to § 23-17-19.1.

Establishes enforcement and scope limits. Penalties under § 5-37.3-9 apply to violations of the chapter's confidentiality provisions, and the Executive Office of Health and Human Services has authority to investigate actual, alleged, or suspected violations. The section then enumerates significant carve-outs: religious counseling, peer support, public self-help and educational materials, AI tools cleared by the FDA or another federal health-care agency, and IRB-approved research are all outside the chapter's reach.

R.I. Gen. Laws § 40.1-5.5-6
Rules and regulations; effective date

The executive office of health and human services is authorized to promulgate rules and regulations to carry out the intent of this chapter.

SECTION 2 This act shall take effect upon passage.

Authorizes the Executive Office of Health and Human Services to promulgate implementing rules and regulations, foreshadowing future detail on how the AI use restrictions will be administered. The act takes effect upon passage.

Passage Likelihood

Enacted
Status Enacted

Legislative History

2026-01-28 Introduced, referred to House Health & Human Services
2026-02-19 Scheduled for hearing and/or consideration
2026-02-23 Meeting postponed (02/24/2026)
2026-02-27 Scheduled for hearing and/or consideration (03/03/2026)
2026-03-03 Committee recommended measure be held for further study
2026-06-02 Scheduled for consideration (06/04/2026)
2026-06-02 Proposed Substitute
2026-06-04 Committee recommends passage of Sub A
2026-06-05 Placed on House Calendar (06/08/2026)
2026-06-08 House passed Sub A
2026-06-08 Placed on the Senate Consent Calendar (06/10/2026)
2026-06-10 Senate passed Sub A in concurrence
2026-06-18 Transmitted to Governor
2026-06-22 Signed by Governor

Entry Last Reviewed

2026-07-08
AI generated