Observatory · U.S. health AI law
No federal health-AI statute.
States already decide who is on the hook when the model is wrong.
Almost every instrument here requires a human in the loop. That convergence is not the news. The news is that they disagree about whose loop it is — physician, health plan, or manufacturer — and the answer depends on where the harm happens.
Every sentence on this site is quoted from the instrument itself, with its citation, its source file and the date it was read. Where we have not checked, the site says so instead of guessing.
What has been read, and what has not
9 states in the registry; 41 not examined.
Most of this map is empty, and that is the honest picture.
Nine states are in the registry. The operative sentence has been read out of the source document for most of them; the rest are in and still unread. The blank squares are not states that permit anything — they are states nobody here has examined yet.
Trackers that fill the whole map are counting bills. This one counts sentences it can quote, and shows the gap instead of covering it. The empty squares are the work queue, published.
The same requirement. Three different people on the hook.
See how one was read →All three say a machine may not decide alone. Read the sentence that creates the duty and the subject changes — and with it, who a patient sues, who a regulator inspects, and who buys insurance against it.
Washington
the carrier
A carrier that uses artificial intelligence for the purpose of prior authorization … shall ensure all of the following
RCW 48.43.830(3)(b)
Texas
the utilization review agent
A utilization review agent may not use an automated decision system to make, wholly or partly, an adverse determination.
Tex. Ins. Code § 4201.156(a)
Maryland
no one
AN ARTIFICIAL INTELLIGENCE, ALGORITHM, OR OTHER SOFTWARE TOOL MAY NOT DENY, DELAY OR MODIFY HEALTH CARE SERVICES.
Md. Ins. § 15-10B-05.1(d) · the subject of the prohibition is the tool
Built to be quoted
Every answer carries its own anchor, its citation, its source file and the date it was read — so a person, a journalist or a language model can quote it and check it. The whole registry is one JSON file at /map.json, CC BY 4.0.
/us/washington/#deny-with-ai /map.json schema.org/Dataset + Legislation